- CVS Health (Little Rock, AR)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Little Rock, AR)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... from work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review… more
- CVS Health (Little Rock, AR)
- …procedures/services or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors ... meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management… more
- CenterWell (Little Rock, AR)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- CenterWell (Little Rock, AR)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... high-volume community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a… more
- CVS Health (Little Rock, AR)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Sharecare (Little Rock, AR)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- Catholic Health Initiatives (Little Rock, AR)
- …of RN experience **Preferred** Denials management experience Previous case management , utilization management , or discharge planning experience strongly ... revenue cycle by providing clinical expertise in the denials management process. The Denials RN performs a root cause...clinical experience as Registered Nurse (RN) 5 years… more
- Veterans Affairs, Veterans Health Administration (Fort Smith, AR)
- Summary The ICMHR program provides clinical community-based case management services to Veterans with pervasive mental illness (PMI), severe functional impairment, ... and high Inpatient MH unit utilization , in coordination with existing community and Veterans Affairs...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the MH continuum of… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, AR)
- …promotion, health education and coaching on wellness, disease prevention, and chronic care management . The nurse will assist in directing the provision of ... in the various medical, surgical and interventional radiology clinics. The SC RN Nurse II is responsible and accountable for all elements of the nursing process… more
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