- 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)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... support cost-effective quality care for members. As a UM Nurse Consultant you will work in a...high volume clinical call center environment * 1+ year Utilization Management experience * 1+ years Managed… more
- CVS Health (Salem, OR)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... care, home health, or long-term care. + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting, concurrent review 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 (Harrisburg, PA)
- …And we do it all with heart, each and every day. **Position Summary** ** Utilization Management is a 24/7 operation and work schedules will include weekends, ... 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 (Lansing, MI)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... every day. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days...their Leader. **Required Qualifications** + Active and unrestricted Registered Nurse in state of residence + 3+ years of… 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 (Harrisburg, PA)
- …it all with heart, each and every day. This is a full-time telework role. Utilization Management is a 24/7 operation and work schedules may include weekends, ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Columbus, OH)
- …procedures/services or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors ... Nurse - active license -3+ Years of clinical experience -1+ Year of Utilization Review Management and/or Medical Management experience. -Must have active… more