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Phoenix, Arizona
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administration of the utilization/benefit management function. Gathers clinical information and applies the ... Clinical Consultant utilizes clinical skills to coordinate, document and communicate all aspects of the
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Frankfort, Kentucky
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, document and communicate all aspects of the utilization/benefit management program.
Applies critical ... constituents in the coordination and administration of the utilization/benefit management function
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Frankfort, Kentucky
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the utilization/benefit management function.
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program
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Baton Rouge, Louisiana
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clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management ... utilization/benefit management function.
Required Qualifications
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Richmond, Virginia
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in the coordination and administration of the utilization/benefit management function ... .
Utilizes clinical experience and skills in a collaborative process to plan, implement, coordinate, and
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Columbus, Ohio
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As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate ... .
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any
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Raleigh, North Carolina
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This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any ... Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all
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Annapolis, Maryland
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As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate ... .
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any
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Columbus, Ohio
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Position Summary:
This Utilization Management (UM) Nurse Consultant ... aspects of the utilization/benefit management program
Utilizes clinical experience and skills in
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Richmond, Virginia
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Position Summary
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state.
CCR - Duals UM Nurse Consultant Utilizes clinical experience and
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Plantation, Florida
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communicate all aspects of the utilization/benefit management program.
-Utilizes clinical ... services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization
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Trenton, New Jersey
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Position Summary
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state.
CCR - Duals UM Nurse Consultant Utilizes clinical experience and
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Lansing, Michigan
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Position Summary
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state.
CCR - Duals UM Nurse Consultant Utilizes clinical experience and
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Richmond, Virginia
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utilization management, integrating member care, clinical coordination, leading the development ... management process
Drives collaboration on quality of care, utilization management, disparities and care
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Richmond, Virginia
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management process
Drives collaboration on quality of care, utilization management, disparities and ... health clinical issues as they relate to medical management (UM, CM, DM) provider and system of care
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Columbus, Ohio
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Position Summary
This Utilization Management (UM) Nurse Consultant role is fully ... utilization/benefit management function.Required Qualifications• 3+ years of experience as a Registered Nurse
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Austin, Texas
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Position Summary
Precertification: Utilization Management Nurse Consultant
Utilizes clinical ...
Prior Authorization or Utilization Management experience
Managed care experience
MedCompass
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Columbus, Ohio
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utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Utilizes clinical experience and skills in a collaborative process to assess, plan
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Columbus, Ohio
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This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any ... .
Holiday rotation 1-2 per year.
Position Summary
CCR - Duals UM Nurse Consultant
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Columbus, Ohio
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Position Summary
Duals UM Nurse Consultant Pennsylvania - Institutional Special Needs Plan ...
Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate
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Saint Paul, Minnesota
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provide clients with recommendations on formulary and utilization management strategies ... dynamic and growing C ustom Formulary Consultants ( CFC ) team ? The Senior Manager (consultant) role on
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Raleigh, North Carolina
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Health Coach Consultant; Chronic Conditions utilizes a collaborative process of assessment, planning ... achieving and maintaining optimal health status. You will assess members through the use of clinical tools
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Scranton, South Carolina
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Management nursing.
The Health Coach Consultant utilizes a collaborative process of assessment ... Health Coach Consultant role is an RN and must report onsite to work every day (this is not a work from
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Hartford, Connecticut
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Qualifications
Managed Care experience
Utilization Management experience
Appeals ... Consultant position is responsible for processing the medical necessity of Medicare appeals for participating
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Hickory, North Carolina
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, physical activity, weight management, stress management
· Assesses members using clinical tools and ... achieve their goals.
This Health Coach Consultant RN role is an onsite position based in
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Scottsdale, Arizona
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will create a meaningful financial benefit in our client offerings – from a consultant spreadsheet as ... channels.
Coordinate the efforts across company teams that can include Specialty, Retail, Clinical
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Baton Rouge, Louisiana
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applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... healthcare decision-making.
Analyzes all utilization, self-report, and clinical data available to
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Springfield, Illinois
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administration of the utilization/benefit management function.
Typical office working environment with ... .
Position Summary
Utilizes clinical experience and skills in a collaborative process to assess, plan
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Trenton, New Jersey
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and external constituents in the coordination and administration of the utilization/benefit management ... .
Requisition Job Description
Position Summary
Utilizes clinical experience and
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Springfield, Illinois
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:00am - 5:00pm in time zone of residence
Preferred Qualifications - Utilization Management ... .
Position Summary Responsible for the review and evaluation of clinical information and documentation
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