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Remote Utilization Management Nurse Consultant, California - Remote Eligible

Implement strategies to enhance the personalization, convenience, and affordability of healthcare services.
Remote
Senior
$30.39-$65.66 USD per hour
3 weeks ago
CVS Health

CVS Health

Enabling a more transparent, simple health care system

✨ About The Role

- Utilize clinical experience and skills to assess, plan, implement, coordinate, monitor, and evaluate options for healthcare services for members - Apply appropriate clinical criteria, guidelines, policies, procedures, and clinical judgment to render coverage determinations/recommendations - Communicate with providers and other parties to facilitate care/treatment - Identify members for referral opportunities to integrate with other products, services, and programs - Consult and lend expertise to internal and external constituents in the coordination and administration of the utilization/benefit management function
- Experienced Registered Nurse with at least 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, 8am to 5pm in the time zone of residence - Proficient in computer skills and navigating multiple systems - Strong communication skills, both verbal and written
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Remote Utilization Management Nurse Consultant, California - Remote Eligible
Remote
$30.39-$65.66 USD per hour
Registered Nurse
About CVS Health
Enabling a more transparent, simple health care system