- CVS Health (Lansing, MI)
- …solutions that promote high-quality healthcare for members. Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply ... 5 years of relevant experience in Nursing. At least 1 year of Utilization Management experience in concurrent review or prior authorization. Strong… more
- UnitedHealth Group (Minneapolis, MN)
- …to be flagged for review Maintains and manages daily case review assignments, with accountability to quality, utilization , and productivity standards ... Join us to start Caring. Connecting. Growing together. This position is full-time ( 40 hours/week) Monday - Friday. Employees are required to have flexibility to work… more
- Adecco US, Inc. (Minneapolis, MN)
- …setting Experience applying benefits and criteria to clinical reviews Utilization Management, pre-authorization, concurrent review , or appeals experience ... offer Schedule: Forty hours per week, eight-hour days Pay: $ 40 .50 to $42.50 an hour Responsibilities of the RN...approvals when appropriate. You will summarize medical information for review by the Medical Director as needed, ensuring a… more
- CVS Health (Phoenix, AZ)
- …option Advanced digital literacy skills Preferred Qualifications Pharmacy knowledge, drug utilization review , excellent consultation skills with patients, strong ... prescribers. The MTM Pharmacist interacts successfully with patients, prescribers, nurse case managers, clients, and internal resources to identify member-specific… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse ( 40 Hour) Office/On-site Recruitment # 251117-5612FP-001 Location New Haven, CT Date Opened 12/8/2025 12:00:00 AM Salary ... and Addiction Services ( DMHAS (http://portal.ct.gov/DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) !… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator ( 40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM ... Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW ... to see comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Emory Healthcare/Emory University (Decatur, GA)
- …development _,_ and leadership programs + And more **Description** We're seeking a **Clinical Utilization Review Nurse Preceptor (Registered Nurse / ... . This individual will be responsible for training, mentoring, and coaching for the Utilization Review Department and must be an expert in the utilization… more
- UNC Health Care (Kinston, NC)
- …to support the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying ... **Description** Become part of an inclusive organization with over 40 ,000 teammates, whose mission is to improve the health...a Registered Nurse required. + 2 years utilization review , care management, or compliance experience… more
