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Nurse Consultant

2 months ago


High Point, North Carolina, United States CVS Health Full time
Job Summary

CVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our healthcare team, you will play a vital role in ensuring that our members receive the highest quality care while minimizing unnecessary costs.

Key Responsibilities
  • Conduct thorough assessments of members' medical needs to determine the most effective course of treatment.
  • Develop and implement personalized care plans to address members' unique needs and goals.
  • Collaborate with healthcare providers to ensure that members receive timely and appropriate care.
  • Monitor and analyze data to identify trends and opportunities for improvement in care management.
  • Provide education and support to members and their families to promote healthy behaviors and self-management.
Requirements
  • Active, current, and unrestricted RN state licensure in the state of residence.
  • 3+ years of clinical practice experience as an RN.
  • Ability to work Monday through Friday, 8:00 AM to 4:30 PM local time, with occasional evening rotation.
  • Strong communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
  • Proficiency in Microsoft Office Suite applications, including Teams, Outlook, Word, and Excel.
Preferred Qualifications
  • Experience in utilization management, case management, or a related field.
  • Knowledge of healthcare regulations and industry standards.
  • Ability to work in a fast-paced environment and prioritize multiple tasks and responsibilities.
What We Offer

CVS Health is committed to providing a comprehensive benefits package that supports the health and well-being of our employees. This includes medical, dental, and vision benefits, as well as a 401(k) retirement savings plan and employee stock purchase plan. We also offer a range of wellness programs, education assistance, and professional development opportunities to help our employees grow and succeed in their careers.