- Actalent (Sunrise, FL)
- …organizations. + Prepare and present reports on department activities. Essential Skills + Clinical review + Utilization review + Utilization management + ... Actalent is hiring UM nurses!Job Description The Utilization Management Nurse (UMN) plays a crucial role in optimizing the utilization of healthcare services.… more
- The Cigna Group (Bloomfield, CT)
- …health outcomes, client growth and retention, and network performance. **OVERVIEW:** The Nurse Executive Sales Specialist, as trusted Clinical Leader, Educator ... the health, well-being and sense of security for those we serve. The Clinical Sales and Network Organization, as Champions for affordable, predictable and simple… more
- Centene Corporation (Jefferson City, MO)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- CVS Health (Charleston, WV)
- …a member's overall health through integration. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of member's ... all with heart, each and every day. **Position Summary** **Brief Overview** This is a Hybrid role. The Care Manager RN will be responsible to work from home as well… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY As a Nurse Practitioner, your superior interpersonal and empathetic skills, as well as your comprehension of diagnostic procedures greatly assists you in ... and defined pension plan + Flexible schedule + Full triage and clinical support + Neuroscience Institute working collegially with APPs in neurosurgery, neurology,… more
- Adecco US, Inc. (Bronx, NY)
- **AMAZING OPPORTUNITY FOR A HYBRID RN WITH FLEXIBLE SCHEDULING** **Location:** University Heights **Schedule:** Hybrid (In-home & Virtual) | Flexible Days | ... varies based on experience, education, and location + **Perks & Benefits:** + Hybrid work model for better work-life balance + Autonomy to self-assign appointments… more
- Insight Global (Philadelphia, PA)
- …from providers via fax, abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer ... and Requirements Active RN License or Active LPN License 2-3 years of clinical experience (Utilization management or utilization review ) Strong computer skills… more
- UNC Health Care (Chapel Hill, NC)
- …Incentive Program here:** **https://jobs.unchealthcare.org/pages/unc-hospitals-operating-room-pacu-incentive-program** RN Team Lead/ Clinical Nurse IV - ... stories with 375,000 square feet * 26 ORS, including hybrid rooms accommodating imaging technology * 59 pre- and...of recommendation with application (see details listed below). The Clinical Nurse IV applicant should provide evidence… more
- University of Colorado (Aurora, CO)
- ** Clinical Research Nurse (Senior Principal Level)** **Description** **University of Colorado Anschutz Medical Campus** **Department: Emergency Medicine** **Job ... Title: Clinical Research Nurse (Senior - Principal Level)**...physicians to assure that protocol compliance is maintained. Independently review patients for changes in condition, adverse events, concomitant… more
- RWJBarnabas Health (Oceanport, NJ)
- …school of nursing with a BSN degree + Minimum 5 years acute hospital experience as a clinical nurse + Must read, write and speak English. + Passing grade on ... Clinical Document Specialist ( Hybrid )Req #:0000175148 Category:Clerical...Preferred: + CCDS certification (preferred) + Prior experience in clinical documentation review + Understanding of ICD-10-CM… more