• Utilization Management

    CVS Health (Columbus, OH)
    … skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable ... external constituents in the coordination and administration of the utilization /benefit management function **Required Qualifications** + Licensed independent… more
    CVS Health (10/15/25)
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  • Utilization Management Appeals Nurse…

    CVS Health (Columbus, OH)
    …resolving clinical complaints and appeals by reviewing medical records and applying clinical guidelines for Utilization Management group. This RN must be ... high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our...3+ years Utilization Management or Utilization Review experience. + 3+ years clinical more
    CVS Health (10/12/25)
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  • Utilization Management Nurse…

    CVS Health (Columbus, OH)
    …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... it all with heart, each and every day. **Position Summary** + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
    CVS Health (10/15/25)
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  • QM Nurse Consultant

    CVS Health (Columbus, OH)
    …in research efforts, contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes. Required ... of policies, procedures, and guidelines that focus on improving clinical quality and ensuring patient safety. Collaborates with cross-functional teams,… more
    CVS Health (10/21/25)
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