Clinical Nurse Consultant

4 weeks ago


Jackson, Mississippi, 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 ensuring that our members receive the most appropriate and effective healthcare services.

Key Responsibilities
  • Collaborate with healthcare providers to assess, plan, implement, coordinate, monitor, and evaluate options for members to receive appropriate healthcare services and benefits.
  • Apply clinical expertise and judgment to render coverage determinations and recommendations along the continuum of care.
  • Communicate effectively with providers and other stakeholders to facilitate care and treatment.
  • Identify opportunities to promote quality and effectiveness of healthcare services and benefit utilization.
  • Consult and lend expertise to internal and external constituents on utilization and benefit management.
Requirements
  • 3+ years of experience as a Registered Nurse.
  • 1+ years of clinical experience in an acute or post-acute setting.
  • Active, current, and unrestricted RN licensure in the state of residence.
  • Ability to work in a 24/7 operation, including weekends, holidays, and evening rotations.
Preferred Qualifications
  • 3+ years of clinical experience.
  • Managed care experience.
What We Offer

CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) retirement savings plan, and employee stock purchase plan. We also provide a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs.

As a CVS Health employee, you will have access to free development courses, a CVS store discount, and discount programs with participating partners. You will also enjoy paid time off, paid holidays, and sick time consistent with relevant state law and company policies.



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