Utilization Management Clinical Consultant

CVS Health

📍 United States, Michigan, United States

Full time Counselors, Social Workers, and Other Community and Social Service Specialists

Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program.
Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services for child and adolescent members.
Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
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Job Details

Location United States, Michigan

Job Type Full time

Category Counselors, Social Workers, and Other Community and Social Service Specialists

Posted March 03, 2026

Deadline April 12, 2026