• 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 Review Nurse

    US Tech Solutions (May, OK)
    …experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... required to contact the providers of record, vendors, or internal Aetna departments to obtain additional information. . Evaluates documentation/information to… more
    US Tech Solutions (07/18/25)
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  • Clinical Placement Coordinator

    North Carolina Agriculture & Technical State Unive (Greensboro, NC)
    …North Carolina. * A minimum of two years' clinical experience as a registered nurse * Current knowledge of nursing practice Preferred: *Demonstrated commitment ... additional doctoral programs being are being developed; Doctor of Nurse practice ( DNP ), PhD in Applied Psychology,...Bachelor of Science in Nursing ( ABSN ), and RN to BSN pathways, catering to a diverse range… more
    North Carolina Agriculture & Technical State Unive (06/28/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Hartford, CT)
    …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... only) **Position Summary** American Health Holding, Inc. (AHH), a division of Aetna /CVS Health, is a URAC-accredited medical management organization founded in 1993.… more
    CVS Health (08/01/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Baton Rouge, LA)
    …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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  • Behavioral Health Clinical Liaison

    CVS Health (Richmond, VA)
    …monitoring of program and quality initiatives to address the needs of Aetna members. They represent the plan and collaborate with internal partners, community ... providers to enhance the quality of services provided to Aetna members and to ensure adherence to performance targets...is required: LPC, LCSW, LMFT, BCBA, LBA, or an RN with 5+ years of behavioral health experience +… more
    CVS Health (07/25/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    …Psychology, or a related field required; advanced degree or licensure (eg, RN , LCSW, LPC, LMHC, or CADC) preferred. + Excellent organizational, communication, and ... a related field required; advanced degree or licensure (eg, RN , LCSW, LPC, LMHC, or CADC) preferred. + Experience...+ Knowledge of major insurance provider platforms (eg, Optum, Aetna , BCBS, Cigna). + Strong clinical writing skills and… more
    BriteLife Recovery (08/03/25)
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  • Licensed Practical Nurse (New York)

    CVS Health (Albany, NY)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... member care to a whole new level! Join our Aetna Team as an industry leader in serving dual...or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments… more
    CVS Health (08/01/25)
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  • Transition of Care Associate - Licensed Practical…

    CVS Health (Tallahassee, FL)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... member care to a whole new level! Join our Aetna Team as an industry leader in serving dual...or changes in condition to be transitioned back to RN + Complete post discharge call and required assessments… more
    CVS Health (07/31/25)
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  • Transition of Care Associate LPN (IL)

    CVS Health (Springfield, IL)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... member care to a whole new level! Join our Aetna Team as an industry leader in serving dual...or changes in condition to be transitioned back to RN . + Complete post discharge call and required assessments… more
    CVS Health (07/23/25)
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