Utilization Management Nurse Consultant

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesUtilize clinical expertise to coordinate, document,...

At CVS Health, we're committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Utilization Management Nurse Consultant, you'll play a critical role in transforming our culture and accelerating our ability to innovate and deliver solutions that make healthcare more personal, convenient, and affordable.Job SummaryThis is a...

About the Role:CVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in coordinating, documenting, and communicating all aspects of the utilization/benefit management program.Key Responsibilities:Utilize clinical skills to coordinate, document, and...

Job SummaryCVS Health is seeking a skilled Clinical Nurse Consultant to join our team. As a key member of our Utilization Management department, you will play a critical role in coordinating, documenting, and communicating all aspects of our utilization/benefit management program.As a Clinical Nurse Consultant, you will utilize your clinical skills to apply...

Job Title: Utilization Management Nurse ConsultantCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key Responsibilities:Utilize clinical expertise to...

Job SummaryWe are seeking a highly skilled Clinical Utilization Manager to join our team at Capital BlueCross. As a key member of our Utilization Management department, you will play a critical role in ensuring that our members receive the most appropriate and effective care.ResponsibilitiesConduct thorough reviews of acute and post-acute inpatient and...

Job Summary:UPMC is seeking a skilled Clinical Utilization Manager to coordinate clinical and financial plans for patients. This is a full-time, day shift position with rotating weekend and holiday schedule.Main Responsibilities:• Reviews medical records daily to ensure patients continue to meet Level of Care (LOC) requirements and chart documentation...

Job SummaryCapital Blue Cross is seeking a highly skilled Utilization Management Clinician to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring that our members receive the necessary care and services to achieve optimal health outcomes.Key ResponsibilitiesConduct thorough clinical reviews of...

Job Title: S4HANA Funds Management ConsultantBaer is seeking an experienced S/4HANA Funds Management Consultant to join our team for a 6-month Federal project located in Harrisburg, PA.Job Summary:We are looking for a skilled professional with expertise in S/4HANA Funds Management to lead workshops, design and integrate master data, configure best practices,...

Job DescriptionVeolia North America is seeking a highly skilled Water Utility Program Manager to join our team. This role will be responsible for implementing and managing the Lead and Copper Rule (LCR) Program and the Cross Connection Control/Backflow Prevention Program in Pennsylvania and Delaware.The ideal candidate will have a strong background in...

Job Title: Public Health Physician ConsultantWe are seeking a highly skilled Public Health Physician Consultant to join our team at TulaRay. As a key member of our team, you will play a critical role in supporting our clients in the healthcare industry.Key Responsibilities:Provide expert consultation to medical providers in the design, implementation, and...

Job Summary:As a Lactation Consultant at UPMC, you will play a vital role in providing optimal breastfeeding management to our patients. This is a unique opportunity to make a meaningful difference in the lives of new mothers and their babies.Key Responsibilities:Conduct clinical lactation rounds to assess patients' status and develop individualized care...

Job Title: IT ConsultantJob Type: Full-timeLocation: Harrisburg, PAJob Description:At Marion Edward & Associates, Inc., we are seeking a highly skilled IT Consultant to join our team. As an IT Consultant, you will play a key role in defining and prioritizing business needs for technology solutions, reviewing and tracking gaps between business processes,...

Job Summary:As a Design Consultant Project Manager at JLL, you will be responsible for leading and delivering challenging projects. You will have a strong knowledge of construction projects from start to finish and will be able to push the business forward through innovative and industry-changing ideas. Your focus will be on the client experience, providing...

Job Title: Behavioral ConsultantCommunity Services Group, Inc. is seeking a highly skilled Behavioral Consultant to join our team. As a Behavioral Consultant, you will play a critical role in designing and implementing behavioral intervention plans for children and adolescents.Job Summary:The Behavioral Consultant will provide clinical direction of services...

Please note this is a Day/Evening position.Main 5 is a 29-bed acute care medical unit dedicated to delivering high-quality, compassionate care to a diverse adult and geriatric patient population. Most patients are admitted to Main 5 via the Emergency Department with medical conditions related to the endocrine, integumentary, gastrointestinal, renal,...

Investment Consultant Job OverviewThe Investment Consultant position necessitates candidates to possess a valid FINRA Series 7 and 66 (or 63/65) certification. The primary duties of the Investment Consultant encompass delivering financial planning, advisory, and investment management services to clients. This includes evaluating client portfolios,...

Job Title: Advanced Surgical ConsultantWe are seeking an experienced Advanced Surgical Consultant to join our team at Abiomed, a member of the Johnson & Johnson Family of Companies. As a key member of our commercial team, you will be responsible for driving growth across the US by training, educating, and supporting combined CT/Heart Failure programs on the...

Job DescriptionTulaRay is seeking a highly skilled Clinical Consultant to join our team. As a Clinical Consultant, you will share subject matter expertise in the manner requested, be responsible for tailoring information and presentation of information to a variety of audiences, and assist with a wide range of activities to overall benefit the children's...

Job OpportunityTEAMCare Behavioral Health LLC is seeking a skilled Behavioral Consultant/Mobile Therapist to join our team in Dauphin County. As a Behavioral Consultant/Mobile Therapist, you will play a critical role in connecting individuals with mental health services and making a positive impact in the lives of those in our community.Key...