Utilization Management Nurse Consultant
C
CVS Health
📍 Work at Home, FL, United States
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.
**Registered Nurse (RN) – Utilization Management (24/7 Operations)**
**Leverage your clinical expertise to make a broader impact.** Join our Utilization Management team and help ensure members receive the right care at the right time across the healthcare continuum.
**What You’ll Do**
+ Review clinical documentation and apply criteria to support coverage determinations
+ Collaborate with providers and care teams to coordinate appropriate care
+ Identify opportunities to improve care quality and effective bene...
**Registered Nurse (RN) – Utilization Management (24/7 Operations)**
**Leverage your clinical expertise to make a broader impact.** Join our Utilization Management team and help ensure members receive the right care at the right time across the healthcare continuum.
**What You’ll Do**
+ Review clinical documentation and apply criteria to support coverage determinations
+ Collaborate with providers and care teams to coordinate appropriate care
+ Identify opportunities to improve care quality and effective bene...