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Nova Financial Partners
Columbus, OH, United States
This role is remote, great for the stay-at-home career seeker or those who would like to add another stream of income to their resume. No prior experience is required as we have an incredible training program through our company! Work Types We offer 2 types of work-effort 1. Full Time 2. Part Time *You do not have to quit your current job if you s
Job Source: Nova Financial PartnersWinterfell and Company
Amlin, OH, United States
Job Description Job Description Please note that we don't consider International Candidates. Ready to Dive into the World of Sales? Become a part of our vibrant team as a Sales Consultant on a 1099 contract basis. Whether you're a seasoned sales professional or just starting out, this exciting opportunity lets you make a significant impact whil
Job Source: Winterfell and CompanyExpert Seekers Training
Blacklick, OH, United States
Job Description Job Description Please note we don't hire International Candidates. Are you ready to embark on your next sales adventure? Join our team as a Telesales Consultant on a 1099 contract basis. Whether you're a seasoned professional or just stepping into the sales field, this opportunity allows you to shape your career while enjoying
Job Source: Expert Seekers TrainingThebusickagency
Columbus, OH, United States
The Busick Agency, an agency of Symmetry Financial Group, is looking for remote sales representatives to become a part of our team to run appointments for mortgage protection, life insurance, final expense, and other products. This is a commission-based sales position . The average commission is around $550 per sale and agents sell anywhere from
Job Source: Thebusickagencygpac
Columbus, OH, United States
Job Description Gpac (growing people and companies) is a family-owned executive search firm for 33 years. We are seeking career-driven individuals to train as Recruiters. We are headquartered in Sioux Falls, SD, and have 100% Remote Recruiter positions nationwide. Gpac has become one of the fastest-growing single-site Executive Search firms in the
Job Source: gpacVeeva Systems, Inc.
Columbus, OH, United States
Veeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients faster. As one of the fastest-growing SaaS companies in history, we surpassed $2B in revenue in our last fiscal year with extensive growth potential ahead. At the heart of Veeva are our values: Do the Right Thing
Job Source: Veeva Systems, Inc.Prime Therapeutics
Columbus, OH, United States
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Network Management Consultant (Remote) Job Description The Network Management Consultant is responsible for development, performance and management of P
Job Source: Prime TherapeuticsVeeva Systems, Inc.
Columbus, OH, United States
Professional Services – Services : CDB Svcs / Veeva Systems is a mission-driven organization and pioneer in industry cloud, helping life sciences companies bring therapies to patients faster. As one of the fastest-growing SaaS companies in history, we surpassed $2B in revenue in our last fiscal year with extensive growth potential ahead. At the hea
Job Source: Veeva Systems, Inc.Columbus, OH, United States
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
This position is within our Duals Program and is going to be auditing against the use of clinical criteria, policy procedures, and for compliance purposes.
Schedule is Monday - Friday 8:00am - 5:00pm.
Will have to maintain clinical review skills through he annual use of IRR. Will work with leadership for continual process improvement within Duals UM Program.
Required Qualifications
RN with current unrestricted “multi-state privilege” compact license.
3+ years of clinical experience required.
2+ years of Utilization Management experience required
2+ years’ experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.).
Preferred Qualifications
BSN degree preferred
Auditing experience
Managed care experience
Medicaid and/or Medicare experience
Systems experience: MedCompass and/or QNXT
Critical thinking skills
Previous experience working in a remote/virtual environment
Education
Associates Degree required
Bachelors preferred
Pay Range
The typical pay range for this role is:
$60,522.80 - $129,600.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 06/19/2024
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Email Alert for QM Nurse Consultant - Remote jobs in Columbus, OH, United States
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