- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. **Position Summary** As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all...practice experience as an RN required + 2+ Years Utilization Management + Must be willing to… more
- CVS Health (Columbus, OH)
- …external constituents in the coordination and administration of the utilization /benefit management function. + UM Nurse Consultant meets set productivity ... require + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute...Friday 8:00am to 5pm in time zone of residence. Utilization Management is a 24/7 operation and… more
- CVS Health (Columbus, OH)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
- CVS Health (Springfield, IL)
- …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 (Raleigh, NC)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in ET zones. **Education**… more
- CVS Health (Augusta, ME)
- …constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of ... years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. +… more
- CVS Health (Jefferson City, MO)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... **also includes Holiday and late rotations.** **Required Qualifications** + Registered Nurse + Education: Diploma RN acceptable; Associate degree/BSN preferred, 3+… more
- CVS Health (Frankfort, KY)
- …and every day. **Position Summary** This Clinical Consultant position is with Aetna's Utilization Management (UM) team and is a work from home anywhere in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to coordinate,… 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 is ... operations and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more