- CVS Health (Harrisburg, PA)
- …verbal and written Required Qualifications + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active current and ... unrestricted RN licensure in state of residence + Must possess 1+ years of clinical experience in acute or post-acute setting + Must be available to work Monday through Friday from 8 AM to 5 PM in resident time zone; -Some weekends and holidays will be… more
- CVS Health (Lansing, MI)
- …This role is Telework anywhere! Schedule for this position is Monday - Friday, 8:00am - 5:00pm EST Applies critical thinking, evidenced based clinical criteria and ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.… more
- CVS Health (Raleigh, NC)
- …make health care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can live ... 1 holiday per year). There is no travel expected with this position. This UM Nurse Consultant position is part of Aetna's Commercial Care Management division… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can live ... pm EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process… more
- CVS Health (Lansing, MI)
- …more personal, convenient and affordable. Position Summary This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can live ... in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate,… more
- CVS Health (Columbus, OH)
- …more personal, convenient and affordable. Position Summary This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can live ... Eastern Standard Time Holiday rotation 1-2 per year. CCR - Duals UM Nurse ConsultantUtilizes clinical experience and skills in a collaborative process to assess,… more
- CVS Health (Columbus, OH)
- …more personal, convenient and affordable. Position Summary: This Utilization Management ( UM ) Nurse Consultant role is 100% remote and the candidate can ... state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): -… more
- CVS Health (Raleigh, NC)
- …make health care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can live ... state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): -… more
- CVS Health (Trenton, NJ)
- …on rotation. No travel is required.Applicants from any state can apply. Prior Authorization UM Nurse Consultant Utilizes clinical experience and skills in a ... to make health care more personal, convenient and affordable. Position Summary Fully remote Work from home anywhere in the US. Working hours will be Tuesday… more
- CVS Health (Topeka, KS)
- …experience including phone, computer, and clinical documentation systems + A Registered Nurse that must hold an unrestricted license in the state of Kansas, ... demonstrated experience working in a high volume clinical environment + Remote work experience Education Associate's required Bachelor's degree preferred Pay Range… more
- Kepro (Richmond, VA)
- …partner for health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer RN to join our growing team. Job Summary: Our Clinical ... with NCQA, URAC, and other regulatory standards. *Position is remote but candidates must be located within the State...Determine approval or initiate a referral to the physician consultant and process physician consultant decisions, ensuring… more
- CVS Health (Phoenix, AZ)
- …make health care more personal, convenient and affordable. Position Summary 100% remote position from anywhere in the US Work hours: 11:30am-8:00pm EST, ... weeks of training / 8:30am-5pm EST, Monday-Friday. + 100% remote position from anywhere in the USA + Work...providers. Required Qualifications + 1+ year: Oncology and Transplant UM , concurrent review or prior authorization + 3+ years:… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. Position Summary Fully remote role in the USA.Requires Monday-Friday: 11:30am-8:00pm EST shift; 8:30am-5:00pm ... additional information for prior authorization review. Required Qualifications 1 year UM , concurrent review or prior authorization5 years of clinical experience… more
- CVS Health (Trenton, NJ)
- …to make health care more personal, convenient and affordable. Position Summary Fully remote Work from home anywhere in the USA. No travel is required. Utilizes ... Medicare/Medicaid - Managed care (MCO) experience - Med Compass experience - CM/ UM Certification Education Associates Degree required BSN preferred Pay Range The… more
- Albany Medical Center (Albany, NY)
- …patient/significant others/family and payers by functioning as a clinician, consultant , advocate and educator for assigned service.The Case Manager participates ... patient/significant others/family and payers by functioning as a clinician, consultant , advocate and educator for assigned service. Principal Position… more