- CVS Health (Oklahoma City, OK)
- …needs LCSW, LCPC, RN with experience in psychiatric setting required. Utilizes clinical skills to coordinate, document and communicate all aspects of the ... is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon… more
- CVS Health (Lansing, MI)
- …Fully Remote- WFH **Position Summary** UM Nurse Consultant Position Summary: UM Nurse Consultant Utilizes clinical experience and skills in a ... options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical criteria/guideline,… more
- CVS Health (Austin, TX)
- …while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include ... each and every day. **Position Summary** This Utilization Management ( UM ) Nurse Consultant role is 100% remote...**No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical skills to… more
- OhioHealth (Dublin, OH)
- …work in high stress situations. **Responsibilities And Duties:** 30% Clinical Assessment Conducts patient/family/significant other interviews, chart reviews, and ... biopsychosocial functioning. Through individual, family, or group modalities, employs clinical intervention skills including, but not limited to, treatment planning;… more
- OhioHealth (Columbus, OH)
- …decisions and end-of-life issues. **Responsibilities And Duties:** 30% Clinical Assessment Conducts patient/family/significant other interviews, chart reviews, and ... biopsychosocial functioning. Through individual, family, or group modalities, employs clinical intervention skills including, but not limited to, treatment planning;… more
- OhioHealth (Cambridge, OH)
- …work in high stress situations. **Responsibilities And Duties:** 30% Clinical Assessment: Conducts patient/family/significant other interviews, chart reviews, and ... biopsychosocial functioning. Through individual, family, or group modalities, employs clinical intervention skills including, but not limited to, treatment planning;… more
- CVS Health (Lansing, MI)
- …promote high-quality healthcare for members. We are seeking a dedicated Utilization Management ( UM ) Nurse Consultant - Oncology and Transplant to join our remote ... team. **Key Responsibilities** + Apply critical thinking and evidence-based clinical criteria to evaluate oncology and transplant services requiring… more
- CVS Health (Phoenix, AZ)
- …the lives of patients facing complex medical journeys. As a Utilization Management ( UM ) Nurse Consultant specializing in Oncology and Transplant, you'll play a ... in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position offers… more
- CVS Health (Santa Fe, NM)
- …healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team. In this role, you'll be at ... the forefront of clinical decision-making, applying your expertise in Behavioral Health to...+ Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams… more
- US Tech Solutions (RI)
- **Job Description:** + Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained from ... clinical records or systems to apply appropriate ...MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE… more
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