Utilization Management Nurse Consultant

Clinical Careers Page(17 hours ago)

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

About this role

The Utilization Management Nurse Consultant at CVS Health is a remote role focused on applying clinical expertise to ensure members receive appropriate, safe, and effective care within a managed care setting. The job involves reviewing clinical documentation, collaborating with providers, and supporting high-quality, cost-effective healthcare services.

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Required Skills

Nursing
Clinical Assessment
Medical Necessity
Care Coordination
Benefit Management
Utilization Review
Healthcare Documentation
Telehealth
Hospital Experience
Microsoft Office

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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