- CVS Health (Harrisburg, PA)
- …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 (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 (Carson City, NV)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... broadband service. **Preferred Qualifications** + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting, concurrent… more
- CVS Health (Lansing, MI)
- …and able to work Sunday through Thursday, 9:30am to 6:00pm EST with holiday rotation; Utilization Management is a 24/7 operation and work schedule will include ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of… more
- CVS Health (Topeka, KS)
- …Friday 8:00 am to 5:00 pm CST with rotating late evening and weekend shifts. Utilization Management is a 24/7 operation and work schedule may include weekends, ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + Must reside in… more
- CVS Health (Austin, TX)
- …Nurse Consultant participating in non-traditional, weekend shift rotation. As a Utilization Management Nurse Consultant , you will utilize clinical ... shifts of 10hrs each in time zone of residence; Utilization Management is a 24/7 operation and...once Monday through Friday training schedule completed and UM Nurse Consultant participating in non-traditional, weekend shift… 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
- CVS Health (Baton Rouge, LA)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications : + Licensed independent… 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