RN Utilization & Quality Management Consultant
CVS Health
CVS Health is seeking an RN for utilization management to assess, plan, and coordinate healthcare services for members. The role focuses on applying clinical judgment to determine appropriate coverage and treatment options, while collaborating with providers to optimize care. The position requires an active RN license, 2+ years in adult acute/critical care, and the ability to work weekends and evenings as needed. #J-18808-Ljbffr CVS Health
$26.01 - $56.14 per hour
...prioritize safety and quality in everything we do. Join... .... Position Summary Utilizes clinical experience and... ...and benefit utilization. Consults and lends expertise to... ...the utilization/benefit management function. Typical office... ...Registered Nurse (RN) license in their state...SuggestedHourly payFull timeTemporary workWork at officeLocal areaWork from homeWeekend workAfternoon shift- ...is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review... ...care and utilization. The position requires 3+ years RN experience, an active RN license, an associate degree in...SuggestedRemote work
$66.58k - $142.58k
...accountable and prioritize safety and quality in everything we do. Join us... ...relevant project plans. Manages and coordinates specific... ...and/or facilitating research utilization to improve clinical care and... ...skills Registered Nurse (RN) required. Adept at problem solving...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaWork from homeMonday to Friday$26.01 - $62.32 per hour
...hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something... ...one person, one family and one community at a time. RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) Remote | Full-Time | Monday...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work$87.9k - $120.12k
...Position: Business Process Manager Job Description: Why You'll Love This Role Strong businesses are built on strong support... ...maintains, and implements effective & efficient business processes utilizing their subject matter expertise in Arrows End to End business...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeRemote work$50k - $60k
...territory to identify and research timely, high-value targets. Utilize our sales tech stack to perform consistent, daily cold calling,... ...and occasional live events to schedule qualified meetings. Manage a pipeline of warm leads and keep them engaged through regular...Remote work- ...and loyalty program platform to ensure appropriate use. The BDS utilizes approved tools for product promotion and maintains a competent... ...is expected to collaborate with Client field-based teams and management. There may be some on-site practice visits for in-services....Full timeTemporary workWork at officeRemote workFlexible hours
- ...teams worldwide to grow beyond their limits. The Process Safety Manager position is a critical leadership role responsible for the... ...releases, fires, explosions, and significant operational events. Utilize recognized root cause analysis methodologies to identify underlying...For contractorsWork at officeLocal areaRemote workWorldwideFlexible hours
- ...with client field teams to hit program goals. Role involves outbound and inbound calls, data entry in CRM systems, and achieving KPIs while maintaining high-quality customer interactions. Some on-site visits may be required for in-services. #J-18808-Ljbffr Amplity HealthRemote job
- ...Systems is responsible for providing safe, quality patient care using the nursing process,... ...requirements as directed by the Nurse Manager and Educator. Education: Provides patient... ...image to patients and other customers. Utilized the patient's communication board (white...ReliefShift work
$100k
...comprehensive package of products and services. Slice delivers a consultative approach on the best platforms and equipment most suitable for... .... To ensure your success, you will have a dedicated sales manager & support team, continued results-driven training, WHAT THE COMPENSATION...Local area$1,981 per week
...Registered Nurse (RN) | Medical-Surgical Location: Winfield, AL Agency: Advantis Medical Staffing Pay: $1,981 per week... ...Med Surg travel nurse, you will provide compassionate and high-quality care to patients ensuring their well-being and recovery. Job...Full timeContract workImmediate startShift workNight shift$1,981 per week
...Registered Nurse (RN) | Medical-Surgical Location: Winfield, AL Agency: Advantis Medical Staffing Pay: $1,981 per week... ...Med Surg travel nurse, you will provide compassionate and high-quality care to patients ensuring their well-being and recovery. Job...Full timeContract workImmediate startShift workNight shift$30 - $48 per hour
...work in the new addition. Job Description To utilize the nursing process to care and/or counsel... ...Model. To delegate, coordinate and manage all aspects of nursing care provided to the... ...eligible to be licensed as a Registered Nurse (RN) by the Alabama Board of Nursing required....Full timePart timeWork experience placementShift workWeekend work- ...BD activities for the Agile Development Group, focusing on missile solutions and expanding into new markets and customers. You will manage interactions, capture plans, and strategic business development, including CRM and pipeline growth. Responsibilities include...Remote job
- ...for the ForceX and C-UAS portfolio, within the Targeting and Sensor Systems (TSS) sector. Essential duties include owning account management, developing the opportunity pipeline in Dynamics CRM, framing discriminators for each pursuit and supporting bid strategy while...Remote job
- ...American Traveler is hiring an experienced RN for a Progressive Care Unit (PCU) night shift position requiring cardiac drip and stroke... ...references required, with one reference from a Supervisor, Manager, or Charge RN within the last year, • All RTO must be submitted...Local areaNight shiftWeekend work
- Highmark Health is seeking a Registered Nurse for a remote utilization management role requiring weekend availability (Saturday and Sunday) and three weekdays. You will review appropriateness of health care services, apply criteria for resource use, and identify opportunities...Remote jobShift workWeekend workWeekday work
- ...American Traveler is hiring an experienced Operating Room RN for a 13-week travel assignment requiring Epic EMR experience and a GA or Compact RN license. Job Details • Operating Room unit within a hospital setting, • AM shift, 10-hour shifts, • 13-week assignment...Permanent employmentFull timeLocal areaShift work
- CVS Health is seeking a Case Manager - Registered Nurse (RN) for a fully remote role within the National Medical Excellence (NME) team. The RN... ...their wellness. The blended role covers Case Management and Utilization Management. The ideal candidate has an active compact RN...Remote job
- SCI Summit Consulting, LLC seeks a field-based business development professional in Alabama or Tennessee to drive growth through strategic marketing plans and strong agency partnerships. The role requires 5+ years in related fields, a Bachelor’s degree in Business Admin...Remote job
- ...RN Med Surg MedSource Travelers provides nationwide assignments and is currently seeking a qualified RN Med Surg. To apply, please submit your resume, completed skills checklist and 2-3 references from within the last 12 months. The benefits of MedSource Travelers...Weekly pay
$80k - $155k
...CIC), Program in General Insurance (INS) or Associate of Risk Management (ARM). Scope of Job/Qualifications: Strong understanding of agency... ...80% of time) to visit agents and brokers. Company: SCI Summit Consulting, LLC Salary Range: $80,000.00 -$155,000.00 Benefits: We offer...Full timePart timeSeasonal workRemote workNight shift- TOP RATED BY TRAVEL NURSES AND INDEPENDENT REVIEW SITES Ready for your next adventure? Axis Medical Staffing, one of the leading Travel Nursing Companies in the nation, has an immediate 12H Night shift Medical Surgical opening in Winfield, Alabama. This job is expected...Weekly payContract workImmediate startShift workNight shift
- ...chances of landing your perfect assignment. That includes developing your résumé, skills checklist and references. Travel Med Surg RN Location: Winfield, AL, United States Start date: 11-18-2026 Assignment length: 13 Weeks weeks...Shift workNight shift
$20 - $25 per hour
...-based conversations. You will compare two model outputs, record your voice during interactions, identify error clusters, and rate quality against a defined framework to select the stronger performer. Bachelor's degree required; strong attention to detail and familiarity...Hourly pay- ...Career Ladder, advancing from roles like Charge Nurse to RN Supervisor, Unit Manager, Clinical Educator, Assistant, and Director of Nursing.... ...Cultivate leadership skills by supervising CNAs, ensuring top-quality care delivery. Access continuous education and professional...Daily paidFull time
- ...designed for high reliability and performance. Our culture is one of quality and operational excellence fueled and supported by talented... ...actions and partner with Engineering, Quality, Program Management, and Operations to implement fixes and prevent recurrence....Remote workVisa sponsorshipWork visa
- ...Registered Nurse, to ensure provision of quality patient care daily in accordance with... ...lab. · Ensures correct labs tubes are utilized for prescribed lab specimens and that lab... .... · Routinely meets with the Clinical Manager to discuss personnel and patient care status...Temporary workReliefImmediate startFlexible hoursShift work
- ...Shift: 12H Nights (12:00 AM-12:00 PM) Location: Winfield, AL Length: 13 weeks Weekly Hours: 36.0 Beds: 38 Registered Nurse (RN) licensed Either an Associate of Science or Bachelor of Science in Nursing (ASN or BSN) At least 2+ years' experience Valid...Immediate startShift workNight shift
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