- CVS Health (Trenton, NJ)
- …standards, where applicable, while adhering to company policy and procedures. - Places outbound calls to providers under the direction of Medical - Management Nurses ... to obtain clinical information for approval of medical authorizations. - Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. - Communicates with Aetna Nurses and Medical Directors, when processing transactions for members active in this… more