Nurse Consultant
2 weeks ago
CVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.
Key Responsibilities- Utilize clinical expertise to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
- Review written clinical records and apply clinical criteria, guidelines, policies, and procedures to render coverage determinations and recommendations.
- Communicate with providers and other stakeholders to facilitate care and treatment, and identify opportunities to promote quality and effectiveness of healthcare services and benefit utilization.
- Consult and lend expertise to internal and external constituents in the coordination and administration of the utilization/benefit management function.
- 3+ years of experience as a Registered Nurse.
- Active, current, and unrestricted RN licensure in the state of residence.
- 1+ years of clinical experience in an acute or post-acute setting.
- Strong technology skills, including proficiency in Excel.
- Managed care experience.
CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) retirement savings plan, and employee stock purchase plan. We also offer a range of well-being programs, education assistance, and free development courses.
As a CVS Health employee, you will have the opportunity to work in a dynamic and supportive environment, with a focus on delivering exceptional patient care and improving health outcomes.
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Nurse Consultant Utilization Management
1 week ago
Jefferson City, Missouri, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Nurse Consultant Utilization Management to join our team. As a key member of our healthcare services team, you will play a critical role in ensuring that our members receive the highest quality care while minimizing unnecessary healthcare costs.Key ResponsibilitiesReview and evaluate clinical information and...
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Advanced Surgical Consultant
3 weeks ago
Jefferson City, Missouri, United States J&J Family of Companies Full timeJob Title: Advanced Surgical ConsultantWe are seeking an experienced Advanced Surgical Consultant to join our team at Abiomed, a member of the Johnson & Johnson Family of Companies. This role will be based in St. Louis, Missouri, and will involve working closely with our Surgical Account Managers and Commercial Sales team to drive growth across the US.Key...
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Advanced Surgical Consultant
3 weeks ago
Jefferson City, Missouri, United States J&J Family of Companies Full timeJob Title: Advanced Surgical ConsultantAbiomed, a member of the Johnson & Johnson Family of Companies, is seeking an Advanced Surgical Consultant to be located in St. Louis, Missouri, United States. The ideal candidate will have a strong background in cardiac surgery and a passion for driving patient outcomes.Key Responsibilities:Train and educate combined...
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Advanced Surgical Consultant
2 weeks ago
Jefferson City, Missouri, United States J&J Family of Companies Full timeJob Title: Advanced Surgical ConsultantWe are seeking an experienced Advanced Surgical Consultant to join our team at Abiomed, a member of the Johnson & Johnson Family of Companies. As a key member of our commercial team, you will play a critical role in driving growth and expanding our presence in the cardiac surgery market.Key Responsibilities:Train,...
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Travel Nurse RN Position
17 hours ago
Jefferson City, Missouri, United States Travel Nurse Source Full timeAbout the PositionSkyBridge Healthcare is seeking a qualified Registered Nurse with Hospice experience for a 13-week contract in Missouri.Company OverviewSkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and consultative approach has helped us become a leader...
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Nursing Consultant Leader
6 hours ago
Kansas City, Missouri, United States AdeIphi MedicaI Staffing Full timeJob Title: Director of Nursing ConsultantAdeIphi MedicaI Staffing is seeking an experienced Director of Nursing Consultant to lead a nursing program in Kansas City, Missouri. The ideal candidate will have strong leadership, problem-solving, and decision-making skills, along with experience in education administration.Job Summary:The Director of Nursing...
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Travel Nurse RN Med Surg
2 weeks ago
Jefferson City, Missouri, United States LeaderStat Full timeJob Title: Medical Surgical Registered NurseLeaderStat is seeking a highly skilled Medical Surgical Registered Nurse for a travel nursing job in a dynamic healthcare setting.Job Summary:We are looking for a compassionate and experienced Registered Nurse to join our team as a Medical Surgical Registered Nurse. As a travel nurse, you will have the opportunity...
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Traveling Registered Nurse
4 weeks ago
Jefferson City, Missouri, United States Atlas MedStaff Full timeAtlas Medstaff is a premier staffing firm dedicated to matching exceptional talent with outstanding opportunities. Our commitment to excellence and consultative approach has helped us become a leader in the staffing industry. We are currently seeking candidates in the RN (Med/Surg) profession for a 12-week contract in the Iowa area. The estimated...
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Traveling Registered Nurse Opportunity
4 weeks ago
Jefferson City, Missouri, United States Atlas MedStaff Full timeAtlas Medstaff is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and consultative approach has helped us become a leader in the staffing industry.We are currently seeking candidates in the RN (Med/Surg) profession for a 12 week contract in the Jefferson, Iowa area.**Key...
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Lactation Consultant
4 weeks ago
Kansas City, Missouri, United States Children's Mercy Hospitals and Clinics Full timeJob Title: Lactation ConsultantChildren's Mercy Hospitals and Clinics is seeking a highly skilled Lactation Consultant to join our team. As a Lactation Consultant, you will utilize the nursing process to assess lactating mothers and their families, develop, and implement a specific plan of care that promotes optimal outcomes for the family, while meeting...
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Nurse Care Manager LPN/RN
4 weeks ago
Jefferson City, Missouri, United States Compass Health Network Full timeNurse Care Manager LPN/RN Job SummaryWe are seeking a compassionate and skilled Nurse Care Manager LPN/RN to join our team at Compass Health Network. As a key member of our integrated care team, you will provide individual and population-based health interventions to individuals enrolled in our DD Health Care Home program.Key Responsibilities:Complete...
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Lactation Consultant
3 hours ago
Kansas City, Missouri, United States Children's Mercy KC Full timeJob Title: Lactation ConsultantAt Children's Mercy KC, we are seeking a highly skilled and compassionate Lactation Consultant to join our team. As a key member of our lactation services team, you will play a vital role in providing expert care and support to breastfeeding mothers and their families.Job Summary:The Lactation Consultant will utilize the...
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Nurse Practitioner
1 week ago
Jefferson City, Missouri, United States HealthStar Inc. - Equip Your Future Full timeJob Title: Nurse PractitionerHealthStar Inc. - Equip Your Future is seeking a skilled Nurse Practitioner to join our team. As a key member of our healthcare team, you will provide high-quality patient care and work collaboratively with physicians to manage acute and long-term medical needs.Key Responsibilities:Obtain complete medical history and physical...
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Traveling ICU Nurse
4 weeks ago
Jefferson City, Missouri, United States Atlas MedStaff Full timeAtlas Medstaff: Premier Staffing FirmWe are seeking skilled RNs for a 13-week contract in the ICU/CCU profession in the Jefferson City, Tennessee area.About the OpportunityThis contract offers a unique chance to work with a premier staffing firm, Atlas Medstaff, and gain valuable experience in critical care nursing.Key Details13-week contract in the ICU/CCU...
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Attending Physician
3 weeks ago
Jefferson City, Missouri, United States Theoria Medical Full timeJob SummaryTheoria Medical is seeking an Attending Physician to join our team in a skilled nursing facility setting. As an Attending Physician, you will be responsible for providing high-quality, patient-centered primary care services to residents in skilled nursing facilities.ResponsibilitiesRounding and managing the clinical care of the population at the...
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Travel ICU Nurse
4 weeks ago
Jefferson City, Missouri, United States Atlas MedStaff Full timeJob Opportunity for ICU/CCU Registered NursesAtlas Medstaff is currently seeking skilled RNs for a 13-week contract in the Jefferson City, Tennessee area.We are a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and consultative approach has helped us become a leader in the staffing...
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Traveling Medical Nurse
4 weeks ago
Jefferson City, Missouri, United States Atlas MedStaff Full timeAtlas Medstaff: Premier Staffing FirmWe are seeking a skilled Registered Nurse (RN) for a 14-week contract in the Jefferson City, Missouri area. As a premier staffing firm, Atlas Medstaff is dedicated to matching outstanding talent with exceptional opportunities.About the Opportunity:14-week contract in a Med/Surg settingLocated in the Jefferson City,...
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Travel Nurse ICU Specialist
4 weeks ago
Jefferson City, Missouri, United States Planet Healthcare Full timePlanet Healthcare is seeking a skilled travel nurse to join our team in Jefferson City, Tennessee.Job DetailsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 13 weeksShift: 12 hours, nightsEmployment Type: TravelAs a travel nurse with Planet Healthcare, you will have the opportunity to work with a global leader in clinical staffing, delivering...
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Nurse Practitioner Specialist
3 weeks ago
Jefferson City, Missouri, United States HealthStar Inc. - Equip Your Future Full timeJob Title: Nurse PractitionerHealthStar Inc. - Equip Your Future is seeking a skilled Nurse Practitioner to join our team. As a key member of our healthcare team, you will provide high-quality patient care and work collaboratively with physicians to manage acute and long-term medical needs.Key Responsibilities:Obtain complete medical history and physical...
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Travel Nurse RN Opportunity
4 weeks ago
Jefferson City, Missouri, United States SkyBridge Healthcare Full timeSkyBridge Healthcare is a premier staffing firm dedicated to matching exceptional talent with outstanding opportunities in the healthcare industry. Our commitment to excellence and consultative approach has helped us become a leader in the industry.We are currently seeking a Registered Nurse with Hospice experience for a 13-week contract in MO. As a travel...