• Utilization Management

    CVS Health (Annapolis, MD)
    …clinical 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** + 3+ years post… more
    CVS Health (10/21/25)
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  • LTSS Service Coordinator - RN Clinician

    Elevance Health (Arlington, VA)
    …an accommodation is granted as required by law._ The **LTSS Service Coordinator RN Clinician ** is responsible for overall management of member's case within the ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral more
    Elevance Health (08/09/25)
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  • RN Director Clinical Practice (Home Health)

    BrightSpring Health Services (Arlington, VA)
    utilization and hospital admission reduction. + Provides survey management support/ follow-up/and coordination of corrective actions plans relatied to care ... and direction in performance improvement, provision of clinical services, survey management , documentation management , incident management , EMR/EHR… more
    BrightSpring Health Services (08/26/25)
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