- CVS Health (Columbus, OH)
- …8:00am - 11:30am EST.** American Health Holding, Inc. (AHH), a division of Aetna /CVS Health, is a URAC-accredited medical management organization founded in 1993. We ... 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 (Columbus, OH)
- …we do it all with heart, each and every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager, Registered Nurse (RN). Case ... directed by leadership or business needs. **Required Qualifications** + Must be a Registered Nurse with an active state license in good standing, valid in the region… more
- CVS Health (Columbus, OH)
- …completion of the training program, pay will be increased to $19.00 per hour. Our Aetna One Advocacy program is Aetna 's premier service and clinical offering for ... Aetna members nationwide and creates industry-leading solutions for our customers. Our Aetna One Advocate is not the typical customer service role. Our focus is… more
- CVS Health (Columbus, OH)
- …include, but not limited to: -Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service ... 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 (Columbus, OH)
- …accordance with the benefit plan. + Identifies triggers for referral into Aetna 's Case Management, Disease Management, Mixed Services, and other Specialty Programs. ... + Utilizes Aetna systems to build, research and enter member information,...for health care service delivery under the direction of nurse or medical director in the most appropriate setting… more