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Remote UM Nurse Consultant, PA

Implement strategies to integrate referral opportunities with other products and services.
Various
Senior
$30.39-$65.66 USD per hour
1 week ago
CVS Health

CVS Health

Enabling a more transparent, simple health care system

✨ About The Role

- The role involves utilizing clinical experience to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services for members - Requires gathering clinical information and applying appropriate clinical criteria/guidelines to render coverage determinations/recommendations - Involves communicating with providers and other parties to facilitate care/treatment - Identifying members for referral opportunities to integrate with other products, services, and programs - Consulting and lending expertise to internal and external constituents in the coordination and administration of the utilization/benefit management function

⚡ Requirements

- Experienced Registered Nurse with a minimum of 3 years of clinical experience in an acute or post-acute setting - Must have an active and unrestricted RN licensure in the state of residence - Ability to work Monday through Friday from 8 AM to 5 PM in the time zone of residence - Proficient in computer skills, including navigating multiple systems and keyboarding - Effective communication skills, both verbal and written
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Remote UM Nurse Consultant, PA
Various
$30.39-$65.66 USD per hour
Remote
About CVS Health
Enabling a more transparent, simple health care system