Utilization Management Nurse Consultant

Clinical Careers Page(1 month ago)

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

About this role

A Registered Nurse position on CVS Health’s Utilization Management team supporting member-focused care operations within a 24/7 environment. The full-time role requires 2+ years of acute care nursing experience and an active state RN license, with preference for candidates in EST/CST time zones.

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Required Skills

Clinical Assessment
Care Coordination
Clinical Judgment
Provider Communication
Utilization Review
Benefit Management
Documentation
Computer Proficiency
Multitasking
Time Management

Qualifications

Associates Degree
BSN Preferred
Active RN Licensure

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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