Utilization Management Nurse Consultant

Clinical Careers Page(14 days ago)

RemoteFull TimeSenior$58,200 - $124,640Utilization Management

About this role

The Nurse Consultant role at CVS Health involves reviewing inpatient and outpatient services using clinical judgment and evidence-based criteria. The position requires collaboration with healthcare providers, authorization of care, and documentation within a remote work environment. It is suitable for experienced nurses who are highly organized and comfortable with digital tools.

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Required Skills

Nursing
Clinical Judgment
Informatics
Documentation
Telehealth
Healthcare Collaboration
Patient Care
Utilization Review
Electronic Health Records
Decision-Making

Qualifications

Active Unrestricted State Registered Nurse Licensure
5+ Years Nursing Experience
1+ Year Utilization Management Experience
Associate's Degree in Nursing

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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