• Case Manager, Registered Nurse

    CVS Health (Springfield, IL)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited...setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (08/15/25)
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  • Case Manager, Registered Nurse

    CVS Health (Chicago, IL)
    …**Required** **Qualifications** - 3 years clinical practical experience preference required - Registered Nurse with active state license in good standing within ... CST. 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… more
    CVS Health (08/14/25)
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  • Case Manager - Registered Nurse

    CVS Health (Downers Grove, IL)
    …to promote quality, cost effective outcomes. **Required Qualifications** + Active and unrestricted Registered Nurse License in the state of Illinois + Minimum ... 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… more
    CVS Health (08/09/25)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... + Do you have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global… more
    US Tech Solutions (07/18/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Springfield, IL)
    …demonstrated ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state ... a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited...Remote work experience. **Education** + Associate degree in nursing RN required. + BSN preferred. **Anticipated Weekly Hours** 40… more
    CVS Health (08/15/25)
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  • Behavioral Health, Clinical Case Manager

    CVS Health (Springfield, IL)
    …progress toward desired outcomes through assessment and evaluation. **Required Qualifications** - Active Registered Nurse ( RN ) in the state of Illinois, BSN ... 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… more
    CVS Health (08/14/25)
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  • Licensed Practical Nurse (Illinois)

    CVS Health (Springfield, IL)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... member care to a whole new level! Join our Aetna Team as an industry leader in serving dual...or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments… more
    CVS Health (08/28/25)
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  • Health Services Manager (IC)

    CVS Health (Springfield, IL)
    …the delivery of quality healthcare to establish competitive business advantage for Aetna . + Health Services strategies, policies, and programs are comprised of ... **Preferred Qualifications** Knowledge of Commercial, Medicare, Medicaid, Duals LOB RN license preferred PMP Certification **Education** Bachelor's degree or… more
    CVS Health (08/27/25)
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