Utilization Management Nurse Consultant

Clinical Careers Page(1 month ago)

RemoteFull TimeMedior$58,200 - $124,640Healthcare

About this role

A Utilization Management Nurse Consultant at CVS Health is a remote Registered Nurse position that supports the organization's utilization and benefit management programs. The role uses clinical judgment and review of clinical records to align care with program and regulatory requirements, working full-time on a standard weekday schedule with occasional shift variation.

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Required Skills

Utilization Review
Care Coordination
Clinical Assessment
Medical Necessity
Discharge Planning
Telephonic Communication
Documentation
Microsoft Office
Decision Making
Interpersonal Skills

Qualifications

RN License
Associate Degree in Nursing
BSN 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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