• Utilization Management Nurse

    CVS Health (Austin, TX)
    …And we do it all with heart, each and every day. **Position Summary** This Utilization Management Nurse Consultant role is with the Costco Team and ... weekend and/or holidays coverage will be required. As a Utilization Management Nurse Consultant, you...the coordination and administration of the utilization /benefit management function. **Required Qualifications** + RN with… more
    CVS Health (04/02/25)
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  • Utilization Management Nurse

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (03/27/25)
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  • Utilization Management Nurse

    CVS Health (Indianapolis, IN)
    …operation. Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for ... **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care... RN licensure in state of residence + Utilization Management is a 24/7 operation and… more
    CVS Health (04/03/25)
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  • Utilization Management

    Humana (Cheyenne, WY)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...to make an impact** **Required Qualifications** + Active licensed Registered Nurse ( RN ) in the… more
    Humana (03/18/25)
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  • Utilization Management

    Crouse Hospital (Syracuse, NY)
    …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
    Crouse Hospital (03/20/25)
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  • Utilization Management RN

    AdventHealth (Orlando, FL)
    …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable...capacity to prioritize multiple tasks and role components. + Registered Nurse . + RN licensure… more
    AdventHealth (04/01/25)
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  • Utilization Management Nurse

    Saint Francis Health System (Tulsa, OK)
    …in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details ... Nursing. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 3 years of… more
    Saint Francis Health System (04/06/25)
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  • Utilization Management LTSS…

    Humana (Charleston, WV)
    …a part of our caring community and help us put health first** The Utilization Management (UM) Nurse 2 RN utilizes clinical nursing skills to support the ... skills to make an impact** **Required Qualifications** + Active Registered Nurse license in the state of...action + Minimum one, (1) year previous experience in utilization management + Minimum two, (2) years… more
    Humana (03/20/25)
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  • Registered Nurse Coordinator…

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
    Trinity Health (04/02/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Shreveport, LA)
    Summary The Utilization Management care coordinator Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, experience, ... patient management . Responsibilities The Utilization Management care coordinator (UMCC) is a professional registered... Management care coordinator (UMCC) is a professional registered nurse who is responsible and accountable… more
    Veterans Affairs, Veterans Health Administration (04/02/25)
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