Clinical Careers Page

Utilization Management Nurse Consultant - MST or PST

Clinical Careers Page(7 days ago)

RemoteFull TimeSenior$52,020 - $112,280Nursing/Utilization Management
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About this role

This role is a remote Utilization Management Nurse Consultant position designed to ensure appropriate care and benefit utilization by coordinating, reviewing, and communicating healthcare services. It involves working closely with healthcare providers and members to facilitate optimal healthcare delivery and compliance with regulations.

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Required Skills

  • nursing
  • Utilization Review
  • Microsoft Office
  • Healthcare Communication
  • Clinical Assessment
  • Discharge Planning
  • Benefit Management
  • Care Coordination
  • Medical Records
  • Healthcare Regulations
Clinical Careers Page

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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