- Cognizant (Concord, NH)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Concord, NH)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- CVS Health (Concord, NH)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Dartmouth Health (Lebanon, NH)
- …STANDARDS * Bachelor's degree in nursing required; Master's preferred. * Licensed as a Registered Nurse in the State of New Hampshire. * BCLS certification ... time specific to the role of case management and utilization review: * Lead a collaborative process with the...services. * Mobilizes resources to assist in achieving desired clinical outcomes within the desired time frame. * Conducts… more
- CVS Health (Concord, NH)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Concord, NH)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- HCA Healthcare (Portsmouth, NH)
- …support our colleagues in their positions. Join our Team as a Patient Safety Coordinator Registered Nurse and access programs to assist with every stage of your ... job skills. Apply today for our Patient Safety Coordinator Registered Nurse opening and continue to learn!...lead, coordinate and carry out an assigned portfolio of clinical quality and patient safety functions to support the… more
- Dartmouth Health (Lebanon, NH)
- …families and other members of the healthcare teams questions that are within a registered nurse ’s scope of practice. * Communicates information to the health ... to professional growth. * Computer skills required. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - Basic Life Support (BLS)… more
- Dartmouth Health (Lebanon, NH)
- …families and other members of the healthcare teams questions that are within a registered nurse ’s scope of practice. 4. Communicates information to the health ... skills required. Required Licensure/Certifications Required Licensure/Certification Skills: - Licensed Registered Nurse in New Hampshire required. - Basic… more
- Evolent (Concord, NH)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more