- CVS Health (Columbus, OH)
- …to work the following schedule: Monday-Friday 8:00am-4:30pm EST. Position Summary As a Utilization Management Nurse Consultant , you will utilize ... times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all... management skills required - Experience in healthcare utilization management , critical care, emergency department, or… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills...external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. Position Summary Duals UM Nurse Consultant Pennsylvania - Institutional Special Needs Plan (PA ISNP) ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+ years of… more
- CVS Health (Columbus, OH)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience… more
- CVS Health (Columbus, OH)
- …in New Albany OH, Chandler AZ or High Point NC. Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... coordinating all case management activities with members to evaluate the medical needs...Services strategies, policies and programs are comprised of network management and clinical coverage policies.What is A1A?Aetna One Advocate… more
- Lincoln Financial Group (Columbus, OH)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information… more
- CVS Health (Columbus, OH)
- …license. + 3+ years of clinical experience required. + 2+ years of Utilization Management experience required + 2+ years' experience using personal computer, ... keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.). Preferred Qualifications + BSN degree preferred + Auditing experience + Managed care experience + Medicaid and/or… more
- CommonSpirit Health at Home (Loveland, OH)
- …impact in the lives of our patients and their caregivers. As the Clinical Services Consultant , you hold the key to the success of multiple Home Health and/or Hospice ... care with unwavering dedication and integrity. **Responsibilities** The Clinical Services Consultant is a high functioning RN leader, available to support agency… more
- Bon Secours Mercy Health (Toledo, OH)
- …area. **KNOWLEDGE, SKILLS AND ABILITIES:** + Must possess current license as a registered nurse in the state where practice setting is located. + BSN from an ... prevent disease and seek early treatment. + Provides nursing case management for assigned patients. Follows guidelines for care according to diagnosis/procedure.… more
- Bon Secours Mercy Health (Warren, OH)
- …professional nursing standards activity on their shift. Works collaboratively with management for change, evaluation of practice standards, and problem resolution. ... Functions as a consultant to the staff and other departments; monitors problems...be filled according to policy. + Represents administration and management on their shifts. Approves staff request for overtime… more