Utilization Management Nurse Consultant

Clinical Careers Page(4 days ago)

HybridFull TimeSenior$26,011 - $6,855Utilization Management

About this role

This role involves utilizing clinical expertise in a collaborative healthcare setting to assess, coordinate, and monitor healthcare benefits for members, ensuring appropriate services and promoting quality healthcare utilization. It requires working in a fast-paced environment with flexible hours and involves communication with providers and internal teams.

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Required Skills

Nursing
ClinicalAssessment
HealthcareManagement
PatientCare
UtilizationManagement
CareCoordination
Communication
HealthInformationSystems
MedicalCriteria
CriticalCare

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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