Utilization Management Nurse Consultant

Clinical Careers Page(1 month ago)

IllinoisOnsiteFull TimeMedior$64,020 - $137,100Utilization Management

About this role

A Utilization Management Registered Nurse at CVS Health works within the utilization management organization to support appropriate healthcare services and benefits for members by applying clinical criteria and guidelines. The role operates as part of a 24/7 office-based team and involves collaboration with internal and external stakeholders to support member care and benefit administration.

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Required Skills

Clinical Assessment
Care Coordination
Utilization Management
Provider Communication
Medical Decision Making
Documentation
Computer Proficiency
Verbal Communication
Time Management
Multitasking

Qualifications

Associates Degree
BSN Preferred
Active Unrestricted 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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