Nurse Consultant
1 week ago
CVS Health is seeking a skilled Nurse Consultant to join our team. As a key member of our healthcare services team, you will play a critical role in assessing, planning, implementing, coordinating, monitoring, and evaluating options to facilitate appropriate healthcare services and benefits for our members.
Key Responsibilities
Utilize clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
Gather clinical information and apply the appropriate clinical criteria, guidelines, policies, procedures, and clinical judgment to render coverage determination/recommendation along the continuum of care.
Communicate with providers and other parties to facilitate care and treatment.
Identify members for referral opportunities to integrate with other products, services, and/or programs.
Identify opportunities to promote quality effectiveness of healthcare services and benefit utilization.
Requirements
3+ years of experience as a Registered Nurse.
1+ year(s) of Managed Care experience.
Must have active current and unrestricted RN licensure in the state of residence.
Must possess 1+ year(s) of clinical experience in an acute or post-acute setting.
Preferred Qualifications
Managed Care experience preferred.
Education: Associates Degree required, BSN preferred.
What We Offer
CVS Health offers a competitive salary range of $29.10 - $62.32, as well as a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also offer a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs, education assistance, and free development courses. As a CVS Health employee, you will enjoy paid time off, paid holidays, and sick time, consistent with relevant state law and company policies.
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