- Saint Francis Health System (Tulsa, OK)
- …error, and support decision-making. Working knowledge of general disease state management processes, bio-psychosocial model, and clinical pathways. Ability to ... manner. Ability to be detail oriented as required in the examination of clinical and numerical data. Ability to demonstrate comfort and ease of familiarity with… more
- 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 (Baton Rouge, LA)
- … skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications : + Licensed independent… more
- CVS Health (Austin, TX)
- …more personal, convenient and affordable. Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes clinical experience and ... needs + 12.5% shift differential Preferred Qualifications + Prior authorization or Utilization Management experience + Managed care experience + MedCompass… more
- CVS Health (Raleigh, NC)
- …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 (Austin, TX)
- …more personal, convenient and affordable. Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes clinical experience and ... 8:00pm EST zone (twice per month) Preferred Qualifications + Prior Authorization or Utilization Management experience + Managed care experience + MedCompass &… 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 (Harrisburg, PA)
- …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)
- …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 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 (Trenton, NJ)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote ... live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in...external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote ... and external constituents in the coordination and administration of the utilization /benefit management function.Required Qualifications* 3+ years of experience… 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 (Baton Rouge, LA)
- …Qualifications + 5+ years of clinical experience + 1+ year(s) of utilization management , concurrent review and/or prior authorization experience + 5+ years ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a… more
- CVS Health (Austin, TX)
- …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 (Harrisburg, PA)
- …- 3+ years of clinical experience - Managed Care experience - Utilization management experience Education Associates degree required BSN preferred Pay Range ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Harrisburg, PA)
- … clinical experience in acute or post-acute setting Preferred Qualifications + Utilization Management experience + Managed Care experience + Experience using ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Trenton, NJ)
- …rotation per business needs Preferred Qualifications - Prior authorization & utilization management experience - Outpatient Clinical experience ... internal and external constituents in the coordination and administration of the utilization /benefit management function. For more information on our benefit… 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 (Frankfort, KY)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + There are standard productivity and ... health care more personal, convenient and affordable. Position Summary + Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
