Utilization Management Nurse Consultant
CVS Health
About this role
A Clinical Precertification Nurse in the Special Case Precert Unit at CVS Health supports the organization’s utilization management functions by managing complex precertification cases as part of the company's clinical operations. The role is embedded within CVS Health’s health solutions organization and interfaces with providers and other internal teams to support member care across settings.
Skills
Qualifications
About CVS Health
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.
Recent company news
PR NewswireCVS Health declares quarterly dividend
17 hours ago
Simply Wall StreetCVS Health Links Community Investment And Digital Care In Evolving Story
2 hours ago
InsuranceNewsNetLawsuit: CVS Caremark inflated drug costs via ‘manipulation scheme’
2 hours ago
Go Local ProvShekarchi Suing CVS on Behalf of Union Claiming RICO Violation
8 hours ago
CVS HealthAetna, a CVS Health company, receives Health Plan of the Year Award from Press Ganey
1 month ago
About CVS Health
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for CVS Health.
Salary
$58k – $125k
per year
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