Talent.com
New York Licensed Utilization Nurse Consultant
New York Licensed Utilization Nurse ConsultantVirtualVocations • Fresno, California, United States
No longer accepting applications
New York Licensed Utilization Nurse Consultant

New York Licensed Utilization Nurse Consultant

VirtualVocations • Fresno, California, United States
23 days ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Management Nurse Consultant.

Key Responsibilities

Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members

Gather clinical information and apply clinical criteria to render coverage determinations

Communicate with providers to facilitate care and identify referral opportunities

Required Qualifications

3+ years of experience as a Registered Nurse (RN)

Active and unrestricted RN licensure in state of residence

Able to work in multiple IT platforms / systems

1+ years of experience with Microsoft Office Applications

Must be willing to work 8-5pm local time

Create a job alert for this search

Consultant New York • Fresno, California, United States

Related jobs
DC Licensed Utilization Nurse Reviewer

DC Licensed Utilization Nurse Reviewer

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Nurse Reviewer (Remote).Key Responsibilities Conduct timely clinical chart reviews and communicate effectively with third-party payers Review admission ser...Show more
Last updated: 3 days ago • Promoted
Maine Licensed Utilization Review Nurse

Maine Licensed Utilization Review Nurse

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Review Nurse - Remote.Key Responsibilities Review prior authorization requests for medical necessity and manage medical claims disputes Coordinate transiti...Show more
Last updated: 30+ days ago • Promoted
Ohio Licensed Nurse Practitioner

Ohio Licensed Nurse Practitioner

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide patient care in a fully remote environment, focusing on harm reduction principles Prescribe bupren...Show more
Last updated: 30+ days ago • Promoted
Washington Licensed Nurse Practitioner

Washington Licensed Nurse Practitioner

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide care to patients in a fully remote environment, focusing on harm reduction principles Prescribe bu...Show more
Last updated: 30+ days ago • Promoted
Registered Nurse Utilization Manager

Registered Nurse Utilization Manager

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Manager, Utilization Management (Remote).Key Responsibilities Manage a team of UM Nurse Analysts, guiding workload and supporting team development Partner with leaders...Show more
Last updated: 30+ days ago • Promoted
Florida Licensed Nurse Practitioner

Florida Licensed Nurse Practitioner

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide patient care in a fully remote environment, focusing on harm reduction principles Prescribe bupren...Show more
Last updated: 30+ days ago • Promoted
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services to ensure medica...Show more
Last updated: 30+ days ago • Promoted
Ohio Licensed Utilization Management RN

Ohio Licensed Utilization Management RN

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Management RN Reviewer.Key Responsibilities Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems Collaborate wit...Show more
Last updated: 4 days ago • Promoted
Maryland Licensed Nurse Practitioner

Maryland Licensed Nurse Practitioner

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide care to patients in a fully remote environment, adhering to harm reduction principles Prescribe bu...Show more
Last updated: 12 days ago • Promoted
Compact RN Utilization Management Nurse

Compact RN Utilization Management Nurse

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Management Nurse Consultant - Work From Home.Key Responsibilities Utilizes clinical experience to assess, plan, implement, coordinate, monitor, and evaluate...Show more
Last updated: 30+ days ago • Promoted
California Licensed Utilization Management Nurse

California Licensed Utilization Management Nurse

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Management Nurse - LVN (Work from Home).Key Responsibilities Perform medical necessity reviews for assigned members Collaborate with the Medical Director o...Show more
Last updated: 24 days ago • Promoted
RN Licensed Utilization Management Director

RN Licensed Utilization Management Director

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Director, Utilization Management Support Operations.Key Responsibilities Directs the utilization management team to ensure compliance with policies and procedures for o...Show more
Last updated: 30+ days ago • Promoted
Hawaii Licensed Utilization Review Clinician

Hawaii Licensed Utilization Review Clinician

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...Show more
Last updated: 3 days ago • Promoted
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Review Nurse.Key Responsibilities Review and evaluate electronic medical records for emergency department admissions and screen for medical necessity Apply...Show more
Last updated: 30+ days ago • Promoted
New York Licensed Clinical Nurse Liaison

New York Licensed Clinical Nurse Liaison

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Clinical Nurse Liaison.Key Responsibilities Serve as a liaison for external groups and providers regarding clinical information Implement and manage procedures for tra...Show more
Last updated: 3 days ago • Promoted
Colorado Licensed Nurse Practitioner

Colorado Licensed Nurse Practitioner

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Nurse Practitioner - Addiction Medicine.Key Responsibilities Provide patient care in a fully remote environment, supporting recovery aligned with harm reduction princip...Show more
Last updated: 30+ days ago • Promoted
Ohio Licensed Utilization Management Nurse

Ohio Licensed Utilization Management Nurse

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members Gather clinical...Show more
Last updated: 30+ days ago • Promoted
Minnesota Licensed Utilization Review Nurse

Minnesota Licensed Utilization Review Nurse

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Utilization Review Nurse responsible for managing pre-claim prior authorization denials for pharmacy and medical benefits. Key Responsibilities Review and assess prior a...Show more
Last updated: 2 days ago • Promoted