Utilization Management Nurse Consultant
Clinical Careers Page(1 month ago)
About this role
A Registered Nurse role within CVS Health’s Utilization Management team supporting member healthcare services within the company’s national health solutions organization. The position is full-time, part of a 24/7 operation, and based in an office environment. It sits within CVS Health’s clinical operations focused on benefit and utilization management.
Required Skills
- Utilization Management
- Clinical Assessment
- Care Coordination
- Prior Authorization
- Provider Communication
- Documentation
- Computer Navigation
- Multitasking
- Verbal Communication
- Written Communication
Qualifications
- Associates Degree
- BSN (Preferred)
- Active Unrestricted RN License
About Clinical Careers Page
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.
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