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12 fresh jobs found

Utilization Management Nurse Consultant
Work At Home-Ohio CVS Health logo CVS Health
Benefit utilization Benefit management Coverage determination Clinical Criteria RN licensure Medical necessity Utilization Review Healthcare services Discharge planning +21
Mid Full Time
USD 52K+
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Case Manager RN
Work At Home-Pennsylvania CVS Health logo CVS Health
Telephonic assessment Holistic approach Clinical resources Clinical Tools RN licensure Data Review Policies and procedures Member engagement Care Planning +15
Mid Full Time
USD 60K+
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Appeals Nurse Consultant (Remote)
Work At Home-Texas CVS Health logo CVS Health
Clinical appeals Navigating multiple systems Clinical Criteria RN licensure Utilization Review Clinical Experience RN Managed Care Multitasking +8
Mid Full Time
USD 60K+
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Case Manager RN (Remote)
Work At Home-Pennsylvania CVS Health logo CVS Health
Holistic assessment Home health care coordination Navigating multiple systems Keyboarding Clinical resources Holistic approach Clinical Tools RN licensure Data Review +34
Mid Full Time
USD 60K+
Preview Apply
Case Manager RN
Work At Home-Arizona CVS Health logo CVS Health
Telephonic Communication Acute care Clinical Tools RN licensure Data Review Member engagement Policies and procedures Discharge planning Clinical Judgment +18
Mid Full Time
USD 54K+
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Case Manager RN- Oncology
Work At Home-Ohio CVS Health logo CVS Health
Bilingual (Spanish and English) Telephonic assessment Holistic approach Clinical resources Clinical Tools RN licensure Data Review Member engagement Policies and procedures +15
Mid Full Time
USD 54K+
Preview Apply
Case Manager RN
Work At Home-Oregon CVS Health logo CVS Health
Telephonic Communication Acute care Clinical Tools RN licensure Data Review Policies and procedures Member engagement Discharge planning Clinical Judgment +15
Mid Full Time
USD 54K+
Preview Apply
Utilization Review Nurse
Remote Oscar logo Oscar
Level of care reviews Medical necessity reviews Evidence-Based Guidelines Acute care RN licensure Clinical Review Clinical Guidelines Utilization Review Clinical Practice +10
Mid Full Time
USD 70K+
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Case Manager RN (Remote)
Work At Home-Kansas CVS Health logo CVS Health
Holistic assessment Home health care coordination Holistic approach Clinical resources Clinical Tools RN licensure Data Review Policies and procedures Care Planning +17
Mid Full Time
USD 54K+
Preview Apply
UM Nurse Consultant - Prior Authorization
Work At Home-Ohio CVS Health logo CVS Health
Benefit utilization Benefit management Coverage determination Navigating multiple systems Keyboarding Clinical Criteria RN licensure Medical necessity Healthcare services +20
Mid Full Time
USD 52K+
Preview Apply
UM Nurse Consultant (Remote)
Work At Home-Pennsylvania CVS Health logo CVS Health
Navigating systems Keyboard Proficiency Benefit utilization Benefit management Coverage determination Navigating multiple systems Keyboarding Clinical Criteria RN licensure +13
Mid Full Time
USD 58K+
Preview Apply
Care Manager RN (Remote)
Work At Home-Georgia CVS Health logo CVS Health
Home healthcare Navigating multiple systems Healthcare Coordination Keyboarding Clinical resources Holistic approach Clinical Tools RN licensure Data Review +29
Mid Full Time
USD 54K+
Preview Apply
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