Utilization Management Nurse Consultant

Clinical Careers Page(27 days ago)

New JerseyOnsiteFull TimeMedior$69,904 - $149,556Utilization Management

About this role

This role involves utilizing clinical skills in a healthcare setting to assess and coordinate appropriate services for members, focusing on quality and effectiveness. The position supports a 24/7 operation with a focus on timely healthcare benefit management, communication with providers, and promoting optimal healthcare utilization.

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Required Skills

RN
Utilization Management
Clinical Skills
Care Coordination
Healthcare Benefits
Policy Application
Communication
Critical Care
Med Surg
Managed Care

Qualifications

Active RN License in State

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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