- CVS Health (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 (MD)
- …24/7 operation and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH- 8A-5P in EST or CST **Position ... Summary** UM Nurse Consultant Utilizes clinical experience and skills...external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** 3+ years… more
- CVS Health (OH)
- …impact on current case review and eligibility. + Drives effective utilization management practices by ensuring appropriate and cost-effective allocation ... from the health care team. + Applies clinical expertise and knowledge of utilization management principles to influence stakeholders and networks of healthcare… more
- CVS Health (OK)
- …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 (AZ)
- …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed, ensuring… more
- CVS Health (LA)
- …**Thursday-Saturday, 9:00 AM-8:00 PM EST** **Preferred Qualifications** + Experience in ** Utilization Management ** or **Managed Care** + Strong grammar, writing, ... Summary** We are seeking a detail‑oriented and dedicated Registered Nurse to support our Medical Management team. In this role, you'll play an essential part… more
- CVS Health (TX)
- …with regulatory and organizational standards - Provide education and support regarding utilization management processes to colleagues and providers - Document ... and organizational skills - Proficiency with electronic medical records and utilization review systems **Required Qualifications** - Must have active, current and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical ... best practice workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as...acute care setting + 2+ years of experience in utilization management + Knowledge and understanding of… more
- CVS Health (LA)
- …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 : + Independent… more
- CVS Health (LA)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. - Applies critical thinking and is ... external constituents in the coordination and administration of the utilization /benefit management function. **Required** **Qualifications** - Licensed… more