- CVS Health (Sacramento, CA)
- …all with heart, each and every day. Position Summary The Utilization Management Clinical Nurse Consultant utilizes clinical skills to coordinate, ... Arizona Time Zone. Preferred Qualifications : Previous experience with utilization management . Previous clinical experience in Emergency Department,… more
- 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 current ... talk on the telephone, and type on the computer. Preferred Qualifications Utilization Management experience preferred Education Diploma RN acceptable; Associate… more
- CVS Health (Des Moines, IA)
- …obtain addition Nursing Licenses as business needs require Preferred Qualifications Utilization Management experience preferred Education Diploma RN acceptable; ... position does require a weekend schedule. Required Qualifications Registered Nurse Must have active current and unrestricted RN licensure...in acute or post-acute setting, and 1+ years of Utilization Management / Care Management … more
- Kaiser Permanente (Pleasanton, CA)
- …and patient safety, accreditation, regulatory and licensing (AR&L), risk management , and infection prevention and control; evaluating, designing, developing, and ... improve the reporting and narrative summaries of improvements by integrating multiple utilization data reporting systems to develop and maintain a variety of… more
- UnitedHealth Group (Hartford, CT)
- …Preferred Qualifications: Registered Nurse 2+ years of experience in Utilization Management Experience working with federal contracts CES (Claims Editing ... and cost avoidance development Serves cross-functionally with Medical Directors, and sometimes Utilization Management , as well as other internal teams to assist… more
- Catholic Health Initiatives (Houston, TX)
- …Manage the delivery of patient care. Major responsibilities include: -- Clinical Management : Ensures the safe and effective delivery of quality nursing care. -- ... community standards of care and regulatory bodies. -- Human Resources/Financial Management : Works to maintain a fiscally responsible department including efficient… more
- 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 (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 (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 (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
