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CVS Health
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Austin, Texas
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, planning, implementing, and coordinating all case management activities with members to evaluate the ... current case management and eligibility. Assessments include the member’s level of work capacity and
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CVS Health
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Austin, Texas
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applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... /utilization management experience preferred. Case Management and discharge planning experience preferred
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CVS Health
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Austin, Texas
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outpatient clinic and/or facility
Minimum 1 year of Case management experience
Preferred ... programs are comprised of utilization management, quality management, network management and clinical
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CVS Health
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Austin, Texas
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outpatient clinic and/or facility
Minimum 1 year of Case management experience
Preferred ... programs are comprised of utilization management, quality management, network management and clinical
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CVS Health
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Austin, Texas
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state medical license without encumbrances.**In the Medical Director role you will provide oversight for ... clinical/medical programs and expand Aetna's medical management programs to address member needs across the
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CVS Health
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Austin, Texas
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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Br
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CVS Health
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Austin, Texas
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Assist front store operations when needed Inventory Management
Maintain in-stock by ensuring all inventory management policies and procedures are followed
Utilize appropriate report(s) to maintain
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CVS Health
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Austin, Texas
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case management activities with members to evaluate the medical needs of the member to facilitate the ... claims to address potential impact on current case management and eligibility.- Assessments include the
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CVS Health
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Austin, Texas
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Director will provide clinical, coding, and reimbursement expertise as well as directing case management ... .
In the Medical Director role you will provide oversight for medical policy implementation
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CVS Health
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Austin, Texas
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, implementing, and coordinating all case management activities with members to evaluate the medical needs of the ... address potential impact on current case management and eligibility.
Assessments include the
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CVS Health
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Austin, Texas
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utilization management (UM) criteria, decision trees, drug lists, and letters that are loaded and functioning ... , code testing and test case writing.
Additional responsibilities: include ensuring the
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CVS Health
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Austin, Texas
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home) role.**
In this role has Medical Director (Behavioral Health) you will:
Provide comprehensive behavioral health care management to facilitate delivery of appropriate quality care
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CVS Health
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Austin, Texas
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themselves. They are responsible for assessing, planning, implementing, and coordinating all case management ... , presents cases at interdisciplinary case conferences• Utilizes case management processes in compliance with
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CVS Health
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Austin, Texas
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management• Leadership and participation in case management programs for mental health and substance use ... .
Position Summary
The Behavioral Health Medical Director is a key position on Aetna Better Health of
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CVS Health
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Austin, Texas
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role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is ... case management activities with members to evaluate the medical needs of the member to facilitate the
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CVS Health
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Austin, Texas
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themselves. They are responsible for assessing, planning, implementing, and coordinating all case management ... , presents cases at interdisciplinary case conferences• Utilizes case management processes in compliance with
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CVS Health
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Austin, Texas
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themselves. They are responsible for assessing, planning, implementing, and coordinating all case management ... , presents cases at interdisciplinary case conferences• Utilizes case management processes in compliance with
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CVS Health
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Austin, Texas
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role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is ... case management activities with members to evaluate the medical needs of the member to facilitate the
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CVS Health
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Austin, Texas
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Senior Manager, Care Management develops, implements, supports, and promotes health services strategies ... Texas members. The Sr. Manager is responsible for oversight and management of Aetna Better Health Texas
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CVS Health
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Austin, Texas
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following agreed-upon approval & denial management processes.
Performs and handles inbound and ... Authorization and Case Review Unit (CRU) line of business.
Performs other related projects and duties
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CVS Health
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Austin, Texas
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Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan
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CVS Health
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Austin, Texas
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responsible for telephonically assessing, planning, implementing, and coordinating all case management ... of recent case management experience in one of the following settings required - health plan, hospice
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CVS Health
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Austin, Texas
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Account Management, Sales, Operations, and appropriate corporate functions to meet overall site goals and ... staff including the Director of Nursing, Medical Director, and Administrator when new programs are
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CVS Health
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Austin, Texas
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management, and reporting. • Review criteria-based prior authorizations following policy and procedure
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CVS Health
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Austin, Texas
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CD&A, CTM/GRV Operations (7 days/week).
Case Assignment, Some Training/BSR/CMS/System
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CVS Health
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Austin, Texas
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Clinical Pharmacists and Management team as needed
Reading, analyzing, and interpreting general
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CVS Health
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Austin, Texas
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, implementing, and coordinating all case management activities with members to evaluate the medical needs of the ... address potential impact on current case management and eligibility.
Assessments include the
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CVS Health
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Austin, Texas
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interdisciplinary case conferences.
Utilizes case management processes in compliance with regulatory and ... licensure
3+ years of clinical experience
2+ years of Case Management, Discharge Planning
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CVS Health
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Austin, Texas
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following agreed-upon approval & denial management processes.
Performs and handles inbound and ... Authorization and Case Review Unit (CRU) line of business.
Performs other related projects and duties
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CVS Health
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Austin, Texas
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, implementing and coordinating all case management activities with members to evaluate the medical needs of the ... healthcare decision-making
Monitoring, Evaluation and Documentation of Care: Utilizes case management
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