- Actalent (Des Moines, IA)
- Job Title: Post Review Nurse - Utilization Management Job Description We are seeking a dedicated Post Review Nurse to join our Utilization Management team. In ... cross-functional collaboration across divisions. + Provide backup support to other UM teams, including precertification and continued stay reviews. + Facilitate… more
- CVS Health (Santa Fe, NM)
- …high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team. In this role, ... shifts: 9:00am-5:30pm, 9:30am-6:00pm, 10:00am-6:30pm, or 11:30am-8:00pm EST Hours) Location: 100% Remote (US only) **About us** American Health Holding, Inc. (AHH),… more
- CVS Health (Lansing, MI)
- …may 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,… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** This Utilization Management ( UM ) Nurse Consultant role is 100% remote and the candidate can live in any ... regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): + Reviews… more
- CVS Health (Carson City, NV)
- …healthcare for members. We are seeking a dedicated Utilization Management ( UM ) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply ... may vary based on business needs) **Location** : 100% Remote (US only) **Position Summary** American Health Holding, Inc....+ Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams… more
- CVS Health (Little Rock, AR)
- …that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team. **Position Summary** ... times may vary based on business needs) Location: 100% Remote (US only) **About Us** American Health Holding, Inc....a managed care setting). + Ability to provide on-call UM coverage for nights and weekends on a rotational… more
- Magellan Health Services (Boise, ID)
- …or Doctoral level provider. General Job Information Title Clinical Manager, Behavioral Health ( UM ) -Licensed, Remote in Idaho Grade 27 Work Experience - Required ... Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care MgmtCare Mgmt License and Certifications… more
- Magellan Health Services (Boise, ID)
- …that directly influence quality of care. General Job Information Title Care Manager ( UM /UR) - Remote , Idaho Licensed Grade 24 Work Experience - Required ... - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- Humana (Atlanta, GA)
- …and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently require interpretation… more
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