- CVS Health (Richmond, VA)
- …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 ... medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience in a hospital setting.… more
- CVS Health (Nashville, TN)
- …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 (RN) with at least 1 year of experience...Spanish preferred **Education** - Diploma or Associates Degree in Nursing required - BSN preferred **Anticipated Weekly Hours** 40… more
- CVS Health (Phoenix, AZ)
- …of Arizonans. Mercy Care, a not-for-profit Medicaid managed care health plan administered by Aetna , a CVS Health company, is seeking a Quality Management Nurse ... remote role, you'll be part of a collaborative, experienced, and supportive nursing team that values learning, growth, and professional excellence. Every day brings… more
- CVS Health (Hartford, CT)
- …only) **Position Summary** American Health Holding, Inc. (AHH), a division of Aetna /CVS Health, is a URAC-accredited medical management organization founded in 1993. ... members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities**...required. + Minimum 5 years of relevant experience in Nursing . + At least 1 year of Utilization Management… more
- CVS Health (Charleston, WV)
- …plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. * Applies clinical judgment to the incorporation of ... adapt to a fast-paced changing environment. **Required Qualifications** * Registered Nurse with current unrestricted West Virginia (WV) license or Registered … more
- CVS Health (Trenton, NJ)
- …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 ... has resulted in the necessity of an emergency department visit, inpatient, skilled nursing , or rehabilitative stay. The TOC Coach ensures the member experiences a… more
- 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 ... facilitates integrative functions as well as smooth transition to Aetna programs and plans. + Applies clinical judgment to...Bilingual **Education** + Minimum of an Associates degree in Nursing or Diploma RN **Anticipated Weekly Hours** 40 **Time… more
- CVS Health (Baton Rouge, LA)
- …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 ... ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state of residence,… more
- CVS Health (Alexandria, VA)
- …Church, Alexandria Virginia or surrounding areas. **Position Summary** + Nurse Case Manager is responsible forassessing, planning, implementingand coordinating all ... 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 (Trenton, NJ)
- …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 ... also available **Required Qualifications** - Must have active and unrestricted Compact Registered Nurse (RN) licensure in the state of New Jersey - 3 years clinical… more
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