• Utilization Management Nurse…

    CVS Health (Springfield, IL)
    …+ **M** anaged care experience + Discharge planning experience + Utilization Management experience **Education** ASN Required, BSN Preferred **Anticipated ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in… more
    CVS Health (10/08/25)
    - Related Jobs

  • NICU/Spine | Utilization Management…

    CVS Health (Springfield, IL)
    …and on the phone collecting and reviewing clinical information from providers. Utilization Management nurses use specific criteria to authorize inpatient ... paced environment NICU experience 3+ years **Preferred Qualifications** Previous Utilization Management experience Spine Experience **Education** Associates… more
    CVS Health (10/16/25)
    - Related Jobs

  • Consultant , Nurse Disability I

    Lincoln Financial (Springfield, IL)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management . **What you'll be doing** * Evaluate medical information… more
    Lincoln Financial (10/10/25)
    - Related Jobs

  • Quality Management , Nurse…

    CVS Health (Springfield, IL)
    …in research efforts, contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes. - Provides training and ... with diverse cultural dynamics of clinical staff and patients. - Registered Nurse (RN) required. **Preferred Qualifications** - Master's degree in healthcare related… more
    CVS Health (10/07/25)
    - Related Jobs

  • Consultant , Behavioral Health I

    Lincoln Financial (Springfield, IL)
    …in a behavioral health setting including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review, and or behavioral health ... We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization. As a Behavioral Health Consultant , you… more
    Lincoln Financial (10/20/25)
    - Related Jobs

  • Nurse Practitioner - Spanish Speaking

    ChenMed (Berwyn, IL)
    …for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with ... ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote… more
    ChenMed (09/04/25)
    - Related Jobs