- CVS Health (Columbus, OH)
- …This is a full-time remote Utilization Management opportunity. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... + 3+ years of clinical experience as a Registered Nurse in a hospital setting including Medical/Surgical, Emergency room,...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Columbus, OH)
- …- 6:30 pm EST schedule **Preferred Qualifications** Prior authorization & utilization management experience Behavioral Health Clinical experience Knowledge of ... internal and external constituents in the coordination and administration of the utilization /benefit management function. For more information on our benefit… more
- CVS Health (Columbus, OH)
- …reimbursement policy. + 1+ year of Coding experience **Preferred Qualifications** + Utilization Management review + Managed Care experience **Education** + ... years of clinical experience required + 2+ years of experience as a Registered Nurse + Must have active, current and unrestricted RN licensure in state of residence… more
- CVS Health (Columbus, OH)
- …evening until 9:00 PM EST **Job Descriptions** The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, ... -Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits… more