- CVS Health (Bismarck, ND)
- …are Monday through Friday, 8am to 5pm in time zone of residence** As a QM Nurse Consultant you will be responsible for the review and evaluation of clinical ... years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active, current and unrestricted RN licensure in state of residence… more
- US Tech Solutions (RI)
- …support as required. **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION... review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE… more
- CVS Health (Columbus, OH)
- …the following schedule:** **Monday-Friday 8:00am-4:30pm EST.** **Position Summary** As a Utilization Management Nurse Consultant , you will utilize clinical ... state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): - Reviews… more
- CVS Health (Sacramento, CA)
- …Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the… more
- CVS Health (Harrisburg, PA)
- …convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- CVS Health (Bismarck, ND)
- …include weekends and holidays and evening rotations._ This is a fully remote Utilization Management Nurse Consultant opportunity. The schedule is Monday - ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- Truman Medical Centers (Kansas City, MO)
- …(http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Corporate Clinical Nurse Consultant RN-Behavioral Health (8:00am - 4:30pm) ... and Pharmacy. A 547-bed, not-for-profit health system, UH delivers the highest- quality medical care for our patients, with compassion, empathy, and unparalleled… more
- ERP International (Travis AFB, CA)
- **Overview** ERP International is seeking a Registered Nurse (RN) Lactation Consultant for a full-time position in support of the Labor & Delivery unit at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- CVS Health (Topeka, KS)
- …other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and ... constituents in the coordination and administration of the utilization/benefit management function. + Typical office working environment with productivity and… more
- Genesis Healthcare (Concord, NH)
- …nursing leadership skills to the next level.Join our Clinical Operations support team as a Nurse Consultant and Director of Nursing and be an integral part of ... as needed.Participates in hiring, orientation, training, and on-going support of center nurse management staff. Supports centers during regulatory surveys. Helps… more