Candidate may reside in WI, AZ, IA, TX, MO, ID, NM, OH and hold an unrestricted compact license in their state of residence. At CVS Health, we believe we can change the world by improving patient lives, one call at a time. Our Telephonic Registered Nurses (RN) have patient…
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Position Summary CVS Specialty Pharmacy provides medications and support for rare and complex conditions. The Nurse Clinical Operations position is primarily responsible for supporting the clinical operations of CVS Specialty Pharmacy. Responsibilities include patient education,…
Provide education on diagnoses, medications,
Provide education on diagnoses, medications, and preventive measures to promote ongoing wellness and reduce risk of r
Onsite Care Coordination Nurse at Humana in Wisconsin, United States. Remote · $71.1K – $97.8K/yr.
Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in…
Job Summary The Utilization Management Nurse supports the effective coordination and management of healthcare services by reviewing clinical information, determining medical necessity, facilitating appropriate resource utilization, and ensuring compliance with regulatory and…
Position Information Schedule: Monday–Friday 8:00am-5:00pm EST About Us American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that…
Position Summary The Quality Management Nurse is responsible for supporting the development, implementation, and evaluation of quality improvement and patient safety initiatives to enhance healthcare outcomes and ensure compliance with regulatory and accreditation standards.…
Title: Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care team member operating within a Value-Based Care model, which prioritizes patient health outcomes and long-term wellness. In this model, the Center Nurse supports the health…
Case Manager Registered Nurse Schedule: Mon-Fri 08:00-05:00 PM EST Position Summary The Case Manager RN is responsible for providing comprehensive care management services to members with complex medical, behavioral health, and social needs. The role includes conducting clinical…
Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a Registered Nurse looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive…
Registered Nurse (RN) Utilization Management Nurse Consultant - Remote Make a difference in patient care from the comfort of home. We're seeking experienced Registered Nurses to join our Utilization Management team in a fully remote role. In this position, you'll leverage your…
Registered Nurse (RN) – Utilization Management Remote | Afternoon/Evening Shifts Available | 24/7 Operations Are you an experienced RN looking to bring your clinical expertise to a fast-paced, collaborative Utilization Management team? Join us in helping ensure members receive…
Position Summary Job Description Summary Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to out- comes and opportunities to enhance members overall wellness…
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