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UM Nurse Consultant – Remote, PA

Facilitate appropriate healthcare services and benefits for members through clinical expertise and collaboration.
Various
Senior
$29.10-$62.31 USD per hour
2 weeks ago
CVS Health

CVS Health

Enabling a more transparent, simple health care system

Job is no longer active
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✨ About The Role

- The role involves utilizing clinical experience to assess, plan, implement, and coordinate healthcare services for members - Requires applying clinical criteria and guidelines to make coverage determinations - Involves communicating with providers and other parties to facilitate care and treatment - Identifying opportunities to promote quality effectiveness of healthcare services and benefit utilization - Must be available to work Monday through Friday from 8 AM to 5 PM in resident time zone, with some weekends and holidays required
- Must have at least 3 years of experience as a Registered Nurse - Experience in a clinical setting, preferably in an acute or post-acute environment - Proficiency in computer skills and navigating multiple systems - Strong communication skills, both verbal and written - Ability to work in a fast-paced and changing environment
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UM Nurse Consultant – Remote, PA
Various
$29.10-$62.31 USD per hour
Remote
Job is no longer active
About CVS Health
Enabling a more transparent, simple health care system