• Chief Health Services Officer - Aetna

    CVS Health (Chicago, IL)
    …solutions to make health care more personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna 's Medicaid managed care plan. Backed by ... need it is essential to better health. That's why Aetna (R) Medicaid plans include the guidance and support needed...behaviors, and proactively managing bias **Preferred Qualifications** + Registered Nurse , preferably in the state of IL + Illinois… more
    CVS Health (10/06/24)
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  • Clinical Nurse (RN), Adult Emergency…

    Stanford Health Care (Palo Alto, CA)
    …care, to deliver family centered care. As a professional, monitors the quality of nursing care provided. The Clinical Nurse is responsible for his/her own ... three generous health plans through Stanford Health Care Alliance, Aetna , or Kaiser Permanente. Each plan includes 100% coverage...the assigned patient population. As a member of the nursing profession, the Clinical Nurse contributes to… more
    Stanford Health Care (10/05/24)
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  • Relief Clinical Nurse (RN), Apheresis…

    Stanford Health Care (Palo Alto, CA)
    …care, to deliver family centered care. As a professional, monitors the quality of nursing care provided. The Clinical Nurse is responsible for his/her own ... three generous health plans through Stanford Health Care Alliance, Aetna , or Kaiser Permanente. Each plan includes 100% coverage...the assigned patient population. As a member of the nursing profession, the Clinical Nurse contributes to… more
    Stanford Health Care (08/13/24)
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  • Clinical Nurse (RN) - Cardiothoracic/Lung…

    Stanford Health Care (Palo Alto, CA)
    …care, to deliver family centered care. As a professional, monitors the quality of nursing care provided. The Clinical Nurse is responsible for his/her own ... three generous health plans through Stanford Health Care Alliance, Aetna , or Kaiser Permanente. Each plan includes 100% coverage...the assigned patient population. As a member of the nursing profession, the Clinical Nurse contributes to… more
    Stanford Health Care (10/03/24)
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  • Registered Nurse RN Cath Lab

    Banner Health (Greeley, CO)
    …Colorado **Department Name:** Cardiac Cath Lab-Hosp **Work Shift:** Day **Job Category:** Nursing **Primary Location Salary Range:** $33.08 - $55.13 / hour, based on ... better pay, benefits, opportunities, well-being, flexibility, better experiences - better nursing . Banner Health has been recognized by Becker's Healthcare as one… more
    Banner Health (09/22/24)
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  • Nursing Assistant (NA) - ENT / Plastics…

    Stanford Health Care (Palo Alto, CA)
    …the choice of three generous health plans through Stanford Health Care Alliance, Aetna , or Kaiser Permanente. Each plan includes 100% coverage for preventive care, ... Care job.** **A Brief Overview** Under the direction and supervision of a Registered Nurse , and in accordance with Hospital policies and procedures, the Nursing more
    Stanford Health Care (10/04/24)
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  • Quality Management Nurse Consultant

    CVS Health (Plantation, FL)
    …as needed. This position reports to the Potential Quality of Care (PQOC) nurse investigator team manager. This position is responsible for the review and evaluation ... required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. + Evaluates documentation/information to… more
    CVS Health (10/06/24)
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  • Complex Nurse Field Case Manager…

    CVS Health (Louisville, KY)
    …health care more personal, convenient and affordable. **Position Summary:** The Complex Nurse Case Manager is responsible for assessing members through regular and ... facilitates integrative functions as well as smooth transition to Aetna programs and plans. + Applies clinical judgment to...verbal and written . **Education** + Associate's degree in Nursing or Diploma RN required + BSN preferred **Pay… more
    CVS Health (10/04/24)
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  • Utilization Management Nurse Consultant

    CVS Health (High Point, NC)
    …holiday per year).** There is no travel expected with this position. This UM Nurse Consultant position is part of Aetna 's Commercial Care Management division and ... more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any… more
    CVS Health (10/05/24)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. + Evaluates documentation/information to ... 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior...Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions… more
    US Tech Solutions (10/04/24)
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  • Utilization Review Nurse

    US Tech Solutions (May, OK)
    …required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. . Evaluates documentation/information to ... experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization experience .… more
    US Tech Solutions (08/09/24)
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  • Case Manager RN

    CVS Health (Phoenix, AZ)
    …and affordable. **Position Summary:** **This RN Case Manager role is part of Aetna One Advocacy (A1A) and requires in office training and ongoing work in** ... per the need of the business. What is A1A? Aetna One Advocate is Aetna 's premier service...on key questions and conversation. **Required:** - A Registered Nurse that must hold an unrestricted license in their… more
    CVS Health (08/31/24)
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  • A1A Service Advocate

    CVS Health (Phoenix, AZ)
    …flexibility is required for onsite work shifts per the need of the business. Our Aetna One Advocacy program is Aetna 's premier service and clinical offering for ... Aetna members nationwide and creates industry-leading solutions for our customers. Our Aetna One Advocate is not the typical customer service role. Our focus is… more
    CVS Health (09/25/24)
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  • Case Manager RN - Southern Region

    CVS Health (Princeton, WV)
    …to make health care more personal, convenient and affordable. **Business Overview** The Aetna Better Health of West Virginia plan has a successful, 26+ year history ... innovative care management model, and creative provider and community advocacy partnerships, Aetna Better Health of West Virginia has successfully assisted the State… more
    CVS Health (10/06/24)
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  • Lead Director Quality Management

    CVS Health (Dallas, TX)
    …solutions to make health care more personal, convenient and affordable. Business Overview: Aetna Better Health of Oklahoma, a CVS Health company, embodies the vision ... that enhance overall wellness and improve everyday life for our members. At Aetna Better Health of Oklahoma, we value professional development and career growth. You… more
    CVS Health (09/27/24)
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  • Member Services Representative

    CVS Health (Oklahoma City, OK)
    …exemplary technologies and processes. Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service ... and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide members along a clear path… more
    CVS Health (10/06/24)
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  • Community Health Worker - Must reside in Richmond…

    CVS Health (Richmond, VA)
    …communication channels. -Build and maintain positive working relationships with the Aetna members, providers, nurse case managers, agency representatives, ... through outreach and education. By providing these services, CHWs help Aetna members attain and maintain better health outcomes, improve relationships with… more
    CVS Health (09/29/24)
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  • Onsite Sr Clinical Consultant, RN -Gwinnett County…

    CVS Health (Atlanta, GA)
    …County Board of Commissioners' onsite Employee Wellness Center, HR Benefits team and Aetna 's Aetna One Advisor (A1A) team to establish and implement efficient ... as a liaison between Gwinnett County's onsite Employee Wellness Center vendor and Aetna One Advisor Team. Assist patients with enrollment and education of clinical… more
    CVS Health (10/02/24)
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  • Case Manager RN- Field Wayne and Macomb Counties

    CVS Health (Southfield, MI)
    …a 4 day 10 hour work week after completion of training. **Business Overview** At Aetna , a CVS Health company, we are joined in a common purpose: helping people on ... health that puts people at the heart. Join our Aetna team as an industry leader in serving dual...on key questions and conversation. **Required Qualifications** + Registered Nurse with active MI state license in good standing… more
    CVS Health (08/30/24)
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  • Case Manager (RN) - Case Management / Emergency…

    Stanford Health Care (Palo Alto, CA)
    …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... the choice of three generous health plans through Stanford Health Care Alliance, Aetna , or Kaiser Permanente. Each plan includes 100% coverage for preventive care,… more
    Stanford Health Care (10/05/24)
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