Utilization Management Nurse Consultant
Clinical Careers Page(1 month ago)
About this role
A UM Nurse Consultant at CVS Health is a registered nurse role within the Utilization Management team, supporting the company’s health solutions and member-facing services. The position is fully remote (WFH) with expected hours in EST or CST and contributes clinical expertise to CVS Health’s care coordination efforts.
Required Skills
- Registered Nurse
- Clinical Assessment
- Utilization Management
- Prior Authorization
- Managed Care
- Medicare Medicaid
- Outpatient Care
- Microsoft Office
- IT Platforms
- Clinical Judgment
+1 more
Qualifications
- Associates Degree in Nursing
- BSN (Preferred)
- Active RN License
About Clinical Careers Page
cvshealth.comCVS 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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