- 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
- 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
- Stanford Health Care (Palo Alto, CA)
- …certifications in varying specialties including CCRN, TCRN, TCAR, & TNCC. As an ICU Nurse at Stanford Health Care, you are part of the critical and tactical care ... practice. Symbolizing our patient-centered beliefs and values, the PPM exemplifies nurse autonomy over clinical practice and the practice environment, depicting… more
- Stanford Health Care (Palo Alto, CA)
- …increased intentionality and a deepening of authentic presence; thereby renewing nurse relationships through universal, ethical, and person-centered care. Why Join ... ECMO. A collaborative team approach (ie surgeons, physicians, anesthesiologists, nurse practitioners, physician assistants, nurses, perfusionists, respiratory therapists, rehabilitation… more
- Stanford Health Care (Palo Alto, CA)
- …intentionality and a deepening of authentic presence; thereby renewing nurse relationships through universal, ethical, and person-centered care. Department ... 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 (Palo Alto, CA)
- …intentionality and a deepening of authentic presence; thereby renewing nurse relationships through universal, ethical, and person-centered care. Benefits Our ... three generous health plans through Stanford Health Care Alliance, Aetna , or Kaiser Permanente. Each plan includes 100% coverage...Stanford Health Care job.** **A Brief Overview** The Clinical Nurse (CN) is an RN who provides hands-on care… 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
- 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
- Banner Health (Loveland, CO)
- …work in health care. In addition, we recently received the 2024 Aetna Workplace Well-Being Platinum Award. These recognitions reflect Banner Health's investment in ... setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel...a minimum of one year experience as a Registered Nurse in a physician practice or an acute care… 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 ... plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. + Applies clinical judgment to the incorporation of… 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 (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 (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)
- …of Stay) to clinical staff. * 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 (Jefferson City, MO)
- …Holding, Inc (AHH) is a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease ... necessity reviews **Required Qualifications** + 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty + A Registered … more
- CVS Health (Little Rock, AR)
- …Holding, Inc (AHH) is a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease ... **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in...of experience in a hospital setting - A Registered Nurse that holds an active, unrestricted license in their… more