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RN Utilization Management Nurse
Registered nurse license, state of Arkansas, 2. The incumbent works with the UM Supervisors, UM Coordinator, BANA Clinical Support & Utilization Manager, and...
Behavioral Health (BH) Coordinator Liaison - VA MCD
Aetna - 2,441 reviews - Chantilly, VA
Nursing/Registered Nurse (RN). Licensed Professional Counselor (LPC) or - Registered Nurse (RN); Self-motivated and confident making decisions, ability to...
Licensed Behavioral Health Coordinator / Clinical Liaison (C...
Aetna - 2,441 reviews - San Diego, CA 92131
Licensed Professional Counselor (LPC) - Registered Nurse (RN); Self-motivated and confident making decisions, ability to influence and shape clinical outcomes,...

UM Nurse Consultant

Aetna - 2,441 reviews - New Albany, OH  +1 location
The UM Nurse Consultant reviews inpatient cases for medical necessity. The UM nurse consultant collaborates closely with care managers and the medical directors...

Appeals Nurse Consultant

Aetna - 2,441 reviews - Fife, WA
Nursing/Registered Nurse (RN) is required. Either UM or appeals experience required. This clinical position requires Medicare experience, UM or appeals...

Utilization Management Nurse Consultant

Aetna - 2,441 reviews - San Antonio, TX  +2 locations
UM Nurse Consultants require:. In addition, as a UM Nurse Consultant you will utilize your clinical skills to coordinate, document and communicate all aspects...

UM Clinical Consultant

Aetna - 2,441 reviews - Louisville, KY
Nursing/Registered Nurse is required. Registered Nurse (RN) is required. Utilizes clinical skills to coordinate, document and communicate all aspects of the...

Utilization Management (UM) Concurrent Review Consultant (VA...

Aetna - 2,441 reviews - Bristol, VA  +1 location
The Concurrent Review Consultant utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program....

Targeted Review RN

Kaiser Permanente - 5,281 reviews - Atlanta, GA
Attends QRM Hospital UM meetings as requested. Non Contracted Providers Question of internal referral versus external referral or non-contract consultant...

Registered Nurse - UM Nurse Consultant (Multiple Upcoming Op...

Aetna - 2,441 reviews - Detroit, MI
The UM Nurse Consultant applies critical thinking and knowledge in clinically appropriate treatment, evidence based care and medical necessity criteria for...

Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,441 reviews - Arlington, TX 76011 (East area)  +1 location
Fundamental Components of the UM Nurse Consultant Include, but are not limited to:. The UM Nurse Consultant applies critical thinking and knowledge in...

Regional UM Consultant, RN

Kaiser Permanente - 5,281 reviews - Pasadena, CA
Provides education and training to UM Directors, Physicians and Case Managers to ensure smooth operations in UM and CM....

Nurse Consultant, Dept. of Risk Management

University of Miami - 371 reviews - Coral Gables, FL
Legal Nurse Consultant certification preferred. The Legal Nurse Consultant investigates claims and/or potential compensatory events which includes:....
RN Care Coordinator
Veterans Affairs, Veterans Health Administration - 3,002 reviews - Los Angeles, CA
$83,584 - $124,325 a year
Staff Nurse (Consultant Pathway). Conduct reviews consistent with VHA UM guidance. VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse...
RN Utilizatation Management
Registered nurse license, state of Arkansas, 2. The incumbent works with the UM Supervisors, UM Coordinator, BANA Clinical Support & Utilization Manager, and...

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