Remote Utilization Management Nurse Consultant
4062 Aetna Resources, LLC
CVS Health is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role requires an active RN license, 3+ years clinical experience, and 1+ year in Utilization Review/Medical Management. You will apply criteria to determine medical necessity and collaborate with providers to ensure timely care. The position offers a 100% remote setup (U.S. only) with established training and opportunities to contribute to process improvements and patient outcomes. #J-18808-Ljbffr
Vacancy posted 2 days ago
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Downers Grove, IL4 days ago $26.01 - $74.78 per hour
...do it all with heart, each and every day. Position Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours- ...Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with providers and departments...Remote work
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New York, NY1 day ago $59.5k - $116.6k
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Phoenix, AZ23 hours ago- ...Registered Nurse - Utilization Review About Company Bestica We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
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Asbury, IA4 days ago $1,600 - $1,800 per week
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Aurora, CO4 days ago$65 per hour
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$70k - $75k
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...at a glance Location: Remote Facility: Ascension... ...Network Service Department: Utilization Management Schedule: Days l Full... ...Provide case management and/or consultation for complex cases.... ...~ Licensed Registered Nurse credentialed from the Texas...Remote workFull timeLocal areaAscension
Austin, TX2 days ago- ...Description: This is a remote position but will need onsite... ...Collaborate with physicians, nursing staff, and interdisciplinary... ...ensure appropriate resource utilization and care planning Review admissions... ...utilization review, case management, or payer review experience preferred...Remote workFull timePart timeReliefWork at officeLocal areaShift workRotating shiftDay shift
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Pensacola, FL3 days ago$81.12k - $115.94k
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Baltimore, MD2 days ago$26.35 - $39.53 per hour
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$26.35 - $39.53 per hour
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