• Utilization Management Nurse…

    CVS Health (GA)
    …24/7 operation and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH- 8A-5P in EST or CST **Position ... Summary** UM Nurse Consultant Utilizes clinical experience and skills...external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** 3+ years… more
    CVS Health (01/16/26)
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  • Utilization Management Nurse…

    CVS Health (GA)
    …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST zones **Education**… more
    CVS Health (01/16/26)
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  • Clinical Product Consultant…

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical ... best practice workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as...acute care setting + 2+ years of experience in utilization management + Knowledge and understanding of… more
    Waystar (11/21/25)
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  • Primary Care Physician Lead

    CenterWell (Morrow, GA)
    …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well as those of the clinicians whom… more
    CenterWell (01/06/26)
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  • Social Work Program Manager

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    …and administrative functions are integrated in order to provide optimum utilization of resources. Incumbent participates in management discussions, policy ... position is filled. This position is being posted as a Physician, Psychologist, Nurse , and Social Worker. Please apply under the appropriate series. Physician -… more
    Veterans Affairs, Veterans Health Administration (12/09/25)
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