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Utilization Management Nurse Consultant jobs

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PRIOR AUTHORIZATION UTILIZATION MANAGEMENT NURSE CONSULTANT

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

CompanyCvs Health
AddressFrankfort, KY
CategoryAccounting/Finance
Date Posted 6 days ago See detail

Prior Authorization Utilization Management Nurse Consultant

Cvs Health

Frankfort, KY

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

6 days ago seen See more...

Utilization Management Nurse Consultant

Cvs Health

Bismarck, ND

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

2 weeks ago seen See more...

Utilization Management Nurse Consultant

Cvs Health

Harrisburg, PA

$29.10 - $62.31 an hour

Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the comp...

4 weeks ago seen See more...

Utilization Management Nurse Consultant

Cvs Health

Hartford, CT

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

a month ago seen See more...

Utilization Management Nurse Consultant

Cvs Health

Springfield, IL

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.. Gathers clinical informat...

a month ago seen See more...

Utilization Management Nurse Consultant

Cvs Health

Columbus, OH

Our embedded customer-dedicated service and clinical pods allow maximization of inbound and outbound touchpoints to solve members needs and create behavior change. We are health care innovators.Fundamentals:Through the use of cli...

2 months ago seen See more...

Utilization Management Nurse Consultant

Cvs Health

Phoenix, AZ

1+ year varied Utilization Management experience within an inpatient/Outpatient setting, concurrent review or prior authorization. 5+ years of variety clinical experience required including acute care, home health, or long term ca...

2 months ago seen See more...

RN - Utilization Management Nurse 2 - Remote - Florida Region

Humana

Vermont, United States

$69,800 - $96,200 a year

Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action 3-5 years of prior clinical experience preferably in an acute care hospital, skilled or rehabilitation clinical setting Comprehensive knowledge...

3 days ago seen See more...

Utilization Management Nurse

Blue Eagle Consulting

Birmingham, AL

Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews. Current Nursing License and in good standing Prior Authorization and UM expert NCQA and InterQual expertise preferred Facets exper...

6 days ago seen See more...

Utilization Management Clinical Nurse Consultant

Cvs Health

Phoenix, AZ

3+ years clinical practice experience required.. Must have a active and unrestricted RN Licensure in the state of Arizona or Compact RN licensure. Utilization management experience preferred.. Acute care setting experience preferr...

2 months ago seen See more...

Wound Care Certified Home Health Utilization Management Nursing, RN

Centerwell Home Health

Tampa, FL

$69,800 - $78,700 per year

Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.Use your skills to make an impact Typically requires Bachelors degree or e...

a week ago seen See more...

Registered Nurse-Utilization Management

Department Of Veterans Affairs

Louisville, KY

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

7 days ago seen See more...

Utilization Management Nurse 2 -Post Acute Pre Auth WEEKENDS

Humana

Louisiana, United States

$69.9K - $88.5K a year

Licensed Registered Nurse (RN) in the state of Florida, or compact license, with no disciplinary action. Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting Comprehensive knowledge of...

2 weeks ago seen See more...

Utilization Managed Care Nurse

Access Healthcare Physicians, Llc

Spring Hill, FL

From $65,000 a year

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Day shift. Monday to Friday. Medical records: 1 year (Preferred). CTST: 1 year (Required). RN: 5 years (Required). HEALTH P...

2 weeks ago seen See more...

Nurse Manager - Utilization Management

Kaiser Permanente

Oakland, CA

Manages the operations of 24-hour departments that may be at multiple locations. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal,...

3 weeks ago seen See more...

Utilization Management Nurse - Dallas, TX

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required.. Minimum of two years Utilization Management acute care setting experience required. . Minimum of one-year drafting and submitting reco...

a month ago seen See more...

Texas Institute Utilization Management Nurse -Dallas

Adecco

Dallas, TX

$ 80000 - $ 90000 / Year

Five years inpatient clinical nursing experience in an acute care hospital setting required. Minimum of two years Utilization Management acute care setting experience required. Minimum of one year drafting an...

2 months ago seen See more...

Nurse IV (Utilization Management)

Department Of Veterans Affairs

Vancouver, WA

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

2 months ago seen See more...

Utilization Management Clinical Consultant

Cvs Health

Louisiana, United States

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care a...

2 months ago seen See more...

Registered Nurse (RN), Utilization Management - Adolescent Psych - PRN - Now Hiring

Denver Health

Denver, CO

$34.45 - $51.68 per hour

Works closely with other DHHA staff members including providers, nursing, insurance personnel, scheduling staff, staff in other departments.. (20%). Participates in care planning and discharge planning with the staff, providers an...

2 months ago seen See more...

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