Utilization Management Nurse Consultant
Clinical Careers Page(11 days ago)
About this role
This role involves using clinical expertise to assess healthcare requests, coordinate benefits, and communicate with providers to facilitate appropriate member care. It supports the management of healthcare services within a team-oriented environment, contributing to quality improvement and benefit utilization.
Required Skills
- RN
- MedSurg
- Microsoft Office
- Utilization Management
- Healthcare Benefits
- Care Coordination
- Clinical Judgment
- Claims Review
- MedCompass
- Ambulatory Surgery
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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