Utilization Management Nurse
CVS Health
CVS Health Corporation is seeking a remote Utilization Management Nurse (RN) to support 24/7 operations. The role requires an active RN license, 2+ years in adult acute/critical care, and strong clinical judgment in a fast-paced, tech-enabled environment. Remote position with a preference for CST/MT time zones; includes 40 hours weekly, with evenings, weekends, and holidays as needed. Benefits and bonus eligibility are described in the posting. #J-18808-Ljbffr
- 3M HEALTHCARE is seeking a Utilization Review RN to ensure high-quality, cost-efficient medical outcomes through utilization review and management. The role involves chart review, collaboration with physicians, care coordinators, social workers, and revenue cycle teams...SuggestedRelief
$75.3k - $135.4k
...a clinical professional on our Medical Management/Health Services team. Centene is a diversified... .... Supervises day-to-day activities of utilization management team. Monitors and tracks UM... ..., and/or retrospective clinical review nurses and ensures compliance with applicable...SuggestedFull timePart timeWork at officeRemote workFlexible hours- ...Hospice Registered Nurse The Hospice Registered Nurse (RN) utilizes the nursing process to provide compassionate, specialized end-of-life care for terminally... ...ill patients, focusing on quality of life, pain management, symptom control, comfort care and dignity rather...Suggested
$1,721 - $1,912 per week
...Travel Registered Nurse - Case Management in Overland Park, KS Registered Nurse Case Management travel contract in Overland Park,... ...team focused on discharge planning, observation management, utilization review, and high-quality patient care coordination. Located...SuggestedWeekly payContract workCasual workMonday to FridayShift work$31.5 per hour
...information about 5 Sutherland: Intermediate Care Registered Nurses provide advanced illness management and health promotion for patients who require... ...intermediate acuity of care. Intermediate Care Registered Nurses utilize the nursing process and knowledge of scientific...SuggestedWork experience placementSeasonal work$2,053 per week
...Registered Nurse (RN) | Postpartum Location: Shawnee Mission, KS Agency: FlexCare Pay: $2,053 per week Shift Information... ...leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workNight shift- ...Employer Match and more (20+ hrs/week) Job Description The Utilization Review Nurse RN collaborates with the physician and members of the multidisciplinary... ...active in the state of Missouri Preferred: Certified Case Manager Employer Culture At CoxHealth, we don’t just provide...Local areaRemote workShift workDay shift
$1,636 per week
...Registered Nurse (RN) | Medical-Surgical Location: Overland Park, KS Agency: FlexCare Pay: $1,636 per week Shift... ...nationwide leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift workNight shift- ...supervisor for their Prior Authorization team within the Medical Management/Health Services department. The role ensures quality care for... .... The ideal candidate will hold a Bachelor's degree in Nursing, possess 4+ years of related experience, and have an active RN...Remote jobFlexible hours
- ...UnitedHealth Group's Optum is seeking an Inpatient Care Management Nurse in Missouri to ensure proper utilization of health services and coordinate care paths. You will perform initial and concurrent reviews using InterQual criteria, collaborate with facility staff...Remote work
- ...Reports risk management concerns using eSRM. Annual Blood Borne Pathogens training (if required... ...: Regular Job Summary: The Registered Nurse is a professional practitioner who... ...coordinates planning with other disciplines utilizing a patient/customer driven approach. Job...
- ...City is seeking a compassionate, confident Hospice Registered Nurse (RN) to join our hospice team full-time. This role is ideal for... ...quality, patient-centered care with a focus on comfort, symptom management, and support during the end-of-life journey. Hospice experience...Full timeWork from home
$10k
...Grounded by our belief that outstanding care is best delivered in a team-based environment, our Hospice Registered Nurses collaborate to provide management and delivery of patient care plans. With our 20-year track record, Residential is a strong leader in the industry....Flexible hoursShift workWeekend work$54.14k - $64.97k
Nurse Care Coordinator (Healthcare) POSITION SUMMARY The Nurse Care Coordinator at KC CARE is responsible for managing and coordinating patient care services to ensure high-quality, comprehensive... ...standards and regulations utilizing the Patient-Centered Medical Home model...Work at officeShift work- ...SUMMARY: Under the direction of leadership, the Nurse Navigator provides individualized clinical care coordination for patients with... ...navigations plans, coordinates services, promotes self-management, and facilitates timely access to appropriate care to improve clinical...Work at office
$40 per hour
...Empower Healing & Inspire Hope as a Registered Nurse in Addiction & Mental Health Care at the Recovery Village Kansas City FT... ...Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse...Immediate startShift work- Description Role Snapshot The Appeals Nurse examines medical records and claims... ...healthcare setting (hospital/bedside, case management, MDS/Skilled Nursing, etc.). Excellent... ...review processes (i.e., Appeals/Utilization Review). Solid computer skills with experience...Contract workFor contractorsLocal areaImmediate startRemote work
$42 - $46 per hour
...Job Title Home Infusion Registered Nurse (PRN) Location Overland Park, KS, USA Additional Location(s) Olathek,... ...performs designated tasks regarding pharmacy quality control, management of pharmacy & nursing records, inventory control and preparation...ReliefLocal areaImmediate start- 6AM City, LLC is seeking a Specialty Pharmacist to join their oncology team, focusing on medication management for cancer patients. The role requires providing drug therapy and serving as a resource for patients and medical staff. Applicants should have completed a PGY...
- ...Grand Worker Type Regular Job Summary The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care... ...stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities...Temporary workImmediate start
- ...career opportunities as a(an) Registered Nurse Surgery you want with your current employer... ...are valuable to this position and are utilized in providing patient care. The nurse provides... ...care under the direction of the Nurse Manager/Director in conjunction with the OR team....Full timeTemporary workPart timeFlexible hoursShift work
- ...Introduction Managers thrive with us! HCA Healthcare is one of the nation’s leading... ...and direction of the Director of Nursing and the Chief Nursing Officer, provides... ...initiation and evaluation of patient care utilizing performance improvement process. What...Full timeTemporary workPart timeFlexible hours
- ...Ongoing clinical education to improve your skills. As a Registered Nurse at Research Medical Center, you’ll have all the staffing... ...adversely affected. ~ This person will also screen medical records utilizing pre-determined medical staff, and regulatory health center...Temporary workWork at officeFlexible hours
- ...advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give... ...the Cardiovascular Services Director, Manager and CV Prep and Recovery Supervisor, the... ...and their family members. The liaison utilizing age appropriate guidelines to...Temporary workWork at officeFlexible hours
- ...Ongoing clinical education to improve your skills. As a Registered Nurse at Menorah Medical Center, you’ll have all the staffing support... ...concurrent and retrospective evaluation of patient care ~ Utilizes quality improvement tools, including root cause analysis, to...Temporary workFlexible hours
$100k
...developing others? We're looking for a Clinical Manager to join our dynamic clinical leadership... ...in coaching, mentoring, and precepting nursing staff, helping them build their clinical... ...Ulcers, Medication Errors, Restraint Utilization, Re-hospitalization, Anti-psychotic...Work at officeLocal areaImmediate start$31 per hour
...Overview Registered nurses provide illness management and health promotion for patients and families who require care. Registered staff nurses utilize the nursing process and knowledge of scientific principles to provide safe, high quality, comprehensive, and age appropriate...Work experience placementSeasonal work- ...RN Manager (Healthcare) Communicate regularly with residents and their family about Plans... ...documentation as required. Performs utilization review activities to provide resident appropriate... .../families/caretakers, physicians, nurse and other ancillary partners. Must have...Day shift
- ...This position is incentive eligible. Introduction Managers thrive with us! HCA Healthcare is one of the nation’s leading providers... ...physicians. The Director is expected to be a patient and nursing advocate at all times. The Director will oversee managers...Full timeTemporary workPart timeFlexible hours
- ...Worker type: Regular Job Summary The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care activities during... ...and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities...Temporary workImmediate startFlexible hours
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