- CVS Health (Madison, WI)
- …all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Madison, WI)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Madison, WI)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- …through process improvement initiatives and RQC processes. * Functions as a competent consultant in clinical practice to RUR staff, CPAC Leadership, and VA ... Summary The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is...and collaborating with staff nurses. The RUR ANM possesses clinical and nurse leadership skills and demonstrates this through… more
- Highmark Health (Madison, WI)
- …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more