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1 - 10 of 14 matches in 0.007 seconds
Utilization Management Nurse Consultant (JC149007628)
Last Updated: 2019-10-14
Employer: Aetna
Location: Wilmington, DE

Req ID: 64418BR

Job Description

Telework Opportunity: Sat, Sun and 2 days per week; Four 10 hour shifts

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.

Fundamental Components included but are not limited to:

Utilizes clinical…

Coding Appeals Nurse Associate - LPN/LVN (JC149234422)
Last Updated: 2019-10-14
Employer: Aetna
Location: Wilmington, DE

Req ID: 64981BR

Job Description

Responsible for the review and resolution of clinical complaints and appeals. 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…

Clinical Learning Leader (JC149431765)
Last Updated: 2019-10-14
Employer: Aetna
Location: Wilmington, DE

Req ID: 65207BR

Job Description

This is a unique opportunity for a clinical educator to craft meaningful clinical professional development for Aetna clinicians within their work setting. This position will lead a team to develop an effective Clinical Education Program that addresses the needs of individual clinicians and the populations…

Consultant (SQL & Data Analysis experience) (JC149007552)
Last Updated: 2019-10-14
Employer: Aetna
Location: Newark, DE

Req ID: 64729BR

Job Description

Proactively defines, identifies, develops and implements information products to support business strategic and operational planning. Assists in the development of and participates in the presentation to existing and prospective customers and internal business areas.

Fundamental Components included but are not limited to:

+ With direction…

Utilization Management Nurse Consultant (JC149007570)
Last Updated: 2019-10-14
Employer: Aetna
Location: Newark, DE

Req ID: 64418BR

Job Description

Telework Opportunity: Sat, Sun and 2 days per week; Four 10 hour shifts

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.

Fundamental Components included but are not limited to:

Utilizes clinical…

Manager, Plan Sponsor Support (JC149043543)
Last Updated: 2019-10-14
Employer: Aetna
Location: Newark, DE

Req ID: 64617BR

Job Description

Responsible for the oversight of unit administering the implementation, preparation, processing, and maintenance of enrollment, billing, and other benefit plan information of both new and current members.

Fundamental Components included but are not limited to:

+ Manages cross-functional team of professionals overseeing business processes associated…

Workers Compensation RN Field Case Manager Spanish (JC148974515)
Last Updated: 2019-10-14
Employer: Aetna
Location: Newark, DE

Req ID: 64919BR

Job Description

JOIN OUR GROWING TEAM

Are you tired of bedside nursing?

Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community?

We are seeking self-motivated, energetic, detail oriented, highly…

Utilization Management Nurse Consultant (JC149043537)
Last Updated: 2019-10-14
Employer: Aetna
Location: Wilmington, DE

Req ID: 64721BR

Job Description

This exciting role is WAH for anyone in EST, or in CST that is willing to work EST hours!

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active license.

Fundamental Components included…

Senior SAS / Informatics Programmer (JC149303104)
Last Updated: 2019-10-14
Employer: Aetna
Location: Newark, DE

Req ID: 65027BR

Job Description

The Senior SAS Programmer is responsible for the successful delivery of analyses and analytic solutions to meet business needs, interacting directly with internal and external clients and colleagues. Acts as the analytic team lead for complex projects involving multiple resources and tasks, providing individual mentoring…
Workers Compensation RN Field Case Manager Spanish (PDN1633059509)
Last Updated: 2019-10-14
Employer: Aetna
Location: Newark, DE

Description: JOIN OUR GROWING TEAM
Are you tired of bedside nursing?
Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community?
We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses…

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