• Utilization Management Nurse…

    CVS Health (Harrisburg, PA)
    …all with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute… more
    CVS Health (05/09/25)
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  • Utilization Management Nurse…

    CVS Health (Harrisburg, PA)
    …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in Eastern Standard Time… more
    CVS Health (05/10/25)
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  • Utilization Management Nurse…

    CVS Health (Harrisburg, PA)
    …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
    CVS Health (05/02/25)
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  • Consultant , Nurse Disability

    Lincoln Financial (Harrisburg, PA)
    …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
    Lincoln Financial (04/30/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Harrisburg, PA)
    …​ **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
    Highmark Health (05/10/25)
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  • Nurse Practitioner

    ChenMed (Philadelphia, PA)
    …with guidelines. This position may require participation in risk and quality management programs, clinical meetings and other meetings.The Nurse Practitioner ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required… more
    ChenMed (05/10/25)
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