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Remote Utilization Management Nurse Consultant, FL
Develop strategies to integrate referral opportunities with other products and services.
Various
Senior
$26.01-$56.13 USD per hour
3 months ago
✨ About The Role
- Assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services/benefits for members
- Utilize clinical information and apply appropriate clinical criteria/guidelines to render coverage determination/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
âš¡ Requirements
- 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
Remote Utilization Management Nurse Consultant, FL
Various
$26.01-$56.13 USD per hour
Remote
About CVS Health
Enabling a more transparent, simple health care system