Job Closed

This listing is no longer active.

CVS Health logo
CVS Health

Bringing our heart to every moment of your health.

Utilization Management Nurse Consultant – Weekends, 4-10 Hour Shifts

ConsultantConsultantFull TimeRemoteSeniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Idaho + 3 moreAll locations: Idaho | North Carolina | Mississippi | Texas

Posted

48 days ago

Salary

$26 - $62 / hour

Seniority

Senior

Associate Degree3 yrs expEnglish

Job Description

Utilization Management Nurse Consultant – Weekends, 4-10 Hour Shifts

CVS Health

• Review and assess clinical information to support coverage determinations • Apply clinical guidelines, policies, and sound judgment across the care continuum • Collaborate with providers and care teams to coordinate treatment plans • Identify opportunities to enhance quality, efficiency, and member outcomes • Refer members to additional programs and services as appropriate • Serve as a clinical resource within utilization/benefit management

Job Requirements

  • Active, unrestricted RN license in state of residence
  • 3+ years of RN experience
  • 1+ year Med/Surg experience
  • Proficiency with Microsoft Office (Outlook, Teams, Excel)
  • Willingness to work required schedule post-training
  • Prior Authorization or Utilization Management experience preferred
  • Managed care experience preferred
  • MedCompass experience preferred
  • Ambulatory surgery background preferred
  • BSN preferred (Associate’s required)

Benefits

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility

Related Categories

Related Job Pages

More Consultant Jobs

Clorox Company logo

Senior Compensation Consultant

Clorox Company

The Clorox Company, or simply Clorox, is an industry-leading and recognizable household brand, as well as a portfolio of other diverse brands. Headquartered in Oakland, California,

Consultant48 days ago

Title: Senior Compensation Consultant Location: Alpharetta GA United States, Remote Ireland Full time The Sr. Compensation Consultant will provide advanced subject matter expertise and compensation consulting to enable Total Rewards, HR and enterprise strategies. They will act strategically and proactively to provide solutions to a wide range of compensated related issues and to deliver compensation programs and initiatives. They will play a key role in supporting business partners and leaders through Clorox's compensation cyclical processes and core compensation principles, including job evaluation, pay recommendations, training and analysis. In this role, you will: - Serves as a strategic thought partner, using deep technical and subject matter expertise, industry best practices and internal insights to consult HR Business Partners and senior leaders. - Provides effective counsel and relays implications of options, influencing key decision makers. Supports HR Business Partners and business leaders in the delivery of compensation processes, programs and business initiatives, including mid-year and annual compensation review processes, pay equity, market analyses, job evaluation, salary recommendations and more. - Performs industry research, analysis and reporting to ensure market competitiveness; analyzes complex data & problem solves in service of business initiatives, with the understanding of implications to overall priorities. - Proactively identifies and recommends areas of improvement and takes initiative to drive them to resolution. - Reviews, recommends, implements and supports appropriate compensation and Total Rewards solutions with the goal of enhancing the employee experience. - Leads various compensation ad-hoc projects and analyses, as required. What we look for: - 5 plus years of diverse compensation experience in support of a variety of client functions; in-depth knowledge on core compensation philosophies and principles. - Experience in manufacturing compensation across geographic locations is required. - Previous exposure to international and sales compensation preferred. - Advanced analytical and technical skills, including data wrangling, analysis and visualization - Strong consultative, negotiation and interpersonal skills; strong business acumen and ability to deal with ambiguity to effectively consult and recommend creative solutions to unique challenges - Excellent presentation and communication skills with ability to synthesize technical concepts to relatable language that is in service of business needs. - Executes team objectives & adopts change management principles - Self-starter with the ability to make decisions independently with minimal supervision - Establishes strong working relationships and works well with others in a team environment - Knowledge of Workday preferred #LI-HYBRID Workplace type: Hybrid- 3 days in office; 2 days WFH At Clorox, we champion people to be well and thrive, starting with our own people. To help make this possible, we offer comprehensive, competitive benefits that prioritize all aspects of wellbeing and provide flexibility for our teammates' unique needs. This includes robust health plans, a market-leading 401(k) program with a company match, flexible time off benefits (including half-day summer Fridays depending on location), inclusive fertility/adoption benefits, and more. We are committed to fair and equitable pay and are transparent with current and future teammates about our full salary ranges. We use broad salary ranges that reflect the competitive market for similar jobs, provide sufficient opportunity for growth as you gain experience and expand responsibilities, while also allowing for differentiation based on performance. Based on the breadth of our ranges, most new hires will start at Clorox in the first half of the applicable range. Your starting pay will depend on job-related factors, including relevant skills, knowledge, experience and location. The applicable salary range for every role in the U.S. is based on your work location and is aligned to one of three zones according to the cost of labor in your area. -Zone A: $106,700 - $204,900 -Zone B: $97,800 - $187,900 -Zone C: $88,900 - $170,800

Georgia + 1 moreAll locations: Georgia | Ireland
$106.7K - $204.9K / year
PEXA logo

Senior Business Consultant

PEXA

PEXA’s world-first digital settlements has revolutionised the way we exchange property.

Consultant48 days ago
Full TimeRemoteTeam 201-500Since 2010H1B No Sponsor

• Own end-to-end consulting engagements, ensuring exceptional quality and alignment with customer and PEXA strategic objectives. • Build trusted relationships with senior customer stakeholders, becoming a valued partner rather than a vendor. • Represent PEXA at customer forums, industry events and executive-level engagements. • Lead discovery workshops and scoping engagements with C-suite and senior operational stakeholders. • Deliver compelling, insight-led product demonstrations. • Support the development of business cases, value propositions and transformation roadmaps. • Facilitate detailed design workshops to understand customer processes, operating models and strategic goals. • Design scalable, robust solutions that maximise value realisation from PEXA adoption. • Provide delivery assurance throughout customer programmes, working closely with Client Delivery Managers and cross-functional teams. • Identify and manage key risks, dependencies and stakeholder expectations. • Champion best practice across scope, design, testing and readiness activities. • Ensure high-quality outputs that support both customer outcomes and internal knowledge sharing. • Partner with customers post go-live to identify optimisation opportunities and benefits realisation initiatives. • Provide market and customer insights that influence PEXA's product strategy and roadmap. • Contribute to the evolution of consulting frameworks, methodologies and delivery standards. • Mentor and support colleagues across the Client Delivery team. • Provide leadership across cross-functional initiatives and, as the business grows, potentially lead a multidisciplinary team.

United Kingdom
£80K - £90K / year

Role Description We are seeking a passionate and motivated Advisor to join our growing online instructional team. The ideal candidate believes all students can succeed and is committed to creating interactive virtual learning experiences that inspire curiosity and critical thinking. Responsibilities - Student Advising & Case Management - Serve as the primary case manager for a caseload of up to 60 students. - Lead onboarding and orientation for new students to ensure a smooth transition into Uplift. - Conduct regular bi-weekly 1:1 advising sessions focused on relationship-building, goal setting, and holistic student support. - Plan and facilitate weekly advisory meetings. - Support student retention efforts through proactive outreach and intervention strategies. - Manage off-boarding processes, including “win-back” attempts and documentation of concerns and outcomes. - Tiered Student Support & Intervention - Implement Uplift’s MTSS Tier 1, Tier 2, and Tier 3 support models. - Conduct weekly student check-ins and proactively identify barriers to student success. - Develop and monitor long-term academic and personal goals with students. - Complete Educational Development Plans (EDPs) for assigned students. - Collaborate with staff to develop and monitor Student Success Plans for Tier 3 students. - Academic Monitoring & Engagement - Monitor student attendance and implement intervention protocols as outlined in Standard Operating Procedures. - Track academic progress and address academic risk indicators. - Connect students with Engagement staff and support resources as needed. - Facilitate NWEA assessment cycles, including testing sessions, score uploads, and goal tracking. - Support and facilitate twice-annual Parent-Teacher Conferences. - Data & Administrative Excellence - Maintain accurate, real-time documentation of all student interactions and interventions in Pulse and Skyward. - Monitor and respond to student risk flags within required timelines. - Analyze and use student data to support student achievement and retention. - Meet or exceed established performance metrics and KPIs. - Collaborate closely with advisory teams, principals, and support staff to improve student outcomes and school performance. - Additional Responsibilities - Counsel and guide students as needed. - Participate in team meetings, peer shadowing, and collaborative planning. - Support school improvement initiatives. - Perform other duties as assigned. Qualifications - Proficiency in Google Workspace applications and tools. - Strong communication and relationship-building skills. - Exceptional organization and attention to detail. - Strong data analysis and problem-solving abilities. - Effective time management and prioritization skills. - Ability to work independently in a fast-paced, autonomous environment. - Professional phone and virtual communication skills. Preferred Qualifications - Empathetic and student-centered mindset. - Resilient, adaptable, and solutions-oriented. - Strong ethical judgment and discretion. - Collaborative team player with a high level of personal accountability. Benefits - Competitive salary based on experience and qualifications. - Health, dental, and vision benefits. - Retirement plan options. - Professional development opportunities. - Remote work environment. Company Description Uplift Michigan Online School is a student-centered virtual learning community dedicated to providing high-quality, engaging, and equitable online education for learners across Michigan. Our mission is to empower students through innovative instruction, strong relationships, and personalized academic support.

Michigan
Job Closed
Jenzabar logo

Senior Lifecycle Consultant

Jenzabar

Our higher education SIS, ERP, cloud, and analytics solutions drive digital transformation and enable student success.

Consultant48 days ago
Full TimeRemoteTeam 501-1,000Since 1998H1B Sponsor

Role Description The Senior Lifestyle Consultant will own and assist the full customer journey from demo through successful implementation, go-live, and beyond. Responsibilities include: - Learning Jenzabar software - Gathering and reviewing client business practices - Delivering dynamic/high energy and engaging presentations of SONIS - Configuring software - Training end users on the software - Documenting training/consulting engagements The Consultant must be a proactive, self-starting professional and be able to travel. This position requires a solid understanding of Student Information Systems, along with a general understanding of higher education regulations, requirements, and policies associated with key student-based offices. Qualifications - BS, BA Degree, or equivalent experience - 5+ years (3 years must be in Higher Ed) - Experience working in one or more of the following functional areas: Admissions, Financial Aid, Registration, Advising, Student Life, Business Office, Advancement - Experience with Jenzabar’s SONIS Student Information System - Ability to work independently - Excellent organizational skills - Ability to communicate well with others - Ability to work in a team environment - Comfort level with evolving and ever-changing technology - Ability to translate technical complex concepts to functional end users - Strong problem-solving and software troubleshooting skills required - Excellent written and verbal communication skills - Proven effective listening skills - Ability to follow a project plan with attention to detail and follow through - Excellent presentation skills (to various audiences - executives & individual contributors) - Proficient with Microsoft Office Suite and other desktop applications - A passion for winning Requirements - Perform customer needs assessments and solution finding sessions - Review customer operations to find improved business process opportunities - Understand product capability gaps or functionality to define ways to handle them using partners, product enhancements, etc. - Define the best company solutions which address requirements of prospect business - Design and deliver product presentations based on the customer assessment - Request and coordinate resources required to support sales efforts - Provide responses for product and technical requests - Participate at conferences, tradeshows, and other events as required by Sales Management and Product Marketing - Stay up to date with the latest Jenzabar software releases and provide regular briefings on changes for the team - Provide knowledge and training on products to peers, presales and sales staff in the organization - Demonstrate an in-depth understanding of the company products, functions, features and benefits - Establish and maintain connections with user groups, industry groups, etc. - Practice continuous learning through self-guided reading and research of relevant business practices, including the student journey, strategies in higher education, analytics, and workflow - Consult with and train end users on optimal configuration and use of Jenzabar’s Student Information System(s) - Perform assigned project tasks with minimal supervision - Follow established methodology to meet project deliverables for all assigned tasks - Work proactively and cooperatively in a team environment to accomplish project deliverables within defined schedule - Communicate information clearly, accurately, and timely to Jenzabar and client project team members - Gain a sound understanding and knowledge of the client's requirements - Understand the client’s business processes as they relate to the software - Exhibit excellent follow-up skills, including the development of detailed project documentation - Collaborate with Project Manager and other project team members in executing assigned projects - Stay abreast with industry trends and technologies - Solicit various viewpoints on potential implementation solutions - Share knowledge and insights - Other duties as assigned by management - Work with Support by taking Calls in a Round Robin Queue and perform testing of solution(s) and/or product on an as needed basis - Willingness to travel (~50%) Benefits - Medical Insurance - Life Insurance - Dental Insurance - Vision Insurance - PTO - Paid Parental Leave - Paid Holidays - Short Term Disability - Long Term Disability - 401K - Educational Assistance

United States
$71K - $83K / year