- CVS Health (Olympia, WA)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... more personal, convenient and affordable. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must reside… more
- CVS Health (Trenton, NJ)
- …more personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. ... Work schedules may include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant , you will utilize clinical skills to… more
- CVS Health (Raleigh, NC)
- …operation and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant , you will utilize clinical ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Richmond, VA)
- …3+ years of clinical experience as an RN - 3+ years of NICU and/or Utilization Management experience **Preferred Qualifications** : - Compact RN - Bedside NICU ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in… more
- CVS Health (Columbus, OH)
- …**Required Qualifications:** -3+ Years of clinical experience -1+ Year of Utilization Review Management and/or Medical Management experience. ... -Must have active and unrestricted RN license in the state you reside. -5 years demonstrated to make thorough independent decisions using clinical judgement -5 Years proficient use of equipment experience including phone, computer, etc and clinical… more
- CVS Health (Frankfort, KY)
- …personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Review Clinical Consultant . **MUST RESIDE IN KENTUCKY** + Utilizes ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …based on areas assigned, including review of patient incident report reviews, utilization management reviews, medical record reviews for evidence of required ... incumbent serves Hines VA as a Quality and Performance Improvement (QPI) Consultant (facilitator, coordinator, and advisor) and is directly responsible to the Chief… more
- PruittHealth (Atlanta, GA)
- **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
- CVS Health (Columbus, OH)
- …- 6:30 pm EST schedule **Preferred Qualifications** Prior authorization & utilization management experience Behavioral Health Clinical experience Knowledge of ... internal and external constituents in the coordination and administration of the utilization /benefit management function. For more information on our benefit… more