Utilization Management Nurse Consultant

Clinical Careers Page(1 month ago)

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

About this role

A Utilization Management Nurse Consultant at CVS Health is a licensed nurse who supports the organization’s utilization and benefit management program by applying clinical expertise and judgment. The role is remote and leverages acute-care nursing experience to inform member care decisions within a regulated environment.

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Required Skills

Utilization Review
Care Coordination
Clinical Assessment
Medical Terminology
Telephonic Communication
Documentation
Discharge Planning
Clinical Judgment
Microsoft Office
Patient Education

Qualifications

RN License (Active, Unrestricted)
Associate Degree in Nursing
BSN Preferred
LCSW Preferred

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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