Clinical Nurse Consultant
2 weeks ago
About CVS Health
At CVS Health, we are dedicated to enhancing health care by putting our heart into every moment of your health. Our mission is to provide human-centric health solutions in a rapidly evolving landscape, ensuring that the quality of our services is as significant as the services themselves.
Position Overview
As a Clinical Nurse Consultant, you will leverage your clinical expertise in a collaborative approach to:
- Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for our members.
- Collect clinical data and apply relevant clinical guidelines and policies to make informed coverage decisions throughout the care continuum.
- Engage with healthcare providers and stakeholders to facilitate effective treatment and care pathways.
- Identify members who may benefit from additional services and programs, promoting quality and effective healthcare utilization.
- Provide consultation and support to both internal and external partners in the management of healthcare benefits.
Work Environment
This role typically operates in an office setting, with expectations for productivity and quality. It involves close inspection of documents and extended periods of sitting, talking, and listening. The ability to multitask and adapt to a fast-paced environment is essential.
Qualifications
Required:
- A minimum of 3 years of clinical experience as a Registered Nurse.
- Active and unrestricted RN licensure in your state of residence.
- At least 1 year of clinical experience in acute or post-acute care settings.
- Flexibility to work various shifts, including evenings, weekends, and holidays as needed.
Preferred:
- Experience in managed care and discharge planning.
- Familiarity with utilization management processes.
Education
- An Associate's Degree or Nursing Diploma is required; a Bachelor of Science in Nursing (BSN) is preferred.
Compensation and Benefits
The typical pay range for this position is $56.14 per hour. This role is eligible for bonuses and other incentive programs. CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement plan, and various well-being programs. Employees also enjoy paid time off and holiday pay, consistent with company policies.
Diversity and Inclusion
CVS Health is an equal opportunity employer, committed to a diverse workforce. We do not discriminate based on race, ethnicity, gender, sexual orientation, or any other characteristic protected by law.
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