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Remote Prior Authorization Utilization Management Nurse Consultant, KY - Remote Eligible
Facilitate appropriate healthcare services and benefits for members through clinical expertise and communication.
Remote
Senior
$26.01-$56.13 USD per hour
4 months ago
✨ About The Role
- The position involves utilizing clinical experience and skills to assess, plan, implement, coordinate, monitor, and evaluate options for healthcare services for members
- Responsibilities include gathering clinical information, applying appropriate clinical criteria, and communicating with providers to facilitate care/treatment
- Identifying members for referral opportunities and promoting quality effectiveness of healthcare services are key aspects of the role
- The job requires proficiency with computer skills, multitasking, and prioritizing tasks in a fast-paced environment
- Standard productivity and quality expectations are part of the job responsibilities
âš¡ Requirements
- Must have an active, current, and unrestricted RN licensure in the state of Kentucky or multi-state compact RN licensure
- Requires 3+ years of clinical experience
- Proficiency with computer skills, including navigating multiple systems, is essential
- Ability to work in a fast-paced environment and adapt effectively to changes
- Effective communication skills, both verbal and written, are crucial for this role
Remote Prior Authorization Utilization Management Nurse Consultant, KY - Remote Eligible
Remote
$26.01-$56.13 USD per hour
Remote
About CVS Health
Enabling a more transparent, simple health care system