- CVS Health (Raleigh, NC)
- …Suite (PowerPoint, Word, Excel, Outlook) Preferred Qualifications - 1+ years' experience Utilization Review experience - 1+ years' experience Managed Care - ... to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any… more
- CVS Health (Columbus, OH)
- …department (typically 1 holiday per year). 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 fully remote and employee can live in… more
- CVS Health (Harrisburg, PA)
- …Suite (PowerPoint, Word, Excel, Outlook) 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 fully remote and employee can live in… more
- 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 (Columbus, OH)
- …EST zone - Must have MS Office suites experience Preferred Qualifications - Utilization Review experience preferred, but not required. - Any Managed Care ... home position and employee can live in any state. As a Utilization Nurse Consultant you will utilize clinical skills to coordinate, document and communicate all… more
- CVS Health (Columbus, OH)
- …and unrestricted RN licensure in state of residence - Must have previous inpatient utilization review experience - Must be able to work Monday through Friday ... in multiple IT platforms/systemPreferred Qualifications - Knowledge of Medicare/Medicaid - Utilization Review experience preferred - Managed care experience -… more
- CVS Health (Frankfort, KY)
- …the standard schedule based on business needs Preferred Qualifications: + Managed care/ utilization review experience preferred + Experience in a behavioral ... opportunities to promote quality effectiveness of healthcare services and benefit utilization . + Consults and lends expertise to other internal and external… more
- 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 (Raleigh, NC)
- …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
- The Cigna Group (Chicago, IL)
- Job Description The Engagement Consultant is responsible for driving consistent wellness program development, guidelines, and delivery to the Select & Middle Market ... improvement goals. In partnership with the account management team, Engagement Consultant recommends the appropriate delivery and coordination of wellness programs,… more
- HCA Healthcare (Nashville, TN)
- …and personal growth, we encourage you to apply for our Senior MEDITECH Consultant opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a(an) Senior MEDITECH Consultant today with CereCore, part of HCA Healthcare. **Benefits** HCA Healthcare offers… more
- Crouse Hospital (Syracuse, NY)
- …management staff and/or other health care professionals in accordance with the hospitals Utilization Review guidelines to ensure efficient utilization of ... the needs of patients and alternative levels of care. Acts as consultant and resource to attending physicians regarding their decisions relative to appropriateness… more
- WSP USA (Charlotte, NC)
- …engineering consulting firm, is looking for a **Building Technology Systems Consultant ** specializing in business consulting, planning, and systems design. Locations ... the design team and clients. + Potentially participate in construction meetings, review and respond to Technology system submittals and RFIs. + Coordinate… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …relative to Strategic Analytic Improvement Learning (SAIL) outcomes and External Peer Review Program (EPRP) metrics. Acts as the Utilization Management nurse ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact ###@va.gov. Responsibilities Roseburg is the heart… more
- CBRE (Columbus, OH)
- Procurement Program Consultant - MEP - REMOTE Job ID 163604 Posted 19-Apr-2024 Service line GWS Segment Role type Full-time Areas of Interest Construction, Project ... America **About the role** As a CBRE Procurement Program Consultant , you will provide support to the Project Construction...This role will focus on effective, efficient, and timely utilization of the PJM web-based project systems for Procurement… more
- Quadient (Columbus, OH)
- …to stay ahead of their AR and get paid faster. The AR Implementation Solution Consultant works with the Client Finance or AR Teams to launch the use of Quadient's ... as and when projects are completed **Position Title: Implementation Solution Consultant ** **Location: Remote (preference for Central and Eastern Time Zones)** The… more
- CVS Health (Hickory, NC)
- …ongoing support and guidance to help them achieve their goals. This Health Coach Consultant RN role is an onsite position based in Hickory, North Carolina at a ... be required to sit onsite in Hickory NC. The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation, and evaluation, to… more
- 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
- Elevance Health (Columbus, OH)
- …ask you for payment as part of consideration for employment. **HEDIS Business Information Consultant ** + Job Family: RDA > Business/Health Info + Type: Full time + ... MOINES + VA, ROANOKE + MA, WOBURN **Description** **HEDIS Business Information Consultant ** **Location:** This position will take part in Elevance Health's hybrid… more
- Elevance Health (Rancho Cordova, CA)
- …check, or ask you for payment as part of consideration for employment. **Wellness Nurse Consultant ** + Job Family: MED > Licensed Nurse + Type: Full time + Date ... Cordova + California, Oakland + California, Vacaville **Description** **Wellness Nurse Consultant ** **Sign Bonus: $5000** At **Federal Health Products and Services -… more