Clinical Nurse Consultant

3 weeks ago


Jefferson City, Missouri, United States CVS Health Full time

Job Summary

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 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 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 and recommendations 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 programs.
  • Consult and lend expertise to other internal and external constituents in the coordination and administration of the utilization and benefit management function.

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.
  • Ability to obtain additional nursing licenses as business needs require.

Preferred Qualifications

  • 3+ years of clinical experience.
  • 1+ years of managed care experience.

What We Offer

  • A competitive salary range of $56.13 per hour.
  • A comprehensive benefits package, including medical, dental, and vision benefits.
  • A 401(k) retirement savings plan and an Employee Stock Purchase Plan.
  • A fully-paid term life insurance plan and short-term and long-term disability benefits.
  • Well-being programs, education assistance, and free development courses.
  • A CVS store discount and discount programs with participating partners.
  • Paid Time Off (PTO) and paid holidays throughout the calendar year.


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