- CVS Health (Lansing, MI)
- …and more compassionate. And we do it all with heart, each and every day. ** Utilization Management Nurse Consultant ** Fully Remote- WFH **Position ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of… more
- CVS Health (Lansing, MI)
- …include weekends, holidays, and evening hours._ _Weekends: F/S/S/M 10 hour shifts_ **UM Nurse Consultant ** Fully Remote- WFH **Position Summary** UM Nurse ... Consultant Position Summary: UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate,… more
- CVS Health (Lansing, MI)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zones.… more
- Intermountain Health (Lansing, MI)
- …specialty care settings or previous appeals experience. + Demonstrated experience in utilization review and/or case management , hospital insurance billing, third ... **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The Audit/Appeals… more
- Munson Healthcare (Traverse City, MI)
- …will be required to be in the role. Preferred Additional education in management principles and teaching is preferred. Preferred Graduate Degree MSN Required 5 ... Min/Preferred Certification, Licensure, Registration Comments Minimum Licensed as a Registered Nurse in the State of Michigan OTHER REQUIREMENTS . For those… more