Utilization Management Nurse Consultant | NICU - prefer candidate who resides in LA

Clinical Careers Page(21 days ago)

OnsiteFull TimeSenior$52,020 - $112,280Utilization Management

About this role

The Utilization Management Nurse Consultant for NICU Concurrent Review at CVS Health conducts clinical reviews for neonatal intensive care unit members, collaborating with healthcare providers and families to ensure appropriate, family-centered care. The role involves ensuring regulatory compliance, supporting discharge planning, and maintaining accurate documentation.

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Required Skills

NICU
Utilization Management
Care Coordination
Regulatory Compliance
Family Engagement
Medicaid
InterQual
Critical Thinking
Documentation
Discharge Planning

Qualifications

RN License in Louisiana or compact license
Bachelor's degree in Nursing or related field
Active, unrestricted RN license
Minimum 5 years of clinical experience

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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