- CVS Health (Columbus, OH)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills ... constituents in the coordination and administration of the utilization /benefit management function Function in a clinical telephone queue working with… more
- CVS Health (Columbus, OH)
- …M-F 8:00AM-5:00PM EST. As a Utilization Management (UM) Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. You would be responsible...Consultant reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization ,… more
- Guardian Life (Columbus, OH)
- …analytical, clinical , and information research skills + Excellent time management & organizational skills + Demonstrated ability to multi-task with the ability ... The Vocational Rehabilitation Consultant (VRC) will develop cost effective strategies to...You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:**… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... industry experience preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or… more
- CVS Health (Columbus, OH)
- …needs and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. + Utilizes case management processes ... providers. Serves as advocate for patients, ensuring effective communication, resource utilization , and continuous monitoring of their progress to promote positive… more