- CVS Health (Beach Park, IL)
- …channels. + Build and maintain positive working relationships with the Aetna members, providers, nurse case managers, agency representatives, supervisors ... through outreach and education. By providing these services, CHW's help Aetna members attain and maintain better health outcomes, improve relationships with… more
- CVS Health (Springfield, IL)
- …Holding, Inc (AHH) is a medical management company that is a division within Aetna /CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease ... **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in...of experience in a hospital setting. + A Registered Nurse that holds an active, unrestricted license in their… more
- CVS Health (Springfield, IL)
- …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 ... healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply critical… more
- CVS Health (Springfield, IL)
- …Help us elevate our member care to a whole new level! Join our Aetna Team as an industry leader in serving dual eligible populations by utilizing best-in-class ... Word, Excel, and Outlook - Active and unrestricted Licensed Practical Nurse (LPN) licensure in Illinois. **PREFERRED QUALIFICATIONS** - Ability to multitask,… more
- US Tech Solutions (Chicago, IL)
- …required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. + Evaluates documentation/information to ... 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior...Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions… more
- CVS Health (Downers Grove, IL)
- …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 ... quality, cost effective outcomes. **Required Qualifications** + Active and unrestricted Registered Nurse License in the state of Illinois + Minimum 3-5 years… more
- CVS Health (Chicago, IL)
- …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 ... **Qualifications** - 3 years clinical practical experience preference required - Registered Nurse with active state license in good standing within the region where… more
- CVS Health (Springfield, IL)
- …**Position Summary** This role is responsible for managing partnerships with Aetna -Illinois quality vendors and community-based organizations, with the primary focus ... to improve HEDIS and CAHPS measure performance. This includes analysis of vendor effectiveness, management of vendor / partner lead transmission, oversight of vendor performance reporting strategy, a risk reporting process, leading and managing joint operating… more
- CVS Health (Springfield, IL)
- …each and every day. **Description** -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 (Springfield, IL)
- …include, but not limited to: Customer Service Representative is the face of Aetna and impacts members' service experience by manner of how customer service inquiries ... 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