View All Jobs 4517
UM Nurse Consultant (remote) - Remote Eligible
Facilitate appropriate healthcare services through clinical assessments and coverage determinations.
RemoteNew York
Mid-Level
$32.01-$68.55 USD per hour
3 weeks ago
CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.
2712 Similar Jobs at CVS Health
✨ About The Role
- This position involves utilizing clinical experience to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members.
- The UM Nurse Consultant will gather clinical information and apply appropriate clinical criteria to render coverage determinations.
- The role includes communicating with providers and other parties to facilitate care and identify referral opportunities.
- Candidates will be expected to promote the quality and effectiveness of healthcare services and benefit utilization.
- The position requires working full-time with potential schedules that may include evenings, weekends, and holidays.
âš¡ Requirements
- The ideal candidate will have at least 3 years of experience as a Registered Nurse, demonstrating a strong clinical background.
- Candidates should possess effective communication skills, both verbal and written, to facilitate care and treatment discussions.
- A successful applicant will be proficient in computer skills, including navigating multiple systems and keyboarding.
- Experience in acute or post-acute settings is essential, with a preference for those with managed care experience.
- The role requires the ability to multitask and adapt to a fast-paced, changing environment.
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.