• JobsRUs (Schenectady, NY)
    JobsRUs.comis seeking to hire a Healthcare Consultant for our client in Schenectady, NY! Benefits Available!Weekly Pay! $37.00/HourShift: M-F 8-5Hiring needs for the ... for AetnaHealth Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and… more
    JobGet (03/29/24)
    - Save Job - Related Jobs - Block Source
  • Compass Health Network (Fenton, MO)
    …criteria specific to insurance companiesProvide licensure supervision, if applicablePerform Utilization Review activities as assignedRegular attendance (except ... service areas and need you to make this happen! The Behavioral Health Consultant (BHC) is part of the person-centered integrated care team and provides… more
    JobGet (03/25/24)
    - Save Job - Related Jobs - Block Source
  • Compass Health Network (High Ridge, MO)
    …specific to insurance companies* Provide licensure supervision, if applicable* Perform Utilization Review activities as assigned* Regular attendance (except as ... service areas and need you to make this happen! The Behavioral Health Consultant (BHC) is part of the person-centered integrated care team and provides… more
    JobGet (03/25/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse…

    CVS Health (Harrisburg, PA)
    …business needs - Holiday rotation required Preferred Qualifications: - 1+ years' experience Utilization Review experience - 1+ years' experience Managed Care - ... care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live… more
    CVS Health (03/07/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse…

    CVS Health (Columbus, OH)
    …UM ( utilization management) experience within an inpatient/outpatient setting, concurrent review or prior authorization. 5 years of a variety clinical experience ... working with providers to secure additional information for prior authorization review -Weekend/holiday coverage will occasionally be required -This candidate will… more
    CVS Health (03/28/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse…

    CVS Health (Phoenix, AZ)
    Utilization Management experience within an inpatient/Outpatient setting, concurrent review or prior authorization. + 5+ years of variety clinical experience ... required including acute care, home health, or long term care. + 5+ years Demonstrated to make thorough independent decisions using clinical judgement + 5+ Years Proficient use of equipment experience including phone, computer, etc and clinical documentation… more
    CVS Health (03/23/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse…

    CVS Health (Columbus, OH)
    …health care innovators.Fundamentals:Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan ... eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.- Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social… more
    CVS Health (03/06/24)
    - Save Job - Related Jobs - Block Source
  • Casualty Claims Consultant

    AON (NY)
    Aon is looking for a Casualty Claims Consultant We currently have a great career opportunity for a Casualty Claims Risk Consultant . It is the responsibility of ... the Casualty Claims Risk Consultant to deliver tactical, client specific, casualty claims services...delivery. + Meet or exceed assigned billable hours and utilization goals. + Communicate and collaborate with manager and… more
    AON (03/24/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Clinical Quality…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... to support the safety net required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the … more
    LA Care Health Plan (01/14/24)
    - Save Job - Related Jobs - Block Source
  • Senior Quality Consultant , Neurosciences…

    Stanford Health Care (Redwood City, CA)
    …- 08 Hour (United States of America) **A Brief Overview** The Senior Quality Consultant is the advanced level of professional work involving the performance of a ... applicable to SHC. Initiatives planned and carried out by the Senior Quality Consultant are directed at connecting two critically important priorities for SHC: a)… more
    Stanford Health Care (03/16/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Pharmacist

    The County of Los Angeles (Los Angeles, CA)
    …SICU, NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant , Drug Information, ... by assisting in the establishment of criteria for cost effectiveness/control utilization use, process indicators, and monitoring parameters; conducts evaluations to… more
    The County of Los Angeles (01/02/24)
    - Save Job - Related Jobs - Block Source
  • Health Engagement Consultant - Cigna…

    The Cigna Group (Mclean, VA)
    …**_McLean, VA_** + **_Richmond, VA_** + **_Baltimore, MD_** The Engagement Consultant is responsible for driving consistent wellness program development, guidelines, ... improvement goals. In partnership with the account management team, Engagement Consultant recommends the appropriate delivery and coordination of wellness programs,… more
    The Cigna Group (02/02/24)
    - Save Job - Related Jobs - Block Source
  • Global Benefits Consultant

    AON (New York, NY)
    …each year, based on experience and technical This may include, billable hours, utilization goals, etc. + Train, mentor and review less experienced staff ... AON is looking for a Global Benefits Consultant - Located in NYC - (Hybrid) Your...on experience and technical This may include, billable hours, utilization goals, etc. + Train, mentor and review more
    AON (02/08/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Medical Director

    Elevance Health (Seven Fields, PA)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... you for payment as part of consideration for employment. ** Utilization Management Medical Director** + Job Family: Medical and...review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
    Elevance Health (01/25/24)
    - Save Job - Related Jobs - Block Source
  • Pharmacy Consultant (NY Helps)

    New York State Civil Service (Albany, NY)
    …managed care and fee-for-service pharmacy programs including but not limited to drug utilization review (DUR) and formulary and preferred drug list (PDL) ... Agency Health, Department of Title Pharmacy Consultant (NY HELPS) - 88076, 88085, 88195, 88199,...activities of a Pharmacy and Therapeutics Committee and/or Drug Utilization Review Board and presenting information to… more
    New York State Civil Service (03/20/24)
    - Save Job - Related Jobs - Block Source
  • Government Operations Consultant

    MyFlorida (Tallahassee, FL)
    GOVERNMENT OPERATIONS CONSULTANT - 71002570 Date: Mar 26, 2024 Location: TALLAHASSEE, FL, US, 32301 TALLAHASSEE, FL, US, 32302 TALLAHASSEE, FL, US, 32303 ... 823397 Agency: Department of Law Enforcement Working Title: GOVERNMENT OPERATIONS CONSULTANT - 71002570 Pay Plan: Career Service Position Number: 71002570 Salary:… more
    MyFlorida (03/26/24)
    - Save Job - Related Jobs - Block Source
  • Provider Relationship Account Consultant

    Elevance Health (Woodland Hills, CA)
    …you for payment as part of consideration for employment. **Provider Relationship Account Consultant - CA** + Job Family: PND > Provider Relationship Account Mgmt + ... mental health and substance use disorder services. **Provider Relationship Account Consultant (Behavioral Health) - CALIFORNIA** Location: **This position will work… more
    Elevance Health (03/27/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nursing Consultant -Risk

    MyFlorida (Macclenny, FL)
    REGISTERED NURSING CONSULTANT -RISK - 60009618 Date: Mar 19, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... No: 825534 Agency: Children and Families Working Title: REGISTERED NURSING CONSULTANT -RISK - 60009618 Pay Plan: Career Service Position Number: 60009618 Salary:… more
    MyFlorida (03/21/24)
    - Save Job - Related Jobs - Block Source
  • Resource Management Consultant - Michigan…

    Plante Moran (MI)
    Resource Management Consultant - Michigan or Ohio + Location: United States, Michigan + Location: United States, Ohio Make your mark. Our internal firm services team ... office/region and department + Collaborate with office leadership to achieve office utilization goals of staff and meet recommended industry group mix requirements… more
    Plante Moran (02/29/24)
    - Save Job - Related Jobs - Block Source
  • Senior Nurse Consultant

    PruittHealth (Macon, GA)
    **JOB PURPOSE:** Senior Nurse Consultant serves as a member of the clinical and region team, to assist centers in achieving clinical excellence. She/he is ... and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required systems and processes… more
    PruittHealth (03/26/24)
    - Save Job - Related Jobs - Block Source