- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
- CVS Health (Springfield, IL)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The RN , Utilization Management (UM) Nurse 2 utilizes clinical nursing skills to support the ... in Ohio, Illinois or Indiana.** + An Active, unrestricted Registered Nurse ( RN ) license in...Michigan. + One (1) year of previous experience in utilization management /LTSS service authorization. + Two (2)… more
- CVS Health (Springfield, IL)
- …active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- CVS Health (Springfield, IL)
- …+ **M** anaged care experience + Discharge planning experience + Utilization Management experience **Education** ASN Required, BSN Preferred **Anticipated ... every day. + **Position Summary** **Must hold Illinois state RN licensure** **Hours: M-F; 8am - 5pm CST** -...to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and… more
- CVS Health (Springfield, IL)
- …throughFridayvarying hours available with Holiday,Weekend,and laterotations. + **Required Qualifications** + Registered Nurse + Must have active current and ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and… more
- Trinity Health (Silvis, IL)
- …As One! (http://www.genesishealth.com/) Join the MercyOne Family! We are looking to hire a Registered Nurse ! A dedicated Charge Nurse is a registered ... compliance with staffing plan. + Oversees daily operations, staff management , and coordination of interdepartmental activities within the unit...+ Bachelor of Science in Nursing (BSN) preferred + Registered Nurse in Illinois, Registered … more
- AdventHealth (Hinsdale, IL)
- …. BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION OR REGISTRATION ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION… more
- AdventHealth (Glendale Heights, IL)
- …Planning + Conflict management and resolution skills + Teamwork principles + Registered Nurse ( RN ) Required + Certified Case Manager (CCM) Preferred ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- AdventHealth (Glendale Heights, IL)
- …+ EKG (based on patient population; see document EKG and Advanced Life Support Requirements) + Registered Nurse ( RN ) Required + Basic Life Support - CPR Cert ... **Location:** 701 WINTHROP AVE, Glendale Heights, 60139 **The role you'll contribute:** The Registered Professional Nurse ( RN ) is responsible for providing… more
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