- CVS Health (Carson City, NV)
- …rotations._ **Must reside in the PST zone** As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document ... and communicate all aspects of the utilization /benefit management program. - Utilizes clinical experience...Qualifications** - 2 years of experience as a Registered Nurse in adult acute care/critical care setting - Must… more
- CVS Health (Austin, TX)
- …operation. Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for ... the review and evaluation of clinical information and documentation related to outpatient therapy services....to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal… more
- CVS Health (Harrisburg, PA)
- …heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience… more
- CVS Health (Harrisburg, PA)
- …work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, ... to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical criteria/guideline,… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** This Clinical Consultant position is with Aetna's Utilization Management (UM) team and is a ... hold a Licensed independent Behavioral Health clinician (LISW, LPCC, LMFT) or a Registered Nurse (RN) with unrestricted state license in Ohio, and travel up to 10%… more
- PruittHealth (Columbia, SC)
- **JOB PURPOSE:** Senior Nurse Consultant serves as a member of the clinical and region team, to assist centers in achieving clinical excellence. She/he ... operations and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required… more
- Lincoln Financial (Washington, DC)
- …74628 **The Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be ... and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills… more
- Elevance Health (Wallingford, CT)
- **Wellness Nurse Consultant ** **_$5000 Sign-on Bonus._** _Location: This position is primarily based in Connecticut, with occasional presentations in Maine, and ... and together we will drive the future of health care. The **Wellness Nurse Consultant ** position is responsible for developing and recommending customized,… more
- CVS Health (Annapolis, MD)
- …support to contracted Skilled Nursing (SNF) and Assisted Living (ALF) facilities. The Clinical Nurse Specialist/Infusion Educator for LTC (Long Term Care) will ... 8 hours of the work week are considered office days to plan visits. The Clinical Nurse Specialist/Infusion Educator LTC is responsible for the below, most of… more
- US Tech Solutions (RI)
- **Job Description:** + Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained from ... clinical records or systems to apply appropriate ...have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** +… more