Utilization Management Nurse Consultant Schedule: W/Th/F/Sa (4-10hr shifts)

Clinical Careers Page(8 days ago)

RemoteFull TimeMedior$2,601 - $5,614Healthcare/Utilization Management

About this role

The UM Nurse Consultant role at CVS Health involves utilization management in a remote setting, assessing healthcare services for members using clinical judgment, and collaborating with providers and internal teams. The position emphasizes clinical expertise, communication, and adherence to policies within a flexible schedule. It aims to improve healthcare quality and benefit utilization for diverse patient populations.

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Required Skills

RN
Clinical Judgment
Medicare
Medicaid
Utilization Management
Outpatient
Managed Care
Microsoft Office
Healthcare Services
Benefit Analysis

Qualifications

Associates Degree in Nursing

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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