Management Consulting Jobs

Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to…

Position Summary This Utilization Management Nurse Consultant (UMNC) position is a work at home position (fully remote) and the candidate can live in any state. Normal Working Hours: Monday through Friday 8:00am-4:30pm in the time zone of residence. In addition, the team is open…

Registered Nurse (RN) - Utilization Management Make an impact on patient care from wherever you are. We're seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you'll use your clinical expertise to review cases, support coverage…

Work Schedule: Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Position Summary: • Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate…

Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive the right care…

Position Summary 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 information and applies the appropriate…

Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a Registered Nurse looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive…

Position Summary: OhioRISE manages the behavioral health benefit for eligible children and young adults receiving Medicaid services in Ohio. The Behavioral Health UM Clinician position is designed to clinically review of behavioral health prior authorized services for assigned…

Utilization Management Nurse Consultant at CVS Health in Work At Home Idaho, United States. Full-time.

Schedule Monday-Friday 8a-5p EST/CST Position Summary Applies specialized clinical and industry knowledge and performance improvement best practices to quality improvement efforts . Analyzes workflow and organizational performance to evaluate effectiveness of interventions and…

Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive the right care at…

Utilization Management Nurse Consultant at CVS Health in Texas, United States. Remote.

Position Information Schedule: Monday–Friday 8:00am-5:00pm EST About Us American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that…

Registered Nurse (RN) - Utilization Management Schedule: 24/7 operation requiring flexibility for evenings, weekends, and holidays Are you an experienced RN looking to leverage your clinical expertise in a dynamic, collaborative environment? Join our Utilization Management team…

Job Summary The Utilization Management Nurse supports the effective coordination and management of healthcare services by reviewing clinical information, determining medical necessity, facilitating appropriate resource utilization, and ensuring compliance with regulatory and…