- CVS Health (Springfield, IL)
- …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 ... medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience in a hospital setting.… more
- CVS Health (Springfield, IL)
- …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 ... **Required Qualifications** - 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience...Spanish preferred **Education** - Diploma or Associates Degree in Nursing required - BSN preferred **Anticipated Weekly Hours** 40… more
- CVS Health (Springfield, IL)
- …only) **Position Summary** American Health Holding, Inc. (AHH), a division of Aetna /CVS Health, is a URAC-accredited medical management organization founded in 1993. ... members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities**...required. + Minimum 5 years of relevant experience in Nursing . + At least 1 year of Utilization Management… more
- CVS Health (Springfield, IL)
- …Help us elevate our member care to a whole new level! Join our Aetna Team as an industry leader in serving dual eligible populations by utilizing best-in-class ... resulted in the necessity of an emergency department visit, inpatient, skilled nursing , or rehabilitative stay. Under the direction of a Registered/Licensed RN, the… more
- CVS Health (Springfield, IL)
- …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 ... ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state of residence,… more
- US Tech Solutions (Chicago, IL)
- …required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. + Evaluates documentation/information to ... 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior...Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions… more
- CVS Health (Pekin, IL)
- …And we do it all with heart, each and every day. This Case Manager Registered Nurse position is with Aetna 's Long-Term Services and Supports (LTSS) team and is a ... IL or Surrounding Areas. The requirements is for candidates to hold an IL Registered Nurse License, and travel 50-75% of the time to meet with members face to face.… more
- CVS Health (Downers Grove, IL)
- …day. 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 ... quality, cost effective outcomes. **Required Qualifications** + Active and unrestricted Registered Nurse License in the state of Illinois + Minimum 3-5 years… more
- CVS Health (Springfield, IL)
- …include, but not limited to: Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries ... and educates members based upon the member's unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear… more
- CVS Health (Rantoul, IL)
- …each and every day. **Position Summary** This Case Management BH position is with Aetna 's Long Term Services & Supports (LTSS) team and is a field-based position out ... plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of… more
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