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Nurse Consultant
2 months ago
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.
- 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.
- 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.
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.