- CVS Health (Harrisburg, PA)
- …plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. - Applies clinical judgment to the incorporation of ... Telemetry, Medical / Surgical, Orthopedics, Long Term Care, and Infusion nursing . **Preferred Qualifications** -Certified Case Manager (CCM) certification -3+ years'… 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 (Pekin, IL)
- …And we do it all with heart, each and every day. This Case Manager Registered Nurse position is with Aetna 's Long-Term Services and Supports (LTSS) team and is a ... IL or Surrounding Areas. The requirements is for candidates to hold an IL Registered Nurse License, and travel 50-75% of the time to meet with members face to face.… more
- CVS Health (Paterson, 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 ... well as some special proprietary applications **Education:** + Bachelor's Degree in Nursing preferred + Associate's Degree in Nursing required **Anticipated… more
- CVS Health (Lansing, MI)
- …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** + Certified Case Manager is preferred. **Education** + Registered Nurse with active MI state license in good standing **Anticipated Weekly… more
- CVS Health (Lansing, MI)
- …medical needs of the member to facilitate the member's overall wellness. Join our Aetna team as an industry leader in serving dual eligible populations by utilizing ... Qualifications** + Minimum 3+ years clinical practical experience as an Registered Nurse (RN). + Must have active and unrestricted Michigan RN licensure. +… more
- US Tech Solutions (May, OK)
- …required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. . Evaluates documentation/information to ... experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization experience .… 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
- US Tech Solutions (Columbus, OH)
- …plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. + Applies clinical judgement to the incorporation of ... strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. + Assessments take into account information from various sources to address all conditions… more
- CVS Health (Harrisburg, PA)
- …and every day. **Position Summary** 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
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