- CVS Health (Phoenix, AZ)
- …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- Centene Corporation (Madison, WI)
- …clinicians to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) ... performance, quality, and efficiency standards + Works with BH utilization management team to resolve complex BH...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- CVS Health (Des Moines, IA)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
- Centene Corporation (San Diego, CA)
- …disorders experience is required. + Direct experience with Utilization Review or Utilization Management related to Behavioral Health case is preferred + ... preferred + Experience in Behavioral Health Case Management or Utilization Management in...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Centene Corporation (Honolulu, HI)
- …**Must have Behavioral Health and Substance Abuse experience. Utilization Management experience strongly preferred.** **Position Purpose:** Performs a ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- CDPHP (Latham, NY)
- …care experience in a hospital setting required. + Minimum one (1) year quality/ utilization management experience in health care setting preferred. + Experience ... York State license is required) + In lieu of behavioral health license, Registered Nurse with valid...with utilization management software including Facets, Macess and… more
- Brighton Health Plan Solutions, LLC (NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests ... coverage while working remotely. Primary Responsibilities * Performs clinical utilization reviews using evidenced based guidelines, policies and nationally… more
- Veterans Affairs, Veterans Health Administration (Wilmington, NC)
- Summary The Primary Care Mental Health Integration (PCMHI) Registered Nurse (RN) reports directly to the Outpatient Behavioral Health Nurse Manager and ... care needs. Responsibilities The Primary Care Mental Health Integration (PCMHI) Registered Nurse (RN) is responsible and accountable for all elements of the nursing… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …$20,000.00 sign on bonus **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care provider of ... patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who...(1) year of professional experience practicing as a Registered Nurse (RN) + Recent Behavioral Health experience… more
- Bon Secours Mercy Health (Youngstown, OH)
- …**_* PRN position_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care provider ... procedures, guidelines of the organization, and within the State's Nurse Practice Act. The RN provides a safe and...Collects and records nursing assessment of the physical and behavioral health status of the patient. * Effectively communicates… more
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