• 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 ... available with Holiday, Weekend, and late rotations. **Required Qualifications** + Registered Nurse + Must have active current and unrestricted RN licensure in state… more
    CVS Health (10/15/25)
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  • Utilization Management Appeals…

    CVS Health (Columbus, OH)
    … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position ... Summary** The Appeals Nurse Consultant plays a key role in...by reviewing medical records and applying clinical guidelines for Utilization Management group. This RN must be… more
    CVS Health (10/12/25)
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  • Utilization Management Clinical…

    CVS Health (Columbus, OH)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is ... 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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  • Consultant , Nurse Disability I

    Lincoln Financial (Columbus, OH)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management . **What you'll be doing** * Evaluate medical information… more
    Lincoln Financial (10/10/25)
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