- CVS Health (Frankfort, KY)
- …other internal and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. Required Qualifications : + Licensed independent Behavioral… more
- CVS Health (Bismarck, ND)
- …to 8:00pm EST zone (twice per month) Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes clinical experience and skills ... 1+ year(s) of Med/Surg experience Preferred Qualifications + Prior Authorization or Utilization Management experience + Managed care experience + MedCompass… more
- CVS Health (Austin, TX)
- …convenient and affordable. Position Summary Precertification (Infertility): Utilization Management Nurse Consultant + Utilizes clinical experience ... needs + MS Office suites experience Preferred Qualifications + Precertification/ Utilization Management experience preferred + Infertility experience preferred… more
- CVS Health (Raleigh, NC)
- …membership of plan sponsor. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant ...to coordinate, document and communicate all aspects of the utilization /benefit management program. -Utilizes clinical … more
- CVS Health (Columbus, OH)
- …can live in any state. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all aspects ... to make health care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is fully remote… more
- CVS Health (Harrisburg, PA)
- …expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... to make health care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is fully remote… more
- CVS Health (Harrisburg, PA)
- …can live in Pennsylvania. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... to make health care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- CVS Health (Plantation, FL)
- … skills to coordinate, document and communicate all aspects of the utilization /benefit management program. -Utilizes clinical experience and skills ... (not all encompassing): -Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization , facilitates safe… more
- CVS Health (Columbus, OH)
- …and deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote ... EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Springfield, IL)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote ... pm in EST zone with rotating weekends and holidays. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess,… more
- CVS Health (Columbus, OH)
- …position and employee can live in any state. As a Utilization Nurse Consultant you will utilize clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. You would be responsible...Consultant reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization ,… more
- CVS Health (Columbus, OH)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+ years of ... care more personal, convenient and affordable. Position Summary Duals UM Nurse Consultant Pennsylvania - Institutional Special Needs Plan (PA ISNP) Scheduled :… more
- CVS Health (Tallahassee, FL)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... health care more personal, convenient and affordable. Position Summary + Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
- CVS Health (Harrisburg, PA)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... health care more personal, convenient and affordable. Position Summary + Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
- CVS Health (Jefferson City, MO)
- …and external constituents in the coordination and administration of the utilization /benefit management function.- Typical office working environment with ... health care more personal, convenient and affordable. Position Summary - Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
- CVS Health (Harrisburg, PA)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... health care more personal, convenient and affordable. Position Summary + Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
- CVS Health (Trenton, NJ)
- …work occasional holiday and weekends depending on business needs Preferred Qualifications - Utilization management experience - Managed care experience - Must be ... services. Maintains accurate and complete documentation to meet risk management , regulatory, and accreditation requirements. Promotes communication, both internally… more
- CVS Health (Columbus, OH)
- …overall wellness. Services strategies, policies and programs are comprised of network management and clinical coverage policies.What is A1A?Aetna One Advocate is ... is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the… more
- CVS Health (Raleigh, NC)
- …overall wellness. Services strategies, policies and programs are comprised of network management and clinical coverage policies.What is A1A?Aetna One Advocate is ... is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the… more
- CVS Health (Charleston, WV)
- …have the WV licensure and compact licensure.Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for services requiring ... a desk and on the phone collecting and reviewing clinical information from providers. Precertification nurses use specific criteria...RN licensure in state of residence- 3+ years of clinical experience - Must be wiling and able to… more