- CVS Health (Raleigh, NC)
- …Following training, position is remote with occasional in office requirement. Utilization Review - Precertification Nurse is responsible for telephonically ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- Humana (Raleigh, NC)
- …clinical levers, discharge planning, etc.) + Implement, manage, and support contractual Utilization Management & other clinical operations **Use your skills to ... + Five (5) plus years of experience in clinical areas such as: Utilization /Case Management , Claims Resolution, Contract/Market Management , and/or Healthcare… more