UM Nurse Consultant

Clinical Careers Page(29 days ago)

HybridFull TimeMedior$58,200 - $124,640Care Management

About this role

A Precertification Nurse Case Manager at CVS Health (Aetna One Advocate) works within a population health and member advocacy model to support members and providers in navigating the healthcare system. The role centers on evaluating clinical situations related to elective procedures and coordinating with the integrated care management team. This position is primarily remote with occasional onsite requirements and requires residing within 45 miles of specified office locations.

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Required Skills

Utilization Management
Care Coordination
Medical Review
Clinical Assessment
Patient Advocacy
Documentation
Prior Authorization
Discharge Planning
Microsoft Office

Qualifications

Associates Degree
BSN Preferred
Registered Nurse License (Compact)

About Clinical Careers Page

cvshealth.com

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.

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