Utilization Management Nurse Consultant

Clinical Careers Page(12 days ago)

RemoteFull TimeSenior$52,020 - $137,100Utilization Management

About this role

This role involves utilizing clinical skills and experience as a Registered Nurse to assess and coordinate healthcare services for members within a 24/7 utilization management operation. It requires communication with providers and internal teams to facilitate appropriate care and promote healthcare quality and benefit utilization.

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Required Skills

RN
Clinical Skills
Utilization Management
Care Coordination
Healthcare Benefits
Communication
Medical Terminology
Patient Advocacy
Care Assessment

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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