Clinical Nurse Consultant

3 weeks ago


Sacramento, California, United States CVS Health Full time
Job Title: Clinical Nurse Consultant

CVS Health is seeking a skilled Clinical Nurse Consultant to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that our members receive the appropriate care at the right time and place.

Key Responsibilities:
  • Coordinate and document all aspects of the utilization/benefit management program
  • Utilize clinical experience and skills to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services/benefits for members
  • Communicate effectively with providers and other parties to facilitate care/treatment
  • Identify opportunities to promote quality effectiveness of Healthcare Services and benefit utilization

Requirements:

  • 3+ years of experience as a Registered Nurse
  • Active current and unrestricted RN licensure in the state of residence
  • 1+ years of clinical experience in an acute or post-acute setting

Preferred Qualifications:

  • 3+ years of clinical experience
  • Managed Care experience

What We Offer:

  • A competitive salary and bonus opportunities
  • A comprehensive benefits package, including medical, dental, and vision
  • A 401(k) retirement savings plan and an Employee Stock Purchase Plan
  • Opportunities for professional growth and development


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