Utilization Management Nurse Consultant

✨ About The Role

- This position involves utilizing clinical experience to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members.
	- The role requires gathering clinical information and applying appropriate clinical criteria to make precertification coverage determinations.
	- Communication with providers and other parties is a key responsibility to facilitate care and treatment.
	- The job may involve identifying members for referral opportunities to integrate with other products and services.
	- The work environment is typically office-based, with expectations for productivity and quality.
                            

⚡ Requirements

- The ideal candidate will have at least 3 years of acute experience as a Registered Nurse, demonstrating a strong clinical background.
	- Candidates must possess an active, current, and unrestricted RN licensure in their state of residence.
	- Proficiency in MS Office suites is essential, with a minimum of 1 year of experience required.
	- Strong communication skills, both verbal and written, are necessary for effective interaction with providers and other parties.
	- The ability to multitask and prioritize in a fast-paced environment is crucial for success in this role.
                            

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Utilization Management Nurse Consultant - Remote - Remote Eligible

RemoteNew York

$26.01-$68.55 USD per hour

Remote

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About CVS Health

CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.