• Case Manager Registered Nurse

    CVS Health (Frankfort, KY)
    …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 (08/10/25)
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  • Case Manager Registered Nurse - Two…

    CVS Health (Franklin, KY)
    …do it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and consistent in ... plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. + Applies clinical judgment to the incorporation of… more
    CVS Health (07/31/25)
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  • Utilization Management Clinical Consultant…

    CVS Health (Frankfort, KY)
    …Clinician (_** **_LPCC, LCSW, LMFT, LPAT_** **_) - OR - Active unrestricted Compact Registered Nurse ( RN ) license with psychiatric specialty or behavioral ... This is a fulltime remote Utilization Management Clinical Consultant opportunity with Aetna Better Health of Kentucky. This position will be utilized to provide… more
    CVS Health (07/25/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Frankfort, KY)
    …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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