- CVS Health (Phoenix, AZ)
- …managed care health plan administered by Aetna, a CVS Health company, is seeking a Quality Management Nurse Consultant to help ensure the highest ... organization and the heart of a local team, you'll help shape the quality of care for families, children, seniors, and individuals with developmental and cognitive… more
- CVS Health (Phoenix, AZ)
- …that promote high- quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- CVS Health (Phoenix, AZ)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... is a typical office working environment with productivity and quality expectations. Work requires the ability to perform close...aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically… more
- CVS Health (Phoenix, AZ)
- …procedures/services or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors ... quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
- CVS Health (Phoenix, AZ)
- … Management and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. Work in ... / 8:30am-5pm EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- CVS Health (Phoenix, AZ)
- … Management and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. Utilizes ... will occasionally be required. American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH… more
- CVS Health (Phoenix, AZ)
- …every day. Must live in MST **Position Summary** The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, ... capabilities, and/or readiness to change. - Enhancement of Medical Appropriateness & Quality of Care. - Application and/or interpretation of applicable criteria and… more
- Philips (Phoenix, AZ)
- Clinical Adoption Consultant , Hospital Patient Monitoring As a **Clinical Adoption Consultant ** you will be based in the **West and Midwest zone** and will have ... and partner with customers, Customer Project Managers, Clinical Solutions Delivery Consultant (CSDC), Clinical Solutions Implementation Consultant (CSIC), and… more
- CVS Health (Phoenix, AZ)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and knowledge in clinically ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- CVS Health (Phoenix, AZ)
- …interventions, including triage and crisis support. + Identify members for care management programs and facilitate referrals. + Promote quality and ... children and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician and become part of a mission-driven team that's transforming… more