This role requires the nurse to exercise clinical judgment and perform the following duties: Review and interpret clinical documentation obtained from medical records or systems. Apply clinical decision-making to utilize appropriate clinical criteria and policies for…
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In Home Nurse Practitioner Or Physician Assistant Per Diem Jobs
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Position Summary This role requires the nurse to exercise clinical judgment and perform the following duties: Review and interpret clinical documentation obtained from medical records or systems. Apply clinical decision-making to utilize appropriate clinical criteria and…
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…
Case Manager, Registered Nurse (Oncology experience required) at Cvshealth in Work From Home, United States. Remote.
Position Summary: This RN Case Manager role is part of Aetna One Advocacy (A1A) and requires in office training and ongoing work in High Point, Nc. There is a requirement to live within a commutable distance of High Point, Nc (typically within 45 minutes maximum). The expected…
Position Summary This position is responsible for performing utilization management (UM) reviews and authorization activities for post-acute services, including Skilled Nursing Facilities (SNF), Inpatient Rehabilitation Facilities (IRF), Long-Term Acute Care Hospitals (LTACH),…
Position Summary Normal Working Hours: Monday-Friday 8:00am - 4:30 pm in your local time zone There are no weekend hours. There are no holiday coverage hours. There is no travel. This is a 100% remote work from home position and candidates from any state with a compact RN…
As a Cardiopulmonary Patient Educator with CVS Health, you will have the opportunity to use your clinical skills to be an educator to your patients and their caregivers, helping them understand their complex Pulmonary Arterial Hypertension (PAH) therapies by providing infusion…
This is a work from home flexible position with 25-50% travel in Ocean County New Jersey. Travel will be up to a 50 mile radius from your home. Standard working hours Monday – Friday 8-5 pm Help us elevate our patient care to a whole new level! Join our Aetna team as an industry…
Job Description You will: Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP). Conduct regular health assessments Coordinate with acute and primary care providers. Educate members on disease processes and related risks,…
You will support members in any of the following counties- Lincoln, Langlade, Forest, Oneida, Vilas You will: Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP). Conduct regular health assessments Coordinate with acute and…
Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive the right care…
Utilization Management Nurse Consultant at Cvshealth in Work From Hom, Work From Hom, United States.
Position Summary This critically important role is responsible for providing consultative support to contracted Skilled Nursing (SNF) and Assisted Living (ALF) facilities. The Clinical Nurse for LTC (Long Term Care) will work collaboratively with other Omnicare disciplines to…
Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the…
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