• Utilization Management

    CVS Health (Tallahassee, FL)
    …more personal, convenient and affordable. **Position Summary** This is a full-time 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 (01/24/25)
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  • Utilization Management Nurse…

    CVS Health (Tallahassee, FL)
    …1+ years of clinical experience in acute or post acute setting - Utilization Management is a 24/7 operation and the work schedule may include weekends, ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
    CVS Health (01/25/25)
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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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  • Behavioral Health Liaison

    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
    CVS Health (01/25/25)
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