- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Utilization Management (UM) Nurse 2 RN utilizes clinical nursing skills to support the ... skills to make an impact** **Required Qualifications** + Active Registered Nurse license in the state of Virginia, or...without disciplinary action + 1+ year previous experience in utilization management + 2+ years prior clinical… more
- Centene Corporation (Austin, TX)
- …access to competitive benefits including a fresh perspective on workplace flexibility. ** Registered Nurse Case Manager needed in** **West Texas: Reside near Haskell, ... - Friday: 8:00 am - 5:00 pm (CST)** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and supporting services… more
- Centene Corporation (Austin, TX)
- …competitive benefits including a fresh perspective on workplace flexibility. Performs care management duties to assess and coordinate all aspects of medical and ... ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to… more
- Commonwealth Care Alliance (Springfield, MA)
- …influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for chronic disease management , and closing ... Experience (must have):** + Meaningful clinical experience in primary care or care management , including: + 5+ years' experience as Registered Nurse in a… more
- CVS Health (Bloomfield, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management ,… more
- CVS Health (Dallas, TX)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... be responsible for, care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. + Strong assessment,… more
- CVS Health (Vernon, NJ)
- …the development and implementation of health service strategies. This includes utilization management , quality improvement, and coordination of physical, ... heart, each and every day. **Position Summary: Case Manager Registered Nurse - Field in Sussex County, NJ** This...per our company expense reimbursement policy **Preferred Qualifications** + LTSS experience + Case management and/or discharge… more
- CVS Health (Secaucus, NJ)
- …high-quality, cost-effective care for our members. These strategies encompass utilization management , quality improvement, network coordination, and clinical ... hires upon achieving proficiency in the role. **Required Qualifications** + Active, unrestricted ** Registered Nurse (RN) license in New Jersey** . + Minimum of **3… more
- Commonwealth Care Alliance (Springfield, MA)
- …influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for chronic disease management , closing of ... Medical post hospital discharge with focus on hospitalization and utilization reduction + Goals of Care conversations, including completion...as NP or PA in primary care or care management AND 3+ years' experience as Registered … more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more