Utilization Management Nurse Consultant
Clinical Careers Page(5 days ago)
About this role
This role involves assessing, planning, and coordinating healthcare services for members as a Medicare Precertification Utilization Management Nurse Consultant. It requires collaboration with providers and internal teams to facilitate appropriate care and optimize healthcare benefit utilization.
Required Skills
- Nursing
- Medicare
- Utilization Management
- Clinical Assessment
- Care Coordination
- Microsoft Office
- Health Benefits
- Patient Care
- Medical Policies
- Healthcare
Qualifications
- RN Licensure
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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