- CVS Health (Dover, DE)
- …all with heart, each and every day. **Position Summary** This is a fully remote Quality Management Nurse Consultant opportunity. The schedule is Monday ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- CVS Health (Dover, DE)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs. + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. + Consults and… more
- CVS Health (Dover, DE)
- …do it all with heart, each and every day. **Position Summary** _Utilization management is a 24/7 operation. Work schedules will include weekend/holiday and evening ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- Highmark Health (Dover, DE)
- …of clinical, quality , care, utilization, high-cost claim, and population health management . Must be a recognized subject matter expert (SME). + Clinical Program ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- Wolters Kluwer (Wilmington, DE)
- …curricular success. If you are an analytical thinker with a passion for developing nurse educators, we want to hear from you! You will collaborate closely with the ... Associate Director of Clinical Content to plan and deliver high- quality consultation services. Your role involves identifying and assessing client needs, and… more
- Lincoln Financial (Dover, DE)
- …you will be responsible for leading and managing a team of nurse disability consultants and behavioral health consultants. This includes partnering closely with ... medical and vocational operations and serve as a consultant to the claim operations team for complex clinical...area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current… more