• Utilization Management Nurse

    CVS Health (Jefferson City, MO)
    …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in MST or CST zone.… more
    CVS Health (05/23/25)
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  • Utilization Management Nurse

    CVS Health (Jefferson City, MO)
    …+ 1+ years of MS Office suite experience **Preferred Qualifications** + Precertification/ Utilization Management experience + Preference for nurses in Pacific ... external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+...+ 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN… more
    CVS Health (06/04/25)
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  • Utilization Management Nurse

    CVS Health (Jefferson City, MO)
    …constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of ... years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. +… more
    CVS Health (06/01/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Jefferson City, MO)
    …​ **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
    Highmark Health (05/10/25)
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