-
CVS Health
-
Phoenix, Arizona
...
administration of the utilization/benefit management function. Gathers clinical information and applies the ... Clinical Consultant utilizes clinical skills to coordinate, document and communicate all aspects of the
...
-
CVS Health
-
Frankfort, Kentucky
...
the utilization/benefit management function.
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program
...
-
CVS Health
-
Baton Rouge, Louisiana
...
clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management ... utilization/benefit management function.
Required Qualifications
...
-
CVS Health
-
Richmond, Virginia
...
in the coordination and administration of the utilization/benefit management function ... .
Utilizes clinical experience and skills in a collaborative process to plan, implement, coordinate, and
...
-
UPMC
-
Pittsburgh, Pennsylvania
...
the Vice President of Utilization Management (UM), in a dyad partnership with the UPMC VP, Clinical ... providing direction and innovative solutions for Utilization Management functions across UPMC Physician
...
-
Crouse Hospital
-
Syracuse, New York
...
clinical practice. Utilization management experience as a member of a UM committee or past physician ...
Conducts clinical review on cases referred by case management staff and/or other health
...
-
Amazon
-
Hyderabad,
India
...
. Through an advocacy approach, the DLS Clinical Consultant facilitates and partners with case management ... and Leave Service (DLS) organization. The “DLS Clinical Consultant”, serves as a clinical resource
...
-
Amazon
-
Hyderabad,
India
...
. Through an advocacy approach, the DLS Clinical Consultant facilitates and partners with case management ... and Leave Service (DLS) organization. The “DLS Clinical Consultant”, serves as a clinical resource
...
-
CVS Health
-
Columbus, Ohio
...
.
Position Summary:
This Utilization Management (UM) Nurse Consultant role is 100% remote and the ... Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all
...
-
CommonSpirit Health
-
Phoenix, Arizona
...
position.
As the Utilization Management Physician Advisor (PA), the PA conducts clinical case ... telephonic/electronic contacts with case and utilization management to discuss clinical aspects of hospital
...
-
UnitedHealth Group
-
Nashville, Tennessee
...
deployment of appropriate use guidelines and protocols, utilization management strategies, clinical products / services and formulary management strategies. The Associated Director of Clinical Consulting is expected to
...
-
CVS Health
-
Harrisburg, Pennsylvania
...
.
As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate ... .
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any
...
-
Elevance Health
-
Beaverton, Oregon
...
, where the successful hire will primarily be responsible for utilization management reviews for the state ... outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical
...
-
Elevance Health
-
Salem, Oregon
...
, where the successful hire will primarily be responsible for utilization management reviews for the state ... outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical
...
-
CVS Health
-
Raleigh, North Carolina
...
.
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any ... Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all
...
-
UnitedHealth Group
-
Kansas City, Kansas
...
Clinical Consultant Pharmacist serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products and the Senior Clinical Consultant’s assigned Health Plans client
...
-
UnitedHealth Group
-
Schaumburg, Illinois
...
deployment of appropriate use guidelines and protocols, utilization management strategies, clinical products / services and formulary management strategies. The Associated Director of Clinical Consulting is expected to
...
-
Kaiser Permanente
-
Santa Rosa, California
...
of the quality management/utilization management department activities. Acts as a consultant for ...
Job Summary:
Coordinates quality, utilization and risk management activities for
...
-
University Hospitals Health System
-
Shaker Heights, Ohio
...
pharmacy services; contribute to clinical guidelines for specified disease states; serve as a consultant to ... member self-referrals for medication related concerns.
Presenting in Clinical Case Management review with
...
-
CommonSpirit Health
-
Englewood, Colorado
...
per week, or five 8-hour shifts per week.**
As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case management staff and/or other health care
...
-
CVS Health
-
Annapolis, Maryland
...
.
As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate ... .
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any
...
-
Houston Methodist
-
Houston, Texas
...
regulations, DNV requirements, and guidelines on case management, utilization review, and clinical ... knowledge of utilization management, clinical documentation, and state and federal healthcare regulations
...
-
UnitedHealth Group
-
South Burlington, Vermont
...
clinical program goals, implementation and ongoing management of utilization management programs ... Consultant serves as the primary liaison between OptumRx clinical operations, professional practice, clinical
...
-
CommonSpirit Health
-
Houston, Texas
...
, clinical service utilization and support for revenue management activities.
Qualifications ... licensed in other states will be considered for future openings.
As the Utilization Management
...
-
Advocates
-
Randolph, Massachusetts
...
community that values the ideas and contributions from our staff.
The Behavioral Consultant is ... Department of Developmental Services (DDS). The Behavioral Consultant will provide direction and supervision
...
-
Kaiser Permanente
-
Portland, Oregon
...
regulatory requirements for ICF/Medicare Part B criteria and utilization management. Review of ICF records ... management, discharge planning or utilization management.
Education
...
-
Kaiser Permanente
-
Portland, Oregon
...
regulatory requirements for ICF/Medicare Part B criteria and utilization management. Review of ICF records ... management, discharge planning or utilization management.
Education
...
-
Infosys Limited
-
Atlanta, Georgia
...
with analysis and improvement programs for utilization management, care management, risk adjustment ... Senior Consultant- Healthcare
Infosys Consulting is seeking talented and highly motivated
...
-
Elevance Health
-
Tampa, Florida
...
typically has program management responsibilities including clinical policy development, program development ... :**
Utilization Management experience is a plus.
Ability to meet necessary internet speed requirements and
...
-
Elevance Health
-
Richmond, Virginia
...
typically has program management responsibilities including clinical policy development, program development ... :**
Utilization Management experience is a plus.
Ability to meet necessary internet speed requirements and
...
