Utilization Review Clinician – BH

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace...

Transition of Care Associate

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our...

Case Manager, Licensed Practical Nurse

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our...

Nurse Utilization Management Reviewer

013650 CCA-Auth & Utilization Mgmt Position Summary: Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and...

Nurse Abstractor

Job Description​ Cardiology RN Abstractor, Remote*This is a remote position with a requirement to live in the Kansas City metro. The Work:Review scanned medical records. Identify risk factors. Keep new patient information updated for future visits. Pull in outside...