Utilization Management Nurse Consultant - Baton Rouge

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safet ...

We're building a world of health around every individual — shaping a more connected convenient and compassionate health experience. · Responsible for intake investigation and resolution of appeals complaints and grievances scenarios for all products which may contain multiple iss ...

The Utilization Management Nurse Consultant (UMNC) for Post Acute conducts high-acuity, timely, and comprehensive clinical reviews for members. · ...

The Utilization Management Nurse Consultant (UMNC) for Post Acute conducts high-acuity, timely, and comprehensive clinical reviews for members. · ...

+The Utilization Management Nurse Consultant conducts high-acuity clinical reviews for neonatal intensive care unit (NICU) members within a designated special population. · +Active RN license in Louisiana or a compact license. · Minimum 5 years of recent clinical experience. · ...

+Job summary · We are seeking a detail‑oriented and dedicated Registered Nurse to support our Medical Management team. · +Create, review, and audit medical determination letters including approvals, extensions, and denials · Ensure all documentation meets regulatory, accreditatio ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safet ...

We are building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, timely, and comprehensive clinical reviews for ...

The Utilization Management Nurse Consultant (UMNC) conducts high-acuity clinical reviews for members, · collaborating with providers and internal teams to ensure medically appropriate care. · ...

Employment Type: Permanent Full Time · Position Classification: Clinical Nurse Consultant Grade 1 · Remuneration: $130, $133,191.02 Per Annum, Plus Superannuation · Hours Per Week: 38 · Requisition ID: REQ644492 · Location: St George Community Health Service, Kogarah · Applicatio ...

The Clinical Nurse Consultant delivers specialist drug and alcohol nursing consultancy services in hospital and inpatient mental health settings.Up to 12 allocated days off each year in addition to annual leave. · Salary packaging options that reduce your taxable income and incre ...

Patient Throughput Specialist coordinates patient movement during inpatient stays ensuring patients are placed with the right care team at the right time. · ...

Description · Step Away from the Bedside — And Step Up to Next Level Care Coordination · Are you an experienced nurse looking for a meaningful career shift without leaving the clinical world behind? Join our Hospitalist team as a Patient Throughput Specialist (PTS) — an office-ba ...

Weatherby can help you build a custom career plan, with multiple positions available for you today. Call us for specific details on your future job today.5 days a week clinic with option for 4 day clinic weeks · Minimum 3 weeks per month required · Panel of patients to follow ...

A Locums Pediatrician Is Needed in California at Weatherby Healthcare summary: · CVWalletExtranet.Domain.Entities.JobShortDescription · Interested? Give Weatherby a call today and speak with one of our specialty-specific consultants for available dates and details. · Monday - Fri ...

Description · Position Summary · The Director of Clinical Services supports the Chief Operating Officer in providing support for al clinical functions at assigned facilities to ensure all client facilities operate in compliance with current federal, state, and local standards, gu ...

Travel Nurse RN - Med Surg / Telemetry · We are seeking a dedicated and compassionate travel nurse to join our team at ALOIS Healthcare. · Skill: Medical-Surgical Nursing, Telehealth · Type: Travel Nurse · You will be responsible for monitoring and interpreting patient data from ...

Description · To provide nursing medical care for high acuity patients in collaboration with a physician. · Responsibilities · Patient Care · Provides direct patient care management to high acuity patients including performing histories and physicals, admits, and discharges; rela ...