Clinical Nurse Consultant
3 weeks ago
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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