We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is a remote work from home role anywhere in the US with virtual training. American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. Key Responsibilities This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at
Role overview
Job description
Oncology Nurse (Band 5 & Band 6) – Worcester Pulse Nursing is seeking skilled and experienced Oncology nurses to join our team. As an Oncology nurse, you’ll thrive in a fast-paced environment, working alongside healthcare professionals to deliver exceptional patient care. This role is incredibly fulfilling, allowing you to enhance your clinical skills while positively impacting the lives of patients who rely on your dedicated care. Pulse also offers a range of benefits to support your professional growth. In this current opportunity, you’ll enjoy the flexibility to plan by booking shifts in advance, giving you greater control over your schedule. We offer various shift patterns, including full-time equivalent hours, in Worcester , with competitive pay ranging from £33.78 per hour. Requirements: NMC Registration. Minimum of 6 months of recent experience in Oncology within the last 12 mont
…What they are looking for
Skills & requirements
Department · Nursing
Hiring company
Pulse Healthcare
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