Appeals Nurse Consultant - Columbus

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more conveni ...

We're seeking an Appeals Nurse Consultant to join our team. You'll play a critical role in ensuring fair and accurate resolution of clinical appeals by applying sound clinical judgment and regulatory knowledge. · ...

CVS Health is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will be responsible for processing the medical necessity of Medicare appeals for participating providers. · This is a full-time telework position with standard hours of Monday–Fr ...

We re building a world of health around every individual — shaping a more connected convenient and compassionate health experience. · Responsible for the review and resolution of clinical appeals. · Reviews documentation and interprets data obtained from clinical records to apply ...

Clinical Nurse Consultant-RN for a 1099 contract to support an interim project in the post-acute care space. · ...

The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases.This position will monitor & evaluate implementation of Get Vaccinated subgrants including review of local grant applicat ...

Utilization Management Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. · ...

The Bureau of Infectious Diseases seeks an Immunization Nurse Consultant to serve as statewide expert on immunizations & vaccine-preventable diseases. · This position will monitor & evaluate implementation of Get Vaccinated subgrants including review of local grant applications. ...

The State of Ohio is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. · ...

Join a team that's making a difference in the lives of patients facing complex medical journeys. · As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, · ...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming healthcare. · We do it all with heart, each and every day. · ...

+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. · +Drives effective utilization management practices by ensuring appropriate and cost-effective allocation ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safet ...

Join a team that's making a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a vital role in ensuring members receive timely, medically necessary care through thought ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utiliza ...

We are building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize saf ...

The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. · Write & assure accomplishment of CDC grant objectives related to immunization education interventions. · Participate i ...

We're building a world of health around every individual shaping a more connected convenient and compassionate health experience. · At CVS Health you'll be surrounded by passionate colleagues who care deeply innovate with purpose hold ourselves accountable and prioritize safety a ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Join us and be part of something bigger – helping to simplify healthcare one person, one family and one community at a time. · ...

+Job summary · We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health, you'll be surrounded by passionate colleagues who care deeply. · Join us and be part of something bigger – helping to ...