Nurse Consultant
4 weeks ago
CVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the appropriate care at the appropriate time and location.
Key Responsibilities:
- Review services to ensure medical necessity and apply clinical expertise to assure appropriate benefit utilization
- Facilitate safe and efficient discharge planning and work closely with facilities and providers to meet the complex needs of members
- Utilize clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program
- Consult and lend expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function
Requirements:
- Active, current, and unrestricted RN licensure in the state of residence
- 3+ years of acute hospital clinical experience as an RN, with a preference for medical-surgical and ICU experience
- Ability to work hours: Monday through Thursday 8:00am to 4:30pm and Friday 8:30am to 5:00pm, with occasional weekends and holidays
We offer a competitive salary and a comprehensive benefits package, including medical, dental, and vision benefits, as well as a 401(k) retirement savings plan and employee stock purchase plan. We also provide a fully-paid term life insurance plan and short-term and long-term disability benefits.
CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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