We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) Make a meaningful impact on patient care from wherever you are. We are seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you will use your clinical expertise to review healthcare services, support appropriate care decisions, collaborate with providers, and help members navigate their healthcare journey. What You'll Do Review clinical information and apply evidence-based criteria to make coverage recommendations. Collaborate with healthcare providers and internal teams to support quality patient outcomes. Identify opportunities for care coordination and member support programs. Promote effective healthcare utilization and contribute to high-quality service delivery. Manage multiple systems and priorities in a fast-paced, team-oriented environment. Required Qualifications Active, unrestricted RN license in your state of residence. Minimum 2 years of RN experience in an adult acute care or critical care setting . Associate's Degree in Nursing. Strong communication, computer, and multitasking skills. Ability to work schedules that may include evenings, weekends, and holidays as part of a 24/7 operation. Preferred Qualificatio
Jobs in United States
Utilization Management Nurse Consultant in United States
15 active opportunities · Updated September 2026
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Explore current utilization management nurse consultant jobs across United States. Filter by work mode, employment type, experience, department, date posted and distance.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Location: Remote (Preference for candidates in Central or Eastern Time Zones) Schedule: 24/7 operation; includes evenings, weekends, and holidays Are you an experienced Registered Nurse looking to leverage your clinical expertise in a collaborative, fast-paced environment? Join our Utilization Management team and play a critical role in ensuring members receive appropriate, high-quality healthcare services across the continuum of care. What You'll Do Review and assess clinical information to support coverage determinations and care recommendations. Apply clinical guidelines, policies, and professional judgment to utilization management decisions. Collaborate with providers and interdisciplinary teams to coordinate care and treatment plans. Identify opportunities for care management referrals and enhanced member support services. Promote quality outcomes, effective healthcare utilization, and member-centered care. Serve as a clinical resource for internal and external stakeholders. Required Qualifications Active, unrestricted RN license in your state of residence. 2+ years of RN experience in adult acute care or critical care settings. Associate Degree in Nursing (ADN). Strong communication, critica
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. 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 at the right time through evidence-based clinical review, care coordination, and healthcare advocacy. What You'll Do Review clinical information and apply established guidelines, policies, and clinical judgment to support coverage determinations Assess, coordinate, monitor, and evaluate healthcare services and benefits across the continuum of care Collaborate with providers and care teams to facilitate appropriate treatment and care planning Identify opportunities to improve quality of care, member outcomes, and healthcare utilization Connect members with additional programs and resources that support their healthcare needs Serve as a clinical resource for internal and external stakeholders WHAT YOU BRING - REQUIRED Active, unrestricted RN license in your state of residence 2+ years of adult acute care and/or critical care nursing experience Strong clinical assessment, critical thinking, and decision-making skills Excellent verbal and written communication skills Ability to multitask and
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. 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 at the right time through evidence-based clinical review, care coordination, and healthcare advocacy. What You'll Do Review clinical information and apply established guidelines, policies, and clinical judgment to support coverage determinations Assess, coordinate, monitor, and evaluate healthcare services and benefits across the continuum of care Collaborate with providers and care teams to facilitate appropriate treatment and care planning Identify opportunities to improve quality of care, member outcomes, and healthcare utilization Connect members with additional programs and resources that support their healthcare needs Serve as a clinical resource for internal and external stakeholders WHAT YOU BRING - REQUIRED Active, unrestricted RN license in your state of residence 2+ years of adult acute care and/or critical care nursing experience Strong clinical assessment, critical thinking, and decision-making skills Excellent verbal and written communication skills Ability to multitask and
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 of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting. As a Utilization Management Registered Nurse: You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. Using established medical criteria, you will make determinations based on information provided by the attending physician and other care providers You will complete request determinations within established processing time frames. (i.e. 10 reviews per day?) You will communicate with providers, members, or other parties to facilitate care and treatment. You will help deliver coordinated care for our members You will understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Use your skills to make an impact Required Qualifications: Must hold Compact Registered Nurse (RN) license in your state of residence Greater than one year of clinical experience as a RN in a hospital, SNF, Home Health, or acute care setting. Must be passionate about contributing to an organization focused on improving consumer experiences Preferr
We're looking for a Senior Operations Director for Revenue & Services who will serve as a trusted advisor to the Chief Commercial Officer, Professional Services leadership and other senior leaders. This role will shape how Professional Services operates, scales, forecasts, and performs, while driving alignment across Operations, Revenue, Sales and Finance. This role will connect services to broader business strategy, with a focus on cross-functional alignment, profitable growth and corporate results. WHAT YOU’LL DO: Shape and evolve the operating model for Revenue and Services, includingProfessional Services to enable scalable, predictable and profitable growth: forecasting methodology, capacity planning, utilization and margin management, and delivery-to-revenue alignment Set the strategic roadmap for services operations and operating infrastructure, including systems architecture (resource management, CRM integration, financial systems, data and reporting) and where to invest next Act as the strategic partner to Professional Services leaders translating business strategy and operating plans into performance targets. Represent services performance directly to executive leadership and the board Partner with President, Chief Commercial Officer, Finance leaders to evaluate profitable and growth opportunities, operating leverage, organizational capabilities, technologies and external partnerships. Lead deal desk strategy for services and deal governance, including pricing frameworks, SOW structuring, and margin guardrails, in partnership with Sales and Legal Partner in quarterly and annual planning for services capacity and revenue targets, and defend the plan directly to Finance and executive leadership Establish and drive a consistent operating cadence and process framework, including KPIs, business reviews, planning, forecasting, and reporting across the full customer lifecycle, identifying where PS operations should own versus influence
NVIDIA's invention of the GPU in 1999 sparked the growth of the PC gaming market, redefined modern computer graphics, and revolutionized parallel computing. More recently, GPU deep learning ignited modern AI — the next era of computing — with the GPU acting as the brain of computers, robots, and self-driving cars that can perceive and understand the world. Today, we are increasingly known as “the AI computing company”. We are looking to grow our company, and grow our teams with the smartest people in the world. What you’ll be doing: You will work with ground breaking technologies for the Tegra SoC and various NVIDIA embedded platforms Implement power and thermal management software features in Linux Kernel and user space Collaborate with power architects, hardware and software engineers on platform power estimation and optimization Optimize the software stack to improve performance, efficiency, and responsiveness for edge AI and robotics use cases. Focus on improving compute and memory utilization, reducing latency and power consumption, and tuning system-level performance to deliver reliable and scalable AI workloads across demanding real-world edge environments. What we need to see: MS in CS, CE, EE, Systems Engineering or related software/hardware engineering major, or equivalent experience 8+ years of software development experience with a significant focus on Linux Excellent C programming/debugging skills within Linux kernel and user space software Background with working on embedded systems and ARM processor specific System-level debugging experience and problem-solving skills Excellent communication skills Ways to stand out from the crowd: Understanding of the Linux power and thermal management features (schedule
From $154K/yr
We are Datadog’s in-house technical leaders. The Technical Account Management team drives Datadog’s continued global growth by ensuring our customers realize long-term value from our platform through successful adoption, expansion, and partnership. As a Manager 1 in Technical Account Management, you will lead and develop high-performing technical teams while influencing strategy, execution, and outcomes across customers, internal partners, and the broader organization. Manager 1 leaders at Datadog are people-first managers, trusted collaborators, and operational owners. You will coach and mentor individual contributors, drive execution against team and organizational goals, and serve as a strong voice for customer needs and technical excellence. At Datadog, we place value in our office culture; the relationships and collaboration it builds and the creativity it brings to the table. We operate as a hybrid workplace to ensure our Datadogs can create a work-life harmony that best fits them. What You’ll Do: Lead and coach a team of up to 6 Technical Account Managers, providing regular 1:1s, team meetings, and bi-annual performance feedback Own and track team KPIs , including scheduling, utilization, productivity, and delivery outcomes Partner closely with Sales, Customer Success, Presales, Product Management, Support, and Marketing to align post-sales strategy and execution Lead and participate in customer-facing engagements when appropriate, including escalations, strategic reviews, and key account discussions Drive account strategy discussions focused on product adoption, expansion, and services delivery Actively participate in recruiting , hiring, and onboarding efforts across your team and the broader organization Gather and synthesize customer feedback to influence product direction, process improvements, and internal initiatives Lead multiple OKR initiatives annually , coordinating and delegating efforts across your team Demonstrate thought leadership by identifyi
At Snowflake, we are powering the era of the agentic enterprise. To usher in this new era, we seek AI-native thinkers across every function who are energized by the opportunity to reinvent how they work. You don’t just use tools; you possess an innate curiosity, treating AI as a high-trust collaborator that is core to how you solve problems and accelerate your impact. We look for low-ego individuals who thrive in dynamic and fast-moving environments and move with an experimental mindset — who rapidly test emerging capabilities to discover simpler, more powerful ways to deliver results. At Snowflake, your role isn't just to execute a function, but to help redefine the future of how work gets done. The Senior Delivery Director, Program Management role is part of the Snowflake Services Delivery Team. Our purpose is to accelerate customer adoption and drive customer business objectives. We do this through a portfolio of services, delivered by world class consultants that leverage our leading practices, methodologies and tools. The Senior Delivery Director leads our team of Project Managers and the Project Manager (PM) teams that deliver on the Snowflake Services Delivery offerings to meet the customer business objectives/ goals. In this highly strategic role, the Delivery Director will develop and maintain strategies and processes to deliver best-in-class consulting and implementation services to accelerate customer success on their Snowflake journey. RESPONSIBILITIES : Delivery Readiness Hire, coach, and lead the PM Delivery Team to meet customer goals while creating a culture of high performance, growth, and ownership Build and execute a strategic and actionable business plan that meets the Services Delivery regional objectives, including revenue and consumption targets Create highly accurate financial forecasts as to revenue, utilization, backlog burndown, and hiring goals Lead the Delivery Team through large complex engagements, engaging at executive and sponsor lev
About the Team OpenAI's Industrial Compute organization builds and operates the infrastructure required to train and serve frontier AI models. The Capacity Planning team connects rapidly changing research and product demand with the compute, networking, storage, power, data center, hardware, and operational resources required to make that demand executable. About the Role We are seeking a Technical Program Manager to build and lead capacity planning across OpenAI's large-scale AI infrastructure. You will translate uncertain workload demand into clear infrastructure requirements, allocation decisions, supply commitments, activation priorities, and long-range capacity strategies. This role sits at the intersection of research, engineering, infrastructure, finance, sourcing, deployment, and operations. You will create the planning models, operating cadences, governance mechanisms, and source-of-truth systems that allow teams to understand what capacity is required, what is available, what is at risk, and what decisions must be made. This is not a finance-only forecasting or reporting role. Success requires technical fluency across the infrastructure stack, strong analytical judgment, and the ability to move consequential decisions forward when requirements, timelines, and supply conditions change quickly. Key Responsibilities Own capacity-planning processes across near-term workload allocation, quarterly execution, and longer-range infrastructure horizons. Translate research, training, inference, and product demand into compute, accelerator, cluster, networking, storage, rack, power, and site requirements. Develop scenarios that make assumptions, confidence levels, constraints, sensitivities, and decision points explicit. Reconcile requested demand against contracted, delivered, installed, activated, and workload-usable capacity. Partner with research and engineering teams to understand workload priorities, technical dependencies, utilization patterns, and changing req
What we’re doing isn’t easy, but nothing worth doing ever is. We envision a future powered by robots that work seamlessly with human teams. We build artificial intelligence that enables service robots to collaborate with people and adapt to dynamic human environments. Join our mission-driven, venture-backed team as we build out current and future generations of humanoid robots. Field-based · ~75% travel · Preference for candidates near a major airport About the Role The Client Success Manager owns the health, performance, and growth of a hospital or territory of hospital partners running Moxi robot fleets. You are both the executive relationship owner and the operator behind the numbers: you run leadership check-ins and quarterly business reviews, translate utilization data into a clear story about value delivered, and drive the projects that resolve issues and lift site performance. Priorities shift, sites behave differently, and the playbook is still being written. The CSMs who thrive here make good decisions with incomplete information and move fast without losing rigor. What You'll Be Doing Own executive relationships and the value narrative Serve as the trusted executive contact for each hospital — C-suite sponsors, nursing leadership, and operational stakeholders. Lead recurring leadership check-ins and quarterly business reviews: set the agenda, build the deck, present performance against goals, and close with documented decisions, owners, and next steps. Communicate Moxi's value in each stakeholder's terms — clinical hours returned, delivery volume, staff satisfaction, cost avoidance — continuously, not just at renewal. Use data to drive better outcomes Monitor utilization, adoption, and reliability data across your territory; know each site's baseline, trends, and outliers. Diagnose why a site underperforms, run the intervention, and measure whether it worked. Set and track site-level performance targets with partners, and report on progress h
$13 – $18/hr
The Inventory Specialist is responsible for both traditional medical/surgical supplies management and 2-Bin Kanban project supply chain systems. This role is responsible for the accurate and efficient counting, stocking, and auditing of consumable medical/surgical supplies, pharmaceuticals, surgical implants, instruments, and other hospital assets. This role may also be responsible for installing and maintaining 2-Bin Kanban project supply chain lines, including assembling and adjusting inventory storage racks. This is a temporary position that will require extensive travel. Essential Functions and Responsibilities: Accurately capture inventory count data in the HITS program, utilizing Excel or paper count sheets as instructed by the Team Leader or other Inventory Management. Perform inventory counts, ensuring all items are accounted for and reported according to established policies. Report discrepancies in inventory to the Team Leader. Maintain a high level of competency in using technology for inventory data capture, including the HITS application. Regularly communicate with the Team Leader regarding any issues with the HITS program and/or computer equipment. Assemble/disassemble and adjust inventory storage racks, carts, and shelving for supplies. Install carts to each par location. Organize and stock inventory shelving as directed by the supervisor and hospital staff teams. Read data for supplies description, item number, par, and unit of measurement (uom). Pick one (1) each of supplies for each par location and label with a temporary label. Bin and stage supplies on carts with appropriate bin size and label. Label bins and carts. Accurately capture inventory count data in the HITS program using Excel or paper count sheets as instructed by the Team Leader or other Inventory Management. Follow procedures and protocols outlined in job orientation and training. Follow company procedures, guidelines, and standards in customer service, equipment utilization, a
Who We Are Addepar is a global data and AI platform empowering investment professionals to turn complex financial information into actionable intelligence. Addepar unifies portfolio, market and client data in a total portfolio view and delivers AI-powered insights within investment and client workflows. More than 1,400 firms in nearly 60 countries use Addepar to manage and advise on nearly $9 trillion in assets. Its open platform integrates with nearly 650 software, data and consulting partners to power end-to-end investment operations across firms of all sizes and complexity. Addepar supports clients worldwide with offices in New York City, Salt Lake City, London, Edinburgh, Pune, Dubai, Geneva, Singapore and São Paulo. The Role The Client Success Management (CSM) team at Addepar is responsible for the complete post-sales lifecycle of a client. Through strategic guidance and partnership, CSM ensures clients derive maximum value from the platform, leading to overall adoption success, retention, and renewal. Few roles provide such a direct impact on the growth of the company. The CSM Team manages some of Addepar’s largest and most sophisticated clients, including Single Family Offices, Multi-Family Offices and traditional Wealth Management Firms. You will become a trusted partner, deeply understanding and advising on their business, including their strategy, clients, services, team, and technology, and helping them increase the value they get from Addepar. This role works closely with the Account Executive, cross-functional R&D, and Services teams to effect change management and drive standard methodologies and utilization of the platform. You will be the client’s internal advocate, helping ensure an excellent experience, and capturing feedback on ways that Addepar can build the next generation of client-centric solutions. Applicants must be legally authorized to work in the United States for any employer without requiring current or future visa spons
Who We Are Addepar is a global data and AI platform empowering investment professionals to turn complex financial information into actionable intelligence. Addepar unifies portfolio, market and client data in a total portfolio view and delivers AI-powered insights within investment and client workflows. More than 1,400 firms in nearly 60 countries use Addepar to manage and advise on nearly $9 trillion in assets. Its open platform integrates with nearly 650 software, data and consulting partners to power end-to-end investment operations across firms of all sizes and complexity. Addepar supports clients worldwide with offices in New York City, Salt Lake City, London, Edinburgh, Pune, Dubai, Geneva, Singapore and São Paulo. The Role The Client Success Management (CSM) team at Addepar is responsible for the complete post-sales lifecycle of a client. Through strategic guidance and partnership, CSM ensures clients derive maximum value from the platform, leading to overall adoption success, retention, and renewal. Few roles provide such a direct impact on the growth of the company. The CSM Team manages some of Addepar’s largest and most sophisticated clients, including Single Family Offices, Multi-Family Offices and traditional Wealth Management Firms. You will become a trusted partner, deeply understanding and advising on their business, including their strategy, clients, services, team, and technology, and helping them increase the value they get from Addepar. This role works closely with the Account Executive, cross-functional R&D, and Services teams to effect change management and drive standard methodologies and utilization of the platform. You will be the client’s internal advocate, helping ensure an excellent experience, and capturing feedback on ways that Addepar can build the next generation of client-centric solutions. Applicants must be legally authorized to work in the United States for any employer without requiring current or future visa spons
$300K – $350K/yr
CLEAR is building THE secure identity company of the future. Our mission is to make experiences safer and easier—physically and digitally. With more than 43 million Members and a growing network of partners across the world, CLEAR's secure identity platform is transforming the way people live, work, and travel. Whether it’s at the airport, stadium, or throughout your everyday life, CLEAR unlocks the magic of frictionless experiences. We are seeking a technical, data-driven Product Management leader to own CLEAR's Marketing Technology platform. This role is responsible for the systems, data, and measurement capabilities that power member acquisition from first touch through enrollment. You will own CLEAR's MarTech ecosystem, including attribution and tracking, audience data infrastructure, CRM and lifecycle marketing platforms, and the integrations that connect marketing signals to actionable insights. Partnering closely with Marketing, Engineering, and Data teams, you'll ensure CLEAR has the tools and intelligence needed to scale growth across paid, organic, and partner channels. What You'll Do: Own the vision, roadmap, and performance of CLEAR's MarTech ecosystem, including CRM, audience activation, tracking, attribution, and marketing data infrastructure. Build best-in-class measurement capabilities across paid, organic, and partner channels, creating a trusted source of truth for acquisition performance. Partner with Marketing to improve audience targeting, lifecycle messaging, SEO/SEM performance, and channel optimization. Drive strategy for audience segmentation, activation, suppression, and first-party data utilization using platforms such as Snowflake and Hightouch. Own the digital enrollment experience, ensuring it is optimized for conversion, personalization, and growth. Define success metrics, manage vendor relationships, and prioritize investments that maximize marketing effectiveness and ROI. What We're Looking For: 8+ years of Product Management experie
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