- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime 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 (Tallahassee, FL)
- …**_Must reside in state of Florida, position is 100% remote._** Behavior Analysis Utilization Management Clinical Consultant applies critical thinking ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + Must have active,… more
- CVS Health (Columbus, OH)
- … skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + Must reside in… more
- CVS Health (Columbus, OH)
- …expected with this position. 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 fully remote… 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 (Jefferson City, MO)
- …and one minor holiday yearly. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... solutions to make health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and work schedules may… more
- CVS Health (Albany, NY)
- …holidays and evening rotations. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate ... to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules may include… more
- CVS Health (Phoenix, AZ)
- …working in a high volume clinical call center environment + 1+ year Utilization Management experience + 1+ years Managed Care experience + Remote work ... participation during 8:30am-5pm EST Monday-Friday As a UM Nurse Consultant you will work in a clinical ...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical… more
- CVS Health (Carson City, NV)
- … skills to coordinate, document and communicate all aspects of the utilization /benefit management program.Utilizes clinical experience and skills in ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...services that support cost-effective quality care for members.Work in clinical telephone queue for 4 to 6 hours a… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote ... per the needs of the team.** The UM Nurse Consultant job duties include (not all encompassing): + Reviews...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical… more
- CVS Health (Raleigh, NC)
- …more personal, convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Columbus, OH)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... convenient and affordable. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including every… more
- CVS Health (Springfield, IL)
- …and external constituents in the coordination and administration of the utilization /benefit management function **Required Qualifications** -3+ years of ... preference for those residing in EST or CST. _Utilization Management is a 24/7 operation and work schedule may...**_Required schedule: Tuesday - Saturday 8am-5pm EST._** - Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Springfield, IL)
- …and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of ... make health care more personal, convenient and affordable. _Utilization Management is a 24/7 operation and work schedule may...EST , Saturday and Sunday: 7am- 5:30pm EST._** Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Jefferson City, MO)
- …and external constituents in the coordination and administration of the utilization /benefit management function. - Typical office working environment with ... 10 hours each. - Position includes Holiday and evening rotations - Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Raleigh, NC)
- …solutions to make health care more personal, convenient and affordable. **Medicare Clinical Predetermination position:** Utilization Management is a 24/7 ... and work schedule may include weekends, holidays and evening hours. + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Atlanta, GA)
- …to make health care more personal, convenient and affordable. **The Onsite Sr Clinical Consultant , RN collaborates with Gwinnett County Board of Commissioners' ... data to develop recommendations for future employee wellness programs. The Onsite Sr Clinical Consultant , RN role is a full-time, client-based position working… more
- Cedars-Sinai (Los Angeles, CA)
- …evidence-based care. + Interpret analyses of outcomes of interventions, including clinical , patient-centered, utilization , and financial outcomes and identify ... this position will also lead best practices in project management for our largest initiatives. + Analyze current operational...\#LI-Hybrid **Req ID** : 3029 **Working Title** : Senior Consultant , Clinical Efficiency & Value - Hybrid… 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
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