Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...

61 Humana Utilization Management Nurse Jobs Hiring Near You
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse
Annapolis, MD · On-site
$34 - $55/hr
Monitors and identifies patterns or trends in utilization management; monitors potential and actual ... Bachelor's of Science in Nursing or Associate's degree in Nursing with equivalent experience. BSN ...
Utilization Management Nurse
Annapolis, MD · On-site
$34 - $55/hr
Monitors and identifies patterns or trends in utilization management; monitors potential and actual ... Bachelor's of Science in Nursing or Associate's degree in Nursing with equivalent experience. BSN ...
Utilization Management Nurse Consultant
$32.01 - $68.55/hr
Utilization Management Nurse Consultant We're building a world of health around every individual -- shaping a more connected, convenient and compassionate health experience. At CVS Health ® , you'll ...
Utilization Management Nurse Consultant
$32.01 - $68.55/hr
Utilization Management Nurse Consultant We're building a world of health around every individual -- shaping a more connected, convenient and compassionate health experience. At CVS Health ® , you'll ...
Utilization Management Nurse
Lanham, MD · On-site
$34 - $55/hr
Monitors and identifies patterns or trends in utilization management; monitors potential and actual ... Bachelor's of Science in Nursing or Associate's degree in Nursing with equivalent experience. BSN ...
Utilization Management Nurse
Lanham, MD · On-site
$34 - $55/hr
Monitors and identifies patterns or trends in utilization management; monitors potential and actual ... Bachelor's of Science in Nursing or Associate's degree in Nursing with equivalent experience. BSN ...
As a Utilization Management Nurse, you'll oversee and manage the Utilization Management process to ensure the appropriate, necessary, and cost-effective delivery of healthcare services to plan ...
Posted today
Quick apply
As a Utilization Management Nurse, you'll oversee and manage the Utilization Management process to ensure the appropriate, necessary, and cost-effective delivery of healthcare services to plan ...
Posted today
Utilization Management Nurse
Philadelphia, PA · On-site
$40 - $45/hr
Philadelphia, PA As a Utilization Management Nurse, you will: * Apply critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines ...
Utilization Management Nurse
Philadelphia, PA · On-site
$40 - $45/hr
Philadelphia, PA As a Utilization Management Nurse, you will: * Apply critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms. ESSENTIAL JOB DUTIES ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms. ESSENTIAL JOB DUTIES ...
Utilization Management Nurse Consultant
$32.01 - $68.55/hr
Utilization Management Nurse Consultant (RN) Remote | Full-Time Utilization Management is a 24/7 operation. Work schedules may include weekends, holidays, and evening hours. Are you a Registered ...
Utilization Management Nurse Consultant
$32.01 - $68.55/hr
Utilization Management Nurse Consultant (RN) Remote | Full-Time Utilization Management is a 24/7 operation. Work schedules may include weekends, holidays, and evening hours. Are you a Registered ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms. ESSENTIAL JOB DUTIES • ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms. ESSENTIAL JOB DUTIES • ...
The Utilization Management Nurse assesses the patient's plan of care and progress of the patient throughout an acute care admission. The intensity of assessment is situational and appropriate based ...
New
The Utilization Management Nurse assesses the patient's plan of care and progress of the patient throughout an acute care admission. The intensity of assessment is situational and appropriate based ...
New
Utilization Management Nurse
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Quick apply
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms. ESSENTIAL JOB DUTIES • ...
Utilization Management Nurse
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms. ESSENTIAL JOB DUTIES • ...
Utilization Management Nurse
Asbury, IA · On-site
Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse
Asbury, IA · On-site
Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse
Dubuque, IA · On-site
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys ...
Baptist Jacksonville is currently hiring for a PRN Utilization Management Nurse to join our Baptist Downtown Location here in the Jacksonville, FL area. This is a PRN role with flexible scheduling ...
New
Baptist Jacksonville is currently hiring for a PRN Utilization Management Nurse to join our Baptist Downtown Location here in the Jacksonville, FL area. This is a PRN role with flexible scheduling ...
New
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 13 days ago
Cottingham & Butler rating
8.6
Based on 15 frontline employees who took The Breakroom Quiz
88th of 303 rated insurance
Job description
Utilization Management Nurse
Location: Onsite in Dubuque, IA. Also accepting remote applicants.
We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients, and prefers working in a professional office setting with daytime office hours and weekends/holidays off.
This position is responsible for working telephonically with providers to evaluate and pre-certify requests such as hospital stays, outpatient surgeries, outpatient tests, care, etc. Review requests and match up to an evidence-based guideline to ensure proper care and ensure the right service is happening at the right time and is medically necessary. In this position you will be handling multiple provider phone calls at any given time and need to be able to handle a very fast paced environment. You will also work closely with participants for referrals to case management and condition management services according to referral criteria and health plan guidelines.
Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably in ER, ICU, mental health, orthopedics, and/or pain management. Bilingual is also preferred.
Full-Time Benefits - Most benefits start day 1
- Medical, Dental, Vision Insurance
- Flex Spending or HSA
- 401(k) with company match
- Profit-Sharing/Defined Contribution (1-year waiting period)
- PTO/Paid Holidays
- Company-paid ST and LT Disability
- Maternity Leave/Parental Leave
- Subsidized Parking
- Company-paid Term Life/Accidental Death Insurance
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