Utilization Management Nurse Consultant

Clinical Careers Page(1 month ago)

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

About this role

A Registered Nurse in Utilization Management at CVS Health applies clinical expertise within a utilization management operation to support appropriate healthcare services and benefits for members. The role is part of a 24/7 function and works with internal teams and providers to help connect members with needed care. The position is office-based with scheduled shifts that include weekends, holidays, and evening hours.

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Required Skills

Utilization Management
Clinical Assessment
Care Coordination
Clinical Judgment
Patient Communication
Documentation
Computer Literacy
Multitasking

Qualifications

Associate Degree in Nursing
Bachelor of Science in Nursing (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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