• Utilization Management

    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 (11/29/24)
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  • Behavioral Analysis Utilization

    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 (01/04/25)
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  • Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …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 (01/10/25)
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  • Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …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 (12/20/24)
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  • RN Clinical Consultant , Claims…

    Guardian Life (Tallahassee, FL)
    **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
    Guardian Life (12/20/24)
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  • Clinical Transformation Consultant

    Highmark Health (Tallahassee, FL)
    …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
    Highmark Health (12/13/24)
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  • Quality Management Nurse Consultant

    CVS Health (Tallahassee, FL)
    …Friday 8:00am - 5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience - Client processing ... **Position Summary** Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained… more
    CVS Health (01/09/25)
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