• Moses/Weitzman Health System (Meriden, CT)
    …licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or ... health care activities as agreed, eg school based clinic consultant , SNF care. Administrative Maintains board certification/licensure. Attends continuing education… more
    DirectEmployers Association (10/22/25)
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  • Stanford Health Care (Palo Alto, CA)
    …transfers into or outside the system, and discharges while maximizing resource utilization and patient safety. The Patient Flow Nurse collaborates with ... the Hospital Operations Manager. Preferred experience: - EMTALA Risk Management - Knowledge of insurance coverage - Transfer Center...Health Care job.** **A Brief Overview** The Patient Flow Nurse plays a vital role in optimizing the movement… more
    DirectEmployers Association (11/21/25)
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  • Utilization Management Nurse

    CVS Health (Raleigh, NC)
    …weekends, holidays and evening hours._ **Must reside in CST or EST zone.** As a Utilization Management Nurse Consultant you will utilizes clinical ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...Requirement to reside in EST or CST zone. + Utilization Management is a 24/7 operation and… more
    CVS Health (11/28/25)
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  • Utilization Management Nurse

    CVS Health (Raleigh, NC)
    …do it all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... with occasional holiday rotation.** **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience +… more
    CVS Health (11/26/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a ... initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners...etc. and clinical documentation systems. + 1+ Year of Utilization Review Management and/or Medical Management more
    CVS Health (12/11/25)
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  • Utilization Management Nurse

    CVS Health (Lansing, MI)
    …that promote high-quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant , where you'll apply ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
    CVS Health (12/03/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... on the telephone, and type on the computer. **Preferred Qualifications** Utilization Management experience preferred **Education** Diploma RN acceptable;… more
    CVS Health (12/09/25)
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  • Utilization Management Nurse

    CVS Health (Harrisburg, PA)
    …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... Nursing Licenses as business needs require. * **Preferred Qualifications** - Utilization Management experience preferred **Education** Associates Degree BSN… more
    CVS Health (12/09/25)
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  • Utilization Management Nurse

    CVS Health (Trenton, NJ)
    …And we do it all with heart, each and every day. Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
    CVS Health (12/11/25)
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  • Utilization Management Nurse

    CVS Health (Carson City, NV)
    …heart, each and every day. **Must Reside in PST Time Zone** **Position Summary** Utilization Management is a 24/7 operation and work schedules will include ... Zone + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting. + Must...and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and… more
    CVS Health (12/04/25)
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