- CVS Health (Hartford, CT)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and… more
- CVS Health (Hartford, CT)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area - Managed Care experience preferred, especially Utilization Management Post Acute Experience **Education** Associates Degree required… more
- CVS Health (Hartford, CT)
- …constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of ... years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. +… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary** As a QM Nurse Consultant you will be responsible for the review and evaluation of clinical ... required - 2+ years of experience as a Registered Nurse - Must have active, current and unrestricted RN...5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience… more
- CVS Health (Hartford, CT)
- …to customer data analysis. Working proactively with the account team, Care management teams, peers, and other key enterprise partners to support our commercial ... plan sponsors. The Clinical Program Consultant fulfills the company mission of helping people on...consultative clinical insights based on analysis of clinical plan utilization and impact of member behavior on medical plan… more
- Hartford HealthCare (Hartford, CT)
- …Diseases provides inpatient and outpatient consultation regarding the diagnosis and management of all types of infectious diseases. The service is supported ... the context of the framework for professional nursing practice, the Community Care Nurse Navigator is a registered nurse experienced in patient throughput,… more
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