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UM Nurse Consultant (remote) - Remote Eligible
Facilitate appropriate healthcare services and coverage determinations for members through clinical assessments.
RemoteNew York
Mid-Level
$32.01-$68.55 USD per hour
1 week ago
CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.
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✨ About The Role
- This position involves utilizing clinical experience to assess and coordinate healthcare services for members.
- The role requires gathering clinical information and applying appropriate clinical criteria to make coverage determinations.
- The consultant will communicate with providers to facilitate care and identify referral opportunities for members.
- The job may require working weekends, holidays, and evening hours due to the 24/7 nature of Utilization Management.
- The position is primarily sedentary, involving extended periods of sitting and using a computer.
âš¡ Requirements
- The ideal candidate will have over three years of experience as a Registered Nurse, demonstrating a strong clinical background.
- Experience in acute or post-acute settings is essential, with at least one year specifically in this area.
- Strong communication skills, both verbal and written, are necessary to effectively interact with providers and other parties.
- The candidate should be proficient in navigating multiple computer systems and possess strong keyboarding skills.
- Ability to multitask and prioritize effectively in a fast-paced environment is crucial for success in this role.
UM Nurse Consultant (remote) - Remote Eligible
RemoteNew York
$32.01-$68.55 USD per hour
Remote
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.