• Utilization Management

    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
    CVS Health (11/07/24)
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  • Consultant , Nurse Disability

    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
    Lincoln Financial Group (10/16/24)
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  • Manager Provider Government Programs

    Highmark Health (Parkersburg, WV)
    …creation, impact and cost control through the departmental day to day operations and clinical consultant performance in meeting or exceeding the ROI and fiscal ... the program(s), such as improvements in quality, cost and utilization through care gap closure, STARS ratings and risk...quality, process engineering training/certification is a plus + Project Management certification is a plus + Clinical more
    Highmark Health (11/04/24)
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