• Utilization Management

    CVS Health (OH)
    …**Position Summary** This Clinical Consultant position is with Aetna's Utilization Management (UM) team and is a field-based/Remote position out of the ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
    CVS Health (10/02/25)
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  • Behavioral Health Utilization

    CVS Health (KY)
    …all with heart, each and every day. **Position Summary** This is a fully **remote** Utilization Review Clinical Consultant . **Must reside in the state of ... other internal and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to… more
    CVS Health (09/13/25)
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  • Utilization Management Nurse…

    CVS Health (VA)
    …And we do it all with heart, each and every day. **Position Summary** This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a ... Utilization Nurse Consultant , you will utilize clinical skills to...to coordinate, document and communicate all aspects of the utilization /benefit management program and our plan sponsor(s).… more
    CVS Health (09/26/25)
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  • Utilization Management Nurse…

    CVS Health (OH)
    …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 ET zones **Education**… more
    CVS Health (10/03/25)
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  • Utilization Management Nurse…

    CVS Health (AZ)
    …a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and ... 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 (10/01/25)
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  • Utilization Management Nurse…

    CVS Health (MI)
    …able to work Sunday through Thursday, 9:30am to 6:00pm CST/EST with holiday rotation; Utilization Management is a 24/7 operation and work schedule will include ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of… more
    CVS Health (09/26/25)
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  • Utilization Management Nurse…

    CVS Health (Workman, MN)
    …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... role, you'll be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to...a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… more
    CVS Health (10/04/25)
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  • Utilization Management Nurse…

    CVS Health (OH)
    …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... each and every day. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including every Weekend**… more
    CVS Health (09/20/25)
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  • Utilization Management Nurse…

    CVS Health (OH)
    …solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position ... projects. Acting as the first point of contact for clinical issues, the Team Lead provides guidance and support...in medical healthcare. + 3+ years Medical Review or Utilization Management experience. + 2+ years of… more
    CVS Health (09/24/25)
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  • Clinical Research Operational…

    Vitalief (New Brunswick, NJ)
    …and achieve sustainable growth. The Role We are seeking a highly experienced Clinical Research Operational Management Consultant to lead a short-term ... and accelerate breakthroughs that improve patient care. We bring deep clinical research expertise together with practical, results-driven consulting to help… more
    Vitalief (08/17/25)
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