- CVS Health (OH)
- …And we do it all with heart, each and every day. Requisition Job Description Utilization Management is a 24/7 operation and work schedule may include weekends ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (OH)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position ... experience in medical healthcare. + 3+ years Medical Review or Utilization Management experience. + 2+ years of experience with personal computer, keyboard… more
- CVS Health (OH)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... and external support areas. **Required Qualifications** + A Registered Nurse that must hold an unrestricted license in their...care/medical experience. + 1+ years of Appeals experience in Utilization Management + 3+ years utilization… 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
- Cleveland Clinic (Cleveland, OH)
- …ensure compliance with standards and improve performance across safety, quality, utilization and experience metrics. This is an exciting opportunity to advance ... data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality… more
- Cleveland Clinic (Warrensville Heights, OH)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... when a deviation in standard practice has occurred. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality … more