- CVS Health (Concord, NH)
- … clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Concord, NH)
- …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 EST/CST zones… more
- Highmark Health (Concord, NH)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
- Oracle (Concord, NH)
- …Vitals Collection (MVC), and Infusion Suite. As an Integrated Technologies Consultant II, you will be responsible for providing consulting implementation services ... These services include the integrated technology deployments of hardware, software, and clinical workflow consulting. As a member of the CareAware Device Integration… more
- CVS Health (Concord, NH)
- …education, connecting members to resources, and facilitating referrals to care management programs for continued support. This position supports the development and ... strategies and programs that promote high-quality, cost-effective care. Using advanced clinical judgment and critical thinking, the RN coordinates physical and… more
- Elevance Health (Manchester, NH)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...an entire clinical program and/or independently performs clinical reviews. + Typically has program management … more
- Mallinckrodt Pharmaceuticals (Manchester, NH)
- …able to show documented success as a top producer using superior clinical selling skills, while effectively managing their territory operating within all compliance ... and procedures, as a results-oriented sales person, business partner and consultant . Develop strategically targeted, accounts and specific business plans that… more