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<h3>Details </h3><ul> <li> Department: Dialysis </li> <li> Schedule: Full time, Nightshift, 8 hour shifts</li> <li> Hospital: Ascension St. John</li> <li> Location: Tulsa, OK</li> </ul><h3>Benefits </h3>Paid time off (PTO) Various health insurance options &amp; wellness plans Retirement benefits including employer match plans Long-term &amp; short-term disability Employee assistance programs (EAP) Parental leave &amp; adoption assistance Tuition reimbursement Ways to give back to your communityBenefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.<h3>Responsibilities </h3>Provide direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization.<ul> <li>Implement and monitor patient care plans.</li> <li>Monitor, record and communicate patient condition as appropriate.</li> <li>Serve as a primary coordinator of all disciplines for well-coordinated patient care.</li> <li>Note and carry out physician and nursing orders.</li> <li>Assess and coordinate patient's discharge planning needs with members of the healthcare team.</li> </ul><h3>Requirements </h3>Licensure / Certification / Registration:<ul> <li>BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.</li> <li>Registered Nurse credentialed from the Oklahoma Board of Nursing required.</li> </ul>Education:<ul><li>Diploma from an accredited school/college of nursing OR professional licensure at time of hire required.</li></ul><h3>Why Join Our Team </h3>Ascension St. John has been serving Northeast Oklahoma with compassionate, personalized care since 1926. Join more than 7,000 associates and find a rewarding healthcare career at one of our 6 hospitals and numerous other sites of care. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve.Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.<h3>Equal Employment Opportunity Employer </h3>Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.For further information, view the <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf" target="_blank">EEO Know Your Rights (English)</a> poster or <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf" target="_blank">EEO Know Your Rights (Spanish)</a> poster.As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.<a href="https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf" target="_blank">Pay Non-Discrimination Notice</a>Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.<h3>E-Verify Statement </h3>This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. <a href="https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf" target="_blank">E-Verify</a>

Ascension

RN Registered Nurse - Dialysis

Axis HealthCare

Chronic Care Management Specialist

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Go to Hillcrest HealthCare System Careers</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/UticaPark" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

Utica Park Clinic

Start in 2025: Full-Time PA Cardiology at the Oklahoma Heart Institute (Tulsa, OK)

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.This is a full-time telework position.Hours for this role are Monday-Friday 8a-5p in time zone of residence.Position Summary Responsible for the review and resolution of clinical appeals. Reviews documentation and interprets data obtained from clinical records to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and provider issues. Independently coordinates the clinical resolution with internal/external clinician support as required. This position may support UM, MPO, Coding, or Behavioral Health appeals. Required Qualifications<ul> <li>Must have active and unrestricted RN licensure in state of residence</li> <li>3+ years clinical experience</li> </ul> Preferred Qualifications<ul> <li>Appeals Experience</li> <li>Managed Care Experience</li> <li>Utilization review experience</li> <li>Proficiency with computer skills including navigating multiple systems</li> <li>Exceptional communication skills.</li> <li>Time efficient, highly organized, and ability to multitask</li> </ul> Education<ul><li>Associate's Degree minimum</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,095.60 - $116,760.80This 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 <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 02/22/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Appeals Nurse Consultant (Remote)

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*Fully remote. Work anywhere in the U.S. *Schedule: Monday – Friday 10:30 AM - 7:00 PM Eastern Standard Time (some holiday and weekend coverage is required with this position) Care Planner position would work within the Commercial and IFP membership of the Behavioral Health Division of Aetna/CVS. Would work closely with Medical Directors, Clinicians and Customer Service to process higher level reviews. The Care Planner would be an integral part of managing our state policies, our NCQA accreditation, and helping our members get the help and documentation that they need.Additional responsibilities to include but limited to the following: - Provide service to clinical teams in support of optimal care. - Generates administrative and medical necessity denial letters, checking for accuracy and appropriateness. - Makes calls to providers and utilization reviewers to provide results of medical necessity determinations and provides specifics for next steps. - Schedules and coordinates appointments between providers or attending physicians and Aetna Medical Directors or Consultants. - Collects and provides necessary material for appointments. Calculates deadlines for appointments and monitor cases for timely return. - Complies with state mandated and Aetna regulations by monitoring documentation, checks for nuances before action taken and follows varying protocols by case or situation. Required Qualifications - 2 plus years experience in health insurance field or - 2 plus years Administrative/ Secretarial experience or - 2 plus years Customer service experience within health care or a mental health capacity - Ability to type 60-70 words per minute- Demonstrated knowledge and experience using Microsoft Office Suite, including: Outlook, Word, and ExcelPreferred Qualifications- Good organizational skills - Able to work independently and hits goals - Excellent communication EducationAssociates degree or equivalent experience Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$21.10 - $49.08This 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 <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 02/24/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Behavioral Health Care Planner

About Lumen Lumen connects the world. We are igniting business growth by connecting people, data and applications – quickly, securely, and effortlessly. Together, we are building a culture and company from the people up – committed to teamwork, trust and transparency. People power progress. We’re looking for top-tier talent and offer the flexibility you need to thrive and deliver lasting impact. Join us as we digitally connect the world and shape the future. <h2>The Role</h2> <ul> <li>This is a customer facing position</li> <li>The Customer Engagement Advocate I acts as the customer advocate throughout the lifecycle of the account to help develop account plans and revenue growth plans across the customer base </li> <li>As the customer concierge, the Customer Engagement Advocate recommends new products/ services while supporting all efforts to renew or rerate customers, answer customer questions, directs the customer to appropriate internal contacts and provides support during times of organizational transitions</li> </ul> <h2>The Main Responsibilities</h2> <ul> <li> Retention Focus for “Platinum” customer base within the assigned Region<ul><li>Develop and manage customer relationships to retain existing revenue inclusive of primary contract renewal responsibility within assigned “Gold” account base </li></ul> </li> <li>Work delegated cases from Sr Customer Engagement Advocate and Customer Engagement Advocate II, via cases in Salesforce</li> <li>Leverage Gainsight Calls to Action or CTAs to manage workload and tasks</li> <li>Maintain customer inventory for assigned module, including term expiration, keeping integrity with services sold.</li> <li>Portal On boarding/process training </li> <li>Provide Move Add and Change order support for these customers</li> </ul> <h2>What We Look For in a Candidate</h2> <ul> <li>Minimum 1 year experience in Sales and Systems for all Legacy Organizations</li> <li>Knowledge of billing systems</li> <li>Opening billing tickets in Fusion</li> <li>Pulling invoices from various systems </li> <li>Proficiency in Microsoft Outlook, Word, Excel and PowerPoint</li> <li>Positive Attitude</li> <li>Customer facing attitude</li> <li>Receptive and open to change</li> <li>Accountability and ownership</li> <li>Collaboration with cross functional teams</li> <li>Proactive communication</li> <li>Sense of urgency</li> <li>Strong organizational skills</li> <li>Ability to prioritize and work in a fast-paced environment</li> </ul> <h2>Compensation</h2> This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Individual pay is based on skills, experience and other relevant factors. Location Based Pay Ranges: $37,212.00 - $49,613.00 in these states: AL, AR, AZ, FL, GA, IA, ID, IN, KS, KY, LA, ME, MO, MS, MT, ND, NE, NM, OH, OK, PA, SC, SD, TN, UT, VT, WI, WV, and WY. $39,081.00 - $52,101.00 in these states: CO, HI, MI, MN, NC, NH, NV, OR, and RI. $40,940.00 - $54,579.00 in these states: AK, CA, CT, DC, DE, IL, MA, MD, NJ, NY, TX, VA, and WA. Lumen offers a comprehensive package featuring a broad range of Health, Life, Voluntary Lifestyle benefits and other perks that enhance your physical, mental, emotional and financial wellbeing. We're able to answer any additional questions you may have about our bonus structure (short-term incentives, long-term incentives and/or sales compensation) as you move through the selection process. Learn more about Lumen's: <ul> <li><a href="https://jobs.lumen.com/global/en/benefits-statement" target="_blank">Benefits</a></li> <li><a href="https://jobs.lumen.com/global/en/compensation-information" target="_blank">Bonus Structure</a></li> </ul> <h2>What to Expect Next</h2> Based on your job application information you may be given the opportunity to complete a video interview immediately after applying. This will include a set of questions for you to record a response to in addition to Game Challenges. Completion of this video interview is a requirement in order to be considered for our open position. Now not a good time? No worries, we will also send you an email with a link to complete the video interview. We strongly recommend that you complete this within 5 days of your application date. Requisition #: 337068 Background Screening If you are selected for a position, there will be a background screen, which may include checks for criminal records and/or motor vehicle reports and/or drug screening, depending on the position requirements. For more information on these checks, please refer to the Post Offer section of our <a href="https://jobs.lumen.com/global/en/faq" target="_blank">FAQ page</a>. Job-related concerns identified during the background screening may disqualify you from the new position or your current role. Background results will be evaluated on a case-by-case basis. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Equal Employment Opportunities We are committed to providing equal employment opportunities to all persons regardless of race, color, ancestry, citizenship, national origin, religion, veteran status, disability, genetic characteristic or information, age, gender, sexual orientation, gender identity, gender expression, marital status, family status, pregnancy, or other legally protected status (collectively, “protected statuses”). We do not tolerate unlawful discrimination in any employment decisions, including recruiting, hiring, compensation, promotion, benefits, discipline, termination, job assignments or training. Disclaimer The job responsibilities described above indicate the general nature and level of work performed by employees within this classification. It is not intended to include a comprehensive inventory of all duties and responsibilities for this job. Job duties and responsibilities are subject to change based on evolving business needs and conditions. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Please be advised that Lumen does not require any form of payment from job applicants during the recruitment process. All legitimate job openings will be posted on our official website or communicated through official company email addresses. If you encounter any job offers that request payment in exchange for employment at Lumen, they are not for employment with us, but may relate to another company with a similar name. Application Deadline 02/26/2025

CenturyLink

Customer Engagement Advocate I

Schnake Turnbo Frank

Chief Operating Officer - GRAND Mental Health

<h3> Position Summary </h3> M365 &amp; InTune Administrator - Senior Job Summary: We are seeking a skilled Endpoint Administrator Associate to join our IT team. The ideal candidate will be responsible for deploying, configuring, and managing endpoint devices and client applications in an enterprise environment. This role requires a strong understanding of Microsoft 365 workloads, Windows 10/11, and other endpoint management tools. Recruiting for this role ends on May 31, 2025 Key Responsibilities: <ul> <li>Deploy, configure, and manage endpoint devices and client applications.</li> <li>Implement and manage security policies for endpoint devices.</li> <li>Monitor and troubleshoot endpoint-related issues.</li> <li>Collaborate with other IT teams to ensure seamless integration of endpoint devices with network and server infrastructure.</li> <li>Provide technical support and training to technology staff and end-users.</li> <li>Ensure compliance with FedRAMP and other relevant U.S. government regulations and requirements.</li> <li>Manage O365 instance, including update channels, Copilot and feature/quality updates.</li> </ul> Required Qualifications: <ul> <li>Minimum 5+ years proven experience in Windows Systems including endpoint management and administration or 3 years with an advanced degree</li> <li>1+ year of recent experience with Intune device management, policy enforcement and controls.</li> <li>1+ year working with scripting languages such as Powershell, Bash, Shell, etc (Powershell highly preferred)</li> <li>Demonstrated strong knowledge of Microsoft 365 workloads, Windows 10/11, and endpoint management tools.</li> <li>Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.</li> <li>Ability to travel 5-10%, on average, based on the work you do and the clients and industries/sectors you serve.</li> <li>Bachelor’s degree in computer science or related field and/or relevant professional experience</li> </ul> Preferred Skills: <ul> <li>Advanced education degrees are desirable.</li> <li>Proven knowledge of standing up Microsoft Cloud PC - Windows 365.</li> <li>Relevant Microsoft certifications such as:</li> <ul> <li>Microsoft Certified: Endpoint Administrator Associate certification</li> <li>Microsoft 365 Certified: Administrator Expert</li> <li>Microsoft Certified: Identity and Access Administrator Associate</li> <li>Microsoft Certified: Information Protection and Compliance Administrator Associate</li> <li>Microsoft Certified: Security Operations Analyst Associate.</li> </ul> <li>Proficiency with Microsoft Intune and Configuration Manager (SCCM).</li> <li>Proficiency with scripting languages, preferably PowerShell.</li> <li>Understanding of encryption, data protection, and secure access methodologies.</li> <li>Experience with configuring and managing security tools and policies in Microsoft 365 and Group Policy for Domain environments.</li> <li>Experience with VPNs, firewalls, secure network access, along with secure access policies.</li> <li>Experience with managing Exchange Online, Microsoft Teams, SharePoint Online, and OneDrive for Business.</li> <li>Knowledge of the specific compliance and security requirements for government cloud environments.</li> </ul> The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $69,400 to $127,900. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. Information for applicants with a need for accommodation: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> #EA_ExpHire #LH-1 Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our diverse, equitable, and inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/deloitte-inclusion.html" target="_blank">Learn more about our inclusive culture.</a> Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Deloitte

M365 & Intune Policy Administrator - Senior

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 Utilization Management is a 24/7 operation and work schedules may include weekends, holidays, and evening hours As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. <ul> <li>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.</li> <li>Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care</li> <li>Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs</li> <li>Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization</li> <li>Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.</li> <li>Typical office working environment with productivity and quality expectations.</li> <li>Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.</li> <li>Sedentary work involving periods of sitting, talking, listening.</li> <li>Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.</li> <li>Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.</li> <li>Effective communication skills, both verbal and written</li> </ul> Required Qualifications <ul> <li>3+ years of experience as a Registered Nurse</li> <li>Must have active current and unrestricted RN licensure in state of residence</li> <li>1+ years of clinical experience in acute or post-acute setting</li> <li>Utilization management is a 24/7 operation. Work schedules will include a minimum of 6 weekend rotations per year, as well as holidays and evening rotations.</li> <li>Must be willing and able to work Mon-Fri 8:30am-5pm or 10:30 am - 7pm in time zone of work being supported.</li> </ul> Preferred Qualifications <ul> <li>3+ years of clinical experience required</li> <li>Managed Care experience preferred</li> </ul> Education Associates Degree required BSN preferred Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$26.01 - $56.14This 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 <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 02/22/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Utilization Management Nurse Consultant

<h2>DESCRIPTION</h2> We are seeking an Analytics Manager Position (Individual contributor role) for Clinical Effectiveness who will own the development and execution of the roadmap for analytics and reporting capabilities to support the improvement of health outcomes and enterprise onsite offerings. Partnering closely with the Quality Improvement and Onsite teams within the Department of Clinical Effectiveness, this individual will report to the Senior Leadership in Clinical Effectiveness. This role will help demonstrate One Medical’s value proposition, including quality, utilization, efficient and effective care management, to our strategic partners. The successful candidate will work closely with Data Science, Data Engineering and Product teams to curate proof points and meet partner expectations. In addition, this individual will serve as the resident expert on clinical data across the organization. The ideal candidate is a big picture thinker, self-starter, and analytical thought partner with a keen attention to detail. Through a natural curiosity for data exploration and a passion for innovation, you thrive in a fast paced and continuously evolving environment and have a bias towards action. You thrive on collaboration with team members within your department as well as with cross functional stakeholders. You are an excellent communicator, with the ability to distill complex and disparate information to various audiences, helping inform strategic decisions. The successful candidate will be able to translate business needs and strategies into analytics solutions. Key job responsibilities Use data to provide business insights (e.g. patient utilization, disease prevalence, etc) and inform strategic programmatic directions Understand objectives of clinical operations and population health; contribute to improvement efforts and collaborate with project teams to plan and execute evaluations Provide data expertise and engage in the development of One Medical’s data strategy that meets both technical and business needs Work with One Medical's Product team to develop product features and data pipelines that support stakeholder needs Represent Clinical Effectiveness and liaise across data teams to own conversations that might impact our ability to demonstrate One Medical's value proposition to its partners About the team Mainly work with HSPs partners on reviewing effectiveness. Different programs: Impact (diabetes) Mindset, Women's Health. Operate as a think tank for programs. And this person supports all of these program needs. Working to merge between AHS and 1Life systems. <h2>BASIC QUALIFICATIONS</h2> At least 4 years’ experience in data analytics with an emphasis on data visualization Minimum of 1 year experience working with stakeholders in a consultative role Expertise in SQL, Tableau, and Excel Experience manipulating and analyzing data sets to draw insights, specifically in healthcare A systems thinker with experience in applying performance improvement methodologies to make process more lean and efficient <h2>PREFERRED QUALIFICATIONS</h2> MBA/MHA Experience with Python or R a plus Experience with electronic health record (EHR) data highly desirable Experience working with Quality and Patient Safety data Amazon is committed to a diverse and inclusive workplace. Amazon is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company’s reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit <a href="https://amazon.jobs/content/en/how-we-hire/accommodations" target="_blank">https://amazon.jobs/content/en/how-we-hire/accommodations</a> for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner. Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $104,100/year in our lowest geographic market up to $185,000/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit <a href="https://www.aboutamazon.com/workplace/employee-benefits" target="_blank">https://www.aboutamazon.com/workplace/employee-benefits</a>. This position will remain posted until filled. Applicants should apply via our internal or external career site.

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