- 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 (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 (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
- 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
- CVS Health (Springfield, IL)
- …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... 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… more
- 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 (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 (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