- 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 (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 (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 (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
- 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
- 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
- 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 (Tallahassee, FL)
- …internal/external clinician support as required including working with the Care Management and Utilization Management teams. **Position Responsibilities:** ... Health Liaison directs coordination of care between the Aetna benefits member, clinical care teams, and providers. The Behavioral Health Liaison conducts both live… more