... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Registered Nurse (RN) with a current Florida nursing license required. Experience & Skills
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Registered Nurse (RN) with a current Florida nursing license required. Experience & Skills
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Registered Nurse (RN) with a current Florida nursing license required. Experience & Skills
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Registered Nurse (RN) with a current Florida nursing license required. Experience & Skills
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
The Utilization Management Registered Nurse (UM RN) is responsible for evaluating the medical ... Benefits Eligibility : (Full-time and Part-time Employees-over 20 hours a week) * Competitive ...
The P2P Utilization Review Nurse functions with a high degree of autonomy and clinical judgment, managing a high volume of complex cases across multiple entities. Working in close collaboration with ...
The P2P Utilization Review Nurse functions with a high degree of autonomy and clinical judgment, managing a high volume of complex cases across multiple entities. Working in close collaboration with ...
Five years of hospital nursing experience preferred ... Experience in the field of Utilization Management activities highly preferred. Basic understanding ...
Five years of hospital nursing experience preferred ... Experience in the field of Utilization Management activities highly preferred. Basic understanding ...
Utilization Management Assoc / Clinical Resource Management
Wethersfield, CT · On-site
$65K - $89K/yr
Position Responsibilities: * Monitors and manages assigned utilization management reports ... Provides the Clinical Resource Management Nurse with support for denials, appeals, and physician ...
Utilization Management Assoc / Clinical Resource Management
Wethersfield, CT · On-site
$65K - $89K/yr
Position Responsibilities: * Monitors and manages assigned utilization management reports ... Provides the Clinical Resource Management Nurse with support for denials, appeals, and physician ...
Utilization Management Assoc / Clinical Resource Management
Wethersfield, CT · On-site
$65K - $89K/yr
Position Responsibilities: * Monitors and manages assigned utilization management reports ... Provides the Clinical Resource Management Nurse with support for denials, appeals, and physician ...
Utilization Management Assoc / Clinical Resource Management
Wethersfield, CT · On-site
$65K - $89K/yr
Position Responsibilities: * Monitors and manages assigned utilization management reports ... Provides the Clinical Resource Management Nurse with support for denials, appeals, and physician ...
Part-time, working every other weekend. This position requires availability to work alternating weekends and holidays as part of the regular schedule. The Utilization Management (UM) RN performs ...
Part-time, working every other weekend. This position requires availability to work alternating weekends and holidays as part of the regular schedule. The Utilization Management (UM) RN performs ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... Registered professional nurse with education, knowledge and experience. * Role focuses on review of ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... Registered professional nurse with education, knowledge and experience. * Role focuses on review of ...
Utilization Review Case Manager - PT Days
Torrance, CA · On-site
$56.39 - $87.25/hr
Attends denial management committee. * Collaborates with interdisciplinary and communicates this plan to the payer * Collaborates with RN Case Managers and the Physician Advisors to facilitate the ...
Utilization Review Case Manager - PT Days
Torrance, CA · On-site
$56.39 - $87.25/hr
Attends denial management committee. * Collaborates with interdisciplinary and communicates this plan to the payer * Collaborates with RN Case Managers and the Physician Advisors to facilitate the ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities & Requirements * Registered professional nurse with education, knowledge and experience. * Role focuses on ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Hospital utilization review/utilization management experience. Preferred * Clinical appeals ... Part time Shift Day (United States of America) Weekly Scheduled Hours 0.04 Hours of Work 8 Days ...
Hospital utilization review/utilization management experience. Preferred * Clinical appeals ... Part time Shift Day (United States of America) Weekly Scheduled Hours 0.04 Hours of Work 8 Days ...
Hospital utilization review/utilization management experience. Preferred * Clinical appeals ... Part time Shift Day (United States of America) Weekly Scheduled Hours 0.04 Hours of Work 8 Days ...
Hospital utilization review/utilization management experience. Preferred * Clinical appeals ... Part time Shift Day (United States of America) Weekly Scheduled Hours 0.04 Hours of Work 8 Days ...
Position Summary The Part Time Senior Utilization Review Specialist is an experienced registered ... Bachelor of Science in Nursing (BSN). * Certification in case management or utilization management ...
Quick apply
Position Summary The Part Time Senior Utilization Review Specialist is an experienced registered ... Bachelor of Science in Nursing (BSN). * Certification in case management or utilization management ...
Minimum Education: Has completed the basic professional curricula of a school of nursing as ... utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM ...
Minimum Education: Has completed the basic professional curricula of a school of nursing as ... utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM ...
Part Time Cvs Utilization Management Nurse information
See salary details
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
How much do part time cvs utilization management nurse jobs pay per year?
What is the difference between Part Time Cvs Utilization Management Nurse vs Part Time Cvs Case Management Nurse?
| Aspect | Part Time Cvs Utilization Management Nurse | Part Time Cvs Case Management Nurse |
|---|---|---|
| Certifications | RN license, Utilization Review Certification (if applicable) | RN license, Case Management Certification (e.g., CCM) |
| Work Environment | Utilization review departments, insurance companies, healthcare facilities | Patient care coordination, hospitals, clinics |
| Employer & Industry Usage | Insurance providers, healthcare organizations | Hospitals, healthcare systems, community clinics |
While both roles require RN licensure and involve patient or healthcare management, the Utilization Management Nurse focuses on reviewing medical necessity and insurance approvals, whereas the Case Management Nurse coordinates patient care and discharge planning. Understanding these differences helps job seekers identify the right role based on their skills and career goals.
What cities are hiring for Part Time Cvs Utilization Management Nurse jobs?
Cities with the most Part Time Cvs Utilization Management Nurse job openings:
What are the most commonly searched types of Cvs Utilization Management Nurse jobs?
The most popular types of Cvs Utilization Management Nurse jobs are:
What states have the most Part Time Cvs Utilization Management Nurse jobs?
States with the most job openings for Part Time Cvs Utilization Management Nurse jobs include:
Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 26 days ago
MUSC Health rating
7.0
Based on 202 frontline employees who took The Breakroom Quiz
423rd of 898 rated healthcare providers
Job description
MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina.
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition.
Entity
MUSC Community Physicians (MCP)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC005921 MCP - Utilization Management
Pay Rate Type
Hourly
Pay Grade
Health-28
Scheduled Weekly Hours
32
Work Shift
Job Description
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed.
Bachelor's degree in Nursing from an accredited school of nursing and three years' work experience as a Registered Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in regards to education requirement. Must possess excellent verbal and written communication skills. Familiarity with InterQual or Milliman and Robinson screening criteria desired. Licensure as a registered nurse by the state of South Carolina or compact state required.
Additional Job Description
Benefits:
- Health, dental, vision, and life insurance
- Employer Sponsored Retirement Plan
- Paid time off and extended sick leave
- Paid Parental Leave
- Disability insurance plan options
- Continuous professional and clinical training
- Competitive pay
- Annual Merit Increase
- Wellbeing resources
- Tuition Reimbursement
- Employee perks and discounts
- Employee referral program
- Flexible schedule options
- Certification incentive program
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
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About MUSC Health
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MUSC is located in Charleston, SC, frequently named one of the best places in America to live. If charming, historic, vibrant, cultural, and coastal are adjectives that you find appealing, it's all here. In Charleston, you might find yourself dining at a world class restaurant tonight and relaxing on a boat as you explore our many waterways tomorrow. You might stroll along cobblestone streets, amidst centuries old homes by day and attend a jazz concert by night. Charleston is a place where you can live your life to its fullest.
Industry
Hospitality services
Company size
10,000+ Employees
Headquarters location
Charleston, SC, US
Year founded
1824