- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Clinical Consultant opportunity for ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
- CVS Health (Frankfort, KY)
- …more personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Review Clinical Consultant . **MUST RESIDE IN KENTUCKY** + ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
- CVS Health (Harrisburg, PA)
- …No travel is required. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- CVS Health (Austin, TX)
- … Consultant opportunity. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Raleigh, NC)
- …holidays, and evening hours_ As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. + Utilizes ...clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management Nurse Consultant (UMNC) position is 100% ... remote. As a Utilization Nurse Consultant , you will utilize clinical skills to...to coordinate, document and communicate all aspects of the utilization /benefit management program and our plan sponsor(s).… more
- CVS Health (Columbus, OH)
- …may include weekends, holidays and evening hours._ This is a full-time remote Utilization Management opportunity. + Utilizes clinical experience and skills ... to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical ...with a late shift rotation 10:30am to 7pm EST. Utilization management is a 24/7 operation. Work… more
- CVS Health (Hartford, CT)
- …Qualifications** + Must reside within the Eastern or Central time zone + Utilization management is a 24/7 operation. Work schedules will include weekends ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Topeka, KS)
- …Friday 8:00 am to 5:00 pm CST with rotating late evening and weekend shifts. Utilization Management is a 24/7 operation and work schedule may include weekends, ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + Must reside in… more
- CVS Health (Tallahassee, FL)
- …to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules may include ... weekends and holidays and evening rotations. + Utilizes clinical experience and skills in a collaborative process to...may include weekends and holidays and evening rotations + Utilization management is a 24/7 operation. Work… more
- CVS Health (Austin, TX)
- …**Preferred Qualifications** + Clinical experience in post-acute setting + Prior utilization review or case management experience + Managed Care experience ... care more personal, convenient and affordable. **Position Summary** -Utilizes clinical experience and skills in a collaborative process to...or other events, as directed by their Leader. - Utilization Management is a 24/7 operation and… more
- AON (IL)
- …currently have an exciting career opportunity for an Assistant Vice President, Clinical Consultant - Health Transformation within our National Health ... knowledge of the health market and industry, plans, case management , utilization management , vendors, special...an exciting career opportunity for an Assistant Vice President, Clinical Consultant - Health Transformation within our… more
- Guardian Life (Columbus, OH)
- **Position Summary** The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding ... medical reviews and analysis of long-term disability claims. The RN Clinical Consultant identifies restrictions, limitations and duration impacting functional… more
- Guidehouse (Chicago, IL)
- …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and health plan executives help healthcare organizations undertake cross-continuum clinical transformation efforts to generate sustained improvements in care access,… more
- Guidehouse (Chicago, IL)
- …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and health plan executives help healthcare organizations undertake cross-continuum clinical transformation efforts to generate sustained improvements in care access,… more
- Child Communication and Behavior Specialists (CA)
- …and culturally inclusive environment. The Position We are seeking a Remote BCBA Supervisor & Clinical Consultant to join our team. This role is 100% remote with ... individualized, high-quality ABA programs. Key Responsibilities + Provide hands-on clinical supervision using Behavioral Skills Training (BST). + Facilitate… more
- Highmark Health (Columbus, OH)
- …bachelor's degree + 5-7 years of experience in the healthcare industry (hospital clinical operations/ management , physician practice management or clinical ... that are required to accelerate the achievement of goals related to clinical operations excellence and optimal, sustained patient care (as manifested by patient… more
- Guidehouse (Mclean, VA)
- …Clinical credential (RN, MD, DO) is also acceptable + Experience with medical management ( utilization management , case management , disease ... Research:** Thoroughly researching, reviewing, and analyzing current medical literature, clinical practice guidelines, government regulations, and other sources to… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …RN required, Preferred Education: BSN preferred Experience: Greater than 3 years clinical nursing experience required. Utilization management experience ... and applies principles of utilization and quality management , and the management of clinical /financial resources as a facilitator and consultant to… more
- Boehringer Ingelheim (San Diego, CA)
- **Description** The Cardiovascular-Renal Sales Consultant is responsible for partnering in developing and implementing a plan for brand sales growth of BIPI and ... and with BIPI guidelines, policies, and directives. The Cardiovascular-Renal Sales Consultant will conduct their business with key targeted healthcare providers… more
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