Utilization Management Nurse Consultant - Open to residents in Pacific Standard Time Zone

Clinical Careers Page(25 days ago)

RemoteFull TimeMedior$58,200 - $124,640Utilization Management

About this role

A remote, full-time Utilization Management Registered Nurse position at CVS Health supporting members within a 24/7 utilization management operation. The role is PST-based and centers on applying clinical judgment and licensure to support appropriate healthcare services and benefits.

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Required Skills

Clinical Assessment
Care Coordination
Utilization Management
Medical Documentation
Communication
Computer Literacy
Critical Care
Prioritization
Multitasking
Provider Communication

Qualifications

Associates Degree
BSN (Preferred)
Active RN License

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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