- Legend Biotech USA, Inc. (Baton Rouge, LA)
- …Affairs team. Direct education for healthcare professionals treating oncology patients on clinical data, adverse event management , and mechanism of action for ... between investigators and members of the Legend Biotech Medical Affairs and Clinical Development teams; Addressing AE management and education as… more
- CVS Health (Frankfort, KY)
- …- SEE REQUIRED QUALIFICATIONS FOR LICENSING DETAILS_** This is a fulltime remote Utilization Management Clinical Consultant opportunity with Aetna ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
- CVS Health (Charleston, WV)
- …and more compassionate. And we do it all with heart, each and every day. ** Utilization Management Clinical Consultant ** **Remote - West Virginia** ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
- CVS Health (Springfield, IL)
- …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 (Phoenix, AZ)
- …the lives of children and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician and become part of a mission-driven team that's ... Child Safety (DCS). + Knowledge of Behavioral Health Outpatient Services. + Utilization Management (UM) Experience. **Education** + Master's degree required for… more
- CVS Health (Phoenix, AZ)
- …Arizona time zone. No weekends, holidays are required. **Preferred Qualifications** : + Utilization management experience + Clinical experience in Emergency ... time zone. No weekends, holidays are required. The UM Clinical Consultant utilizes clinical skills...external constituents in the coordination and administration of the utilization /benefit management function. Gathers clinical … more
- CVS Health (Tallahassee, FL)
- …must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... internal and external constituents in the coordination and administration of the utilization /benefit management function - Gathers clinical information and… more
- CVS Health (Baton Rouge, LA)
- …coverage required (as needed). As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Madison, WI)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects… more
- CVS Health (Columbus, OH)
- …work schedule with alternate weekends and holidays **Position Summary:** UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** 2+ years of… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …care healthcare settings. Knowledge and ability to apply InterQual criteria, utilization management process, clinical documentation requirements, current ... Summary The Registered Nurse Utilization Management Registered Nurse delivers fundamental...criteria to perform basis review while developing technical and clinical competencies. The Nurse is a novice with limited… more
- CVS Health (Baton Rouge, LA)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...that support cost-effective quality care for members. Work in clinical telephone queue for 3 to 4 hours a… more
- CVS Health (Richmond, VA)
- …And we do it all with heart, each and every day. **Position Summary** The Utilization Management (UM) Nurse Consultant is a remote, full-time role ... external stakeholders. The position also involves coaching healthcare staff on utilization management principles and contributing to policy development.… more
- CVS Health (Harrisburg, PA)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in Eastern zones -BSN… more
- CVS Health (Annapolis, MD)
- …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 clinically… more
- CVS Health (Topeka, KS)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... it all with heart, each and every day. _Utilization Management is a 24/7 operation and the work schedule...flexible Weekdays **Position Summary** Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for… more
- CVS Health (Annapolis, MD)
- …3+ years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in… more
- CVS Health (Tallahassee, FL)
- …and unrestricted RN licensure in Florida + Must reside in Florida + 3+ years of clinical experience + Utilization Management is a 24/7 operation and work ... **Fully remote with requirement to reside in Florida.** + Utilization Management is a 24/7 operation and...and evening hours. + Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for… more
- CVS Health (Boise, ID)
- …- active license. + 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active ... shift premium. Occasional Overtime may be required. **Position Summary** Utilizes clinical experience and skills in a collaborative process to implement, coordinate,… more
- CVS Health (Richmond, VA)
- …Virginia licensure and/or compact licensure. Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for services requiring ... spent at a desk and on the phone collecting and reviewing clinical information from providers. Precertification nurses use specific criteria to authorize… more
