- CVS Health (Charleston, WV)
- …health care more personal, convenient and affordable. This is a fully **remote** Utilization Review Clinical Consultant with a schedule of Monday-Friday, ... other internal and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to… more
- Guardian Life (Charleston, WV)
- …analytical, clinical , and information research skills + Excellent time management & organizational skills + Demonstrated ability to multi-task with the ability ... The Vocational Rehabilitation Consultant (VRC) will develop cost effective strategies to...You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:**… more
- Lincoln Financial Group (Charleston, WV)
- …a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... industry experience preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or… more
- Elevance Health (Charleston, WV)
- …Make an extraordinary impact.** Responsible for Medicaid appeal reviews and primary utilization management reviews for physical health medical services, to ... programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor...will make an impact:** + Appeal Reviews. + Primary Utilization Management Reviews + Supports clinicians to… more