RN Utilization Management Consultant - Precertification
$26.01 - $68.55 per hourHispanic Alliance for Career Enhancement
CVS Health is hiring for a Utilization Management position in Delaware. The role requires active RN licensure and 3+ years of clinical experience, focusing on reviewing clinical information for services requiring precertification. Candidates should possess strong computer skills and the ability to work in a fast-paced environment. The pay range is between $26.01 - $68.55 per hour, and the position offers a comprehensive benefits package supporting overall well-being. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$26.01 - $68.55 per hour
...community at a time. Position Summary Utilization Management is a 24/7 operation and work schedule... ...guidelines for services requiring precertification. The majority of the time is spent at... ...have active, current and unrestricted RN licensure in state of Virginia or multi...SuggestedHourly payFull timeTemporary workLocal areaAfternoon shift$26.01 - $74.78 per hour
...more compassionate. This position is with Utilization Management, a 24/7 operation where work schedules... ...Services and benefit utilization. Consults and lends expertise to other internal and... ...Nurse Active current and unrestricted RN licensure in state of residence 1+ years...SuggestedHourly payFull timeTemporary workWork at officeLocal areaFlexible hours$26.01 - $74.78 per hour
...Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will... .... Required Qualifications Registered Nurse (RN) with current unrestricted US licensure required. 2+ years...SuggestedHourly payFull timeTemporary workWork at officeLocal areaFlexible hours- ...ABOUT THIS POSITION The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical... ...Bachelor of Science in Nursing (BSN) or equivalent (with RN licensure) 8+ years of clinical experience in acute care...SuggestedLive outLocal areaRemote workFlexible hours
- ...A leading healthcare facility in the United States seeks a Clinical Product Consultant for Utilization Management. The role involves providing clinical insights, ensuring product accuracy, and managing implementation milestones. Candidates should have a BSN, extensive...SuggestedRemote workFlexible hours
- ...Description: Job Description: The Business Development Manager position is a key sales role within the TCS IOT&DE Business... ..., responsible for executing sales and business development for Utilities Industries across Americas. The associate will develop...Contract work
$80k - $90k
Vertical Supply Group is seeking a Business Development Manager (BDM) responsible for developing new business with existing and new utility accounts. The BDM will coordinate with key stakeholders to drive product approvals and sales growth. The ideal candidate has a strong...- A leading technology firm seeks a Business Analyst with experience in the utilities domain to support project and product teams. This role involves documenting requirements, collaborating effectively, and possessing Agile project experience, especially in customer service...Remote work
- ...Good afternoon All, New Position: Business Analyst - Utility Domain Location: Long Island NY Hybrid Duration:... ...and user readiness activities ~ Experience with document management, records management, or EDRMS projects would be an asset...
$110k - $125k
Overview Job Overview - Business Development Manager (Infrastructure & Utilities): Compensation: $110,000 - $125,000/year; Location: Monmouth County, NJ; Schedule: Monday to Friday (In-Office). Join our client as a Business Development Manager (Infrastructure & Utilities...Work at officeMonday to Friday- ...have an Associate's or Bachelor's degree in nursing, a valid RN license, and 4-6 years of nursing experience. Responsibilities... ...summaries. Preferred qualifications include certification in utilization management and strong communication skills. This role is essential for...
$80k - $90k
The Business Development Manager (BDM) is responsible for developing and realizing new business with existing and new utility accounts in a coordinated strategy with the Utility Sales Director. The BDM will be assigned a designated territory within North America with a...Contract workFor contractorsWork at office- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote workFlexible hoursWeekend workDay shift
- ...tobacco‑free campus. Job Summary and Responsibilities As our Utilization Management Nurse, you will be a critical guardian of healthcare efficiency... ...regarding review outcomes. Collaborates with facility RN Care Coordinators to ensure progression of care. Engages the...
- ...Santa Barbara Cottage Hospital is seeking an RN for Utilization Review, a Per Diem position working remote 8-hour day shifts. This role includes... ...in remote utilization review or as an acute care case manager is also required. Join us to make a difference in patient-centered...Daily paidRemote workDay shift
- ...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right... ...level of care based on medical necessity. This position manages medical necessity process for accurate and timely payment for...Work at officeRemote work
- ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
$80k - $100k
...Title: Account Manager/BDM Utilities Location: Long Island, NY 11101 Must-Haves: # Full sales cycle experience # Knowledge of the Utilities market in the New York area # Strong business development skills with a focus on high revenue generation...Immediate start- ...client for a long-term contract position. Job Title: Change Management Consultant Location: Remote Duration: 12+ Months GENERAL SUMMARY: The... ...OCM manager is responsible for driving adoption, increasing utilization of changes, and achieving positive outcomes for the...Long term contractContract workWork at officeImmediate startRemote work
$75k
...Santa Barbara Cottage Hospital is seeking a qualified RN for concurrent inpatient utilization review. The candidate will regularly collaborate with physicians and healthcare teams, ensuring compliance with industry regulations and maintaining accurate documentation. This...Remote work- ...Santa Barbara Cottage Hospital is looking for a Utilization Review Nurse responsible for ensuring high-quality, evidence-based care and... ...review. Strong analytical, communication, and case management skills are required to work effectively in a collaborative environment...
$77k - $202k
...Travel Requirements: Up to 80% At PwC, our people in operations consulting specialise in providing consulting services on optimising... ...are building meaningful client connections, and learning how to manage and inspire others. Navigating increasingly complex situations,...Full timeH1b- ...Job Title: Organizational Change Management (OCM) Consultant Location: NYC, NY (Hybrid) Job Type: 2 years Contract Client:... ...4.At least 7 years working on IT driven OCM projects, utilizing industry change management lifecycle methodologies and standards...Contract workLocal area
- ...Corporate Secretarial, Client Relationship Management, Entity Management We never ask for... ...Role The Global Entity Management Consultant will report to the Practice Head of Global... ...the region. Key Responsibilities Utilize knowledge of the service line ("Practice...Full timeLocal area
$70 - $85 per hour
...Bridge Partners is the leading growth consultancy for the tech and cloud industry. We help... .... Your Role as a Sr. Adoption & Change Management Consultant – Copilot & AI Adoption As a... ...the investment in Microsoft 365 Copilot. Utilize change management industry best...Hourly payWork experience placementWork at officeRemote workWork from homeFlexible hours$89.8k - $110.2k
...Company Description Sia is a next-generation, global management consulting group. Founded in 1999, we were born digital. Today our strategy... ...modalities based on customer experience best practices Utilize Project Management frameworks and methods in a variety of roles...Work at officeLocal areaWorldwideVisa sponsorshipWork visaFlexible hours3 days per week$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Hourly payPart timeRemote work- ...Santa Barbara Cottage Hospital is seeking a Case Manager responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing medical necessity processes and collaborating with various stakeholders. Candidates must have at...Local areaRemote work
$30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time... ...to advance review or senior care consultants. Process appeals for non‑certification... ...and refer potential cases to case management, wellness, chronic disease and Nurturing...Hourly payFull timePart timeWork at officeRemote workMonday to FridayWeekend work- ...the right care, at the right time, in the right place. Case Management Model: utilize an Integrated Case Management Model. Under this model the Case... ...or continued stay. Consistent collaboration with the RN Case Manager to prevent extended length of stays and appropriate...Full time
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