- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** This Utilization Management Nurse Consultant role is with the Costco ... business needs. Some weekend and/or holidays coverage will be required. As a Utilization Management Nurse Consultant , you will utilize clinical skills to… more
- CVS Health (Indianapolis, IN)
- …operation. Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible ... Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting + Must...and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and… more
- CVS Health (Columbus, OH)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
- CVS Health (Austin, TX)
- …to work Monday through Friday, 9:00am to 7:00pm EST with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include ... holidays and evening hours **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + Experience using… more
- CVS Health (Augusta, ME)
- …constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of ... years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. +… more
- CVS Health (Jefferson City, MO)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... **also includes Holiday and late rotations.** **Required Qualifications** + Registered Nurse + Education: Diploma RN acceptable; Associate degree/BSN preferred, 3+… more
- CVS Health (Frankfort, KY)
- …and every day. **Position Summary** This Clinical Consultant position is with Aetna's Utilization Management (UM) team and is a work from home anywhere in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to coordinate,… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
- CVS Health (Portland, OR)
- …with heart, each and every day. **Job Purpose and Summary:** The Field Nurse LPN will conduct quality reviews and provide education specific to medication compliance ... care: + Meet with customers to present Omnicare Nursing Services and promote utilization of support tools and programs + Evaluate regulatory compliance and determine… more
- CVS Health (Harrisburg, PA)
- …Skilled Nursing (SNF) and Assisted Living (ALF) facilities. The Clinical Nurse Specialist/Infusion Educator for LTC (Long Term Care) will work collaboratively ... facilities in the surrounding area and other states as needed. The Clinical Nurse Specialist/Infusion Educator LTC is responsible for the below, most of which must… more