- CVS Health (Springfield, 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 (Austin, TX)
- …members in a cost-effective manner. As a member of the Key Personnel team for Aetna Better Health of Texas, the candidate will need to travel to required meetings ... demands. **Required Qualifications** + Must reside in Texas. + Texas-licensed registered nurse with current unencumbered license and experienced in the activities of… more
- 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 (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 (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 (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
- Banner Health (Loveland, CO)
- …Colorado **Department Name:** Cardiac Cath Lab-Hosp **Work Shift:** Day **Job Category:** Nursing **Primary Location Salary Range:** $33.74 - $56.24 / 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
- CVS Health (Phoenix, AZ)
- …and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The working schedule is Monday- Friday ... 60 miles) about 25-50% of the time. The QM Nurse Consultant is a work at home role. Experienced...to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. + Commands a… more
- CVS Health (Jeffersontown, 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
- US Tech Solutions (Wichita, KS)
- …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 (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
- 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 (Barrington, IL)
- …channels. + Build and maintain positive working relationships with the Aetna members, providers, nurse case managers, agency representatives, supervisors ... through outreach and education. By providing these services, CHW's help Aetna members attain and maintain better health outcomes, improve relationships with… more
- CVS Health (Raleigh, NC)
- …and affordable. **Position Summary** 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 the members along a clear… more
- 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 (Hartford, CT)
- …and benefits and open pre-certification cases and either approve or send to nursing staff for review. * The Care Management Associate role include: * Responsible ... to clinical staff. * Identifies triggers for referral into Aetna 's Case Management, Disease Management, Mixed Services, and other...for health care service delivery under the direction of nurse or medical director in the most appropriate setting… more
- CVS Health (High Point, NC)
- …travel expected with this position. This Case Manager RN position is part of Aetna 's Commercial Care Management division and is part of the dedicated team supporting ... plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of… more
- CVS Health (Columbus, OH)
- …accordance with the benefit plan. + Identifies triggers for referral into Aetna 's Case Management, Disease Management, Mixed Services, and other Specialty Programs. ... + Utilizes Aetna systems to build, research and enter member information,...for health care service delivery under the direction of nurse or medical director in the most appropriate setting… more
- CVS Health (Hartford, CT)
- …The CPC role is a highly collaborative position working proactively with the Aetna account team, Aetna 's Care management teams, and key National Account ... Word, and Outlook). **Preferred Qualifications** + Unrestricted active registered nurse license. + 1+ years progressive leadership experience. + Experience… more
- CVS Health (Salt Lake City, UT)
- …health care more personal, convenient and affordable. **Position Summary** **Description:** Aetna 's Healthy Aging Support Program (HASP) is a short term, ... the member in actively participating with their health care providers and Aetna Care Management teams regarding decisions that impact their health and well-being… more