• Case Manager Registered Nurse (Field…

    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) ... The requirements is for candidates to hold an IL Registered Nurse License, and travel 50-75% of...years of clinical experience required. - Active and unrestricted RN license in the state of IL - Must… more
    CVS Health (07/16/25)
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  • Case Manager Registered Nurse

    CVS Health (Springfield, IL)
    …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (07/31/25)
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  • Registered Nurse , Case Manager…

    CVS Health (Springfield, IL)
    …care - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited...a hospital setting - A Registered Nurse that holds an active, unrestricted… more
    CVS Health (07/31/25)
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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 ... 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… more
    CVS Health (06/28/25)
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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)
    …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... only) **Position Summary** American Health Holding, Inc. (AHH), a division of Aetna /CVS Health, is a URAC-accredited medical management organization founded in 1993.… more
    CVS Health (08/01/25)
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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 (07/30/25)
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  • Transition of Care, Licensed Practical…

    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 (08/01/25)
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  • Transition of Care Associate LPN (IL)

    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 (07/23/25)
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