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Benefit utilization Remote Jobs

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16 fresh jobs found
Prior Authorization Clinician RN
Work At Home-Oklahoma, United States CVS Health logo CVS Health
Precertification Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +18
Mid Full Time
USD 52K+
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Utilization Management Nurse Consultant
Work At Home-Michigan, United States CVS Health logo CVS Health
CM/UM certification IT platforms Med/surg Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +20
Entry Mid Full Time
USD 58K+
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Utilization Management Nurse Consultant
Work At Home-Kansas, United States CVS Health logo CVS Health
CM/UM certification IT platforms Med/surg Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +20
Entry Mid Full Time
USD 52K+
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Utilization Management Nurse Consultant
Work At Home-Illinois, United States CVS Health logo CVS Health
Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication Medical necessity +25
Mid Full Time
USD 64K+
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Utilization Management Clinical Consultant - Remote Kentucky
Work At Home-Kentucky, United States CVS Health logo CVS Health
Healthcare services coordination Triage support Crisis support Clinical Practice Guidelines Navigating multiple systems Keyboarding Benefit management Benefit utilization Evidence-Based Care +24
Mid Full Time
USD 52K+
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Utilization Management Nurse Consultant
Work At Home-New York, United States CVS Health logo CVS Health
Healthcare services coordination Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication +25
Mid Full Time
USD 64K+
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Utilization Management Nurse Consultant
Work At Home-Florida, United States CVS Health logo CVS Health
Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +21
Mid Full Time
USD 52K+
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Utilization Management Clinician Behavioral Health
Work At Home-Pennsylvania, United States CVS Health logo CVS Health
Navigating systems Clinical Practice Guidelines Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Mental health services Evidence-Based Care +23
Mid Full Time
USD 60K+
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Utilization Management Nurse Consultant
Work At Home-North Carolina, United States CVS Health logo CVS Health
Multi-systems navigation Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Electronic Medical Records +24
Mid Full Time
USD 52K+
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Utilization Management Nurse Consultant
Work At Home-Nevada, United States CVS Health logo CVS Health
Clinical call center Clinical Judgement Concurrent review Long Term Care Benefit management Benefit utilization Clinical Criteria Home Health Disease Management +19
Mid Full Time
USD 58K+
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Utilization Management Nurse Consultant
Work At Home-Pennsylvania, United States CVS Health logo CVS Health
Keyboarding Coverage determination Healthcare Coordination Benefit utilization Benefit management Computer Systems Clinical Criteria Telephonic Communication RN licensure +25
Mid Full Time
USD 58K+
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Utilization Management Nurse Consultant
Work At Home-Ohio, United States CVS Health logo CVS Health
Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +30
Mid Full Time
USD 52K+
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Utilization Manager Nurse Consultant
Work At Home-Texas, United States CVS Health logo CVS Health
Inpatient utilization Med/surg Coverage determination Benefit utilization Benefit management Clinical Criteria RN licensure Medical necessity Discharge planning +22
Mid Full Time
USD 58K+
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Utilization Management Nurse Consultant
Work At Home-Texas, United States CVS Health logo CVS Health
Medical Necessity Review Coverage determination Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Acute care Discharge planning +30
Mid Full Time
USD 58K+
Preview Apply
Utilization Management Nurse Consultant
Work At Home-Arizona, United States CVS Health logo CVS Health
Medical Necessity Review Coverage determination Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Acute care Discharge planning +30
Mid Full Time
USD 52K+
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Utilization Management Nurse Consultant
Work At Home-Washington CVS Health logo CVS Health
Med/surg Coverage determination Long Term Care Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Telemetry +30
Senior Mid Full Time
USD 64K+
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