- 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)
- …we do it all with heart, each and every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager, Registered Nurse (RN). Case ... directed by leadership or business needs. **Required Qualifications** + Must be a Registered Nurse with an active state license in good standing, valid in the region… 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)
- …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)
- …Length of Stay) to clinical staff Identifies triggers for referral into Aetna 's Case Management, Disease Management, Mixed Services, and other Specialty Programs ... Utilizes Med Compass and other Aetna systems to build, research and enter member information,...for health care service delivery under the direction of nurse or medical director in the most appropriate setting… more