Position Summary Coordinates all case management activities with pediatric members to evaluate medical needs and to facilitate the overall wellness of pediatric members. Develops strategy to address issues to out- comes and opportunities to enhance members overall wellness…
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Nurse Practitioner Ft Weekends Primary Care Jobs
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Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager…
Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced RN looking to transition from bedside care while continuing to make a meaningful impact on patient outcomes? Join our Utilization Management team and use your clinical…
Registered Nurse - Utilization Management (Remote) Make a difference in patient care while leveraging your clinical expertise in a dynamic, collaborative environment. We are seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you…
Position Summary Schedule is Monday through Friday, 9:00am to 5:30pm in the candidate's time zone. Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours. Medicare Precertification Utilization Management Nurse Consultant position:…
Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and…
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 (EST) at Cvshealth in United States. Remote.
Position Summary This Case Manager RN position is 100% remote, and the employee can live in any state. No travel is expected with this position. Normal Working Hours: Monday- Friday between 8:00am – 5:00pm in time zone of residence with rotational coverage of evenings, weekends,…
Remote RN Case Manager (Case Management & Utilization Management) Aetna National Medical Excellence (NME) is seeking an experienced Registered Nurse (RN) Case Manager to join our growing team. This is a fully remote opportunity open to candidates nationwide, with preference…
RN Utilization Management Nurse Consultant (Medicare – Joint Procedures) Remote | Full-Time | Monday–Friday (9:00 am to 5:30 pm in your time zone, with occasional evenings/holidays) Are you an experienced Registered Nurse looking to make an impact beyond the bedside? Join a…
Utilization Management Nurse Consultant at Cvshealth in United States. Remote.
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and evening hours. ** Weekend position - this position will be working two 10-hour shifts on the weekend and two 10-hour shifts on weekdays** Utilizes clinical experience…
Schedule WFH- Monday through Friday 8a-5p in time zone of residence Position Summary Applies specialized clinical and industry knowledge and performance improvement best practices to quality improvement efforts. Analyzes workflow and organizational performance to evaluate…
Utilization Management Nurse Consultant (RN) Remote | Concurrent Review | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to make an impact beyond bedside care? Join our team and help ensure members receive…
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