Medicare Utilization Nurse Consultant - Predetermination
CVS Health
CVS Health is seeking a Medicare Predetermination Utilization Management Nurse Consultant to assess and coordinate care needs. You will render coverage determinations using clinical criteria and collaborate with providers to optimize benefits for members in a structured healthcare setting. Required RN licensure with 3+ years of nursing experience and Med/Surg exposure. Associates degree required; BSN preferred. #J-18808-Ljbffr CVS Health
$71.1k - $97.8k
Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation... ...are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayShift work- ...Services we bring together our capabilities across strategy, consulting, technology, operations, Song and Industry X with our deep industry... ...stakeholders. Visit us at accenture.com.Within Accenture's Utilities Practice, We use our deep industry expertise in digital...SuggestedWork experience placementLive inWork at officeLocal area
- ...financial close, and core finance processes with the leadership and consulting skills required to drive complex SAP transformation programs.... ...-scale SAP transformation programsExperience supporting the Utilities industry or clientsBachelor's degree or equivalent (minimum 12...SuggestedWork experience placementLive inWork at officeLocal area
$26.01 - $68.55 per hour
...helping to simplify health care one person, one family and one community at a time. Position Summary Medicare Predetermination Utilization Management Nurse Consultant position: Utilization Management is a 24/7 operation and work schedules will include holidays and...SuggestedHourly payFull timeTemporary workWork at officeMonday to FridayShift workWeekend workAfternoon shift- ...Contracted Registered Nurse (RN) The Vaccine Preventable Diseases (VPD) Team has an opening for a contracted Registered Nurse (RN) to complete vaccine adverse event reports (VAERS) and submit to the Centers for Disease Control and Prevention (CDC), in addition to other...Suggested
- ...Nurse Consultant/ Regional Director Of Clinical OperationsRelocation to Southern New Mexico is required.The Nurse Consultant/ Regional Director of Clinical Operations position is comprised of two essential objectives; to partner with facilities as the primary clinical...
- We Are:Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected, and sustainable planet... .... Visit our site to learn more about Accenture Strategy & Consulting Utilities Practice.You Are:A utility industry professional with...Live inWork at officeLocal areaFlexible hours
- ...Job Summary: Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating medical services, treatments, and procedures. This role identifies...
- CVS Health is seeking a Nurse Consultant to join our Utilization Management team. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, collaborate with providers, authorize care, and elevate cases when needed. This role...Remote job
$29.1 - $62.32 per hour
...effective care management solutions that promote high-quality healthcare for members. Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment and evidence-based criteria to review inpatient and outpatient services....Remote jobHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...able to work 2 weekends per month. Overview: The Style Consultant will serve as a passionate brand ambassador, delivering... ...and thoughtful correspondence that drives loyalty and sales Utilize technology and virtual selling tools to connect with clients and...Part timeSeasonal workFlexible hoursNight shift
$140k - $180k
...Maintains membership and actively participates in professional organizations approved by Departmental standards guidelines. Utilizes PC programs (Taurus, Presentation Software, etc.) in preparing presentations for prospects and clients. Plans and performs work...Work at officeRemote workWorldwide2 days per week- ...expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-... ...! Job Description Are you an experienced Registered Nurse with Utilization Review experience professional looking for a new opportunity...Private practiceMonday to Friday
- ...attaining her individual breastfeeding goals. Functions as a member of the multi-disciplinary health care team as a consultant, educator, and mentor to nurses, health care professionals and patients..Key Responsibilities:Provides direct care for inpatient mother-baby...Full timeTemporary workLive outFlexible hoursNight shift
- ...Humana is seeking a Utilization Management Nurse 2 to support coordination, documentation, and communication of medical services and benefit determinations. The role requires interpreting clinical information, making independent determinations, and collaborating with...Remote work
$48k - $55k
...comply with TBR policies and guidelines. Responsibilities will also include assisting facilities and administrative staff in best utilizing the IT resources available. Some travel to off-campus locations and perform other duties as assigned.Assisting with routine tasks,...Work experience placementRemote workMonday to Friday- ...and Mission Integration initiatives.Maintain complete, accurate, and timely records of employee interactions, referrals, resource utilization, and outcomes.Collaborate with managers, Human Resources, Mission Integration staff, and external partners to support employee...Work at office
- ...manage conflict and crises.Strong problem solving and analytical thinking.Ability to exercise sound judgment and discretion.Willing to utilize internal training tools to meet the needs of DV survivors and their children.Excellent organizational and time management....Contract workSummer workFlexible hoursShift workNight shift
$100k - $120k
...art searches and patentability analyses. Evaluate invention disclosures and recommend appropriate protection strategies, including utility patents, design patents, trade secrets, and defensive publication where appropriate. Help develop patent portfolios around strategically...Work at officeWorldwide$17.21 per hour
...occurrence. Completing and turning into supervisor the monthly service records and progress notes by the 3 rd of each month. Utilize the Tennessee Department of Health's REDCAP database to input required forms and screenings tools within 10 business days of the...Contract workWork at officeLocal areaImmediate startFlexible hours$52k - $60k
...services and resources tailored to each family’s unique needs, and utilize formal and informal assessments for case planning. Goals... ...Attend three weekly meetings (individual, team, and clinical consultation) for professional development to help enhance clinical skills....Full timePart timeLocal areaFlexible hours- ...unit after 7pm. We provide expertise in nursing assessment and skills such as IV placement... ...nursing diagnosis. Continually utilizes the nursing process to evaluate patient'... ...awarded a Five-Star Quality Rating from Medicare. We support each other and encourage excellence...Temporary workWork experience placementLive outWorldwideFlexible hoursShift workNight shiftWeekend work
$725 per month
...addressing sanitation concerns, improving efficiency of dining services operation, and resolving dining services labor issues. May be utilized to fill in for DSC's on PTO or leave. Manages subordinate supervisor(s) who supervise food service and associates. Is...Hourly payFull timeTemporary workPart timeWork at officeLocal areaFlexible hoursShift workNight shiftAfternoon shift$1,955 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Nashville, TN Agency: Seven Healthcare Pay: $1,955 per week... ...exciting opportunity to work in a dynamic healthcare environment, utilizing advanced skills in patient care. Why Choose Seven Healthcare...Weekly payFull timeImmediate startFlexible hoursShift workNight shiftWeekend work$1,594 per week
...Registered Nurse (RN) | Neuro Location: Nashville, TN Agency: Prime Staffing Pay: $1,594 per week Shift Information... ...fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent...Permanent employmentFull timeContract workTemporary workShift workNight shift$1,703 per week
...Registered Nurse (RN) | Neuro Location: Nashville, TN Agency: Cynet Health Pay: $1,703 per week Shift Information... ...support and a unit secretary from 7 AM to 7 PM. Common equipment utilized includes IV pumps, telemetry, SCDs, continuous pulse oximeters,...Full timeContract workShift workNight shiftWeekend workDay shift$1,703 per week
...Registered Nurse (RN) | Neuro Location: Nashville, TN Agency: Cynet Health Pay: $1,703 per week Shift Information:... .... Work in a 20-bed Med/Surg unit with a patient ratio of 6:1. Utilize equipment such as IV pumps, telemetry, and EKG machines. Document...Full timeContract workShift workNight shiftWeekend workDay shift$1,955 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Nashville, TN Agency: Seven Healthcare Pay: $1,955 per week... ...involves providing specialized care in a fast-paced environment, utilizing advanced medical equipment such as IV pumps, telemetry, and EKG...Weekly payFull timeImmediate startFlexible hoursShift workNight shiftWeekend work$1,955 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Nashville, TN Agency: Seven Healthcare Pay: $1,955 per week... ...with patients Maintain and execute patient care plans Utilize and manage equipment such as IV Pumps, Telemetry, Continuous Pulse...Weekly payFull timeImmediate startFlexible hoursShift workNight shiftWeekend work$1,820 per week
...Registered Nurse (RN) | Neuro Location: Nashville, TN Agency: Cynet Health Pay: $1,820 per week Shift Information... ...and bladder scanners. iMobile communication technology is also utilized. The documentation system in place is Meditech. Staff are required...Full timeContract workShift workNight shiftDay shift
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