Clinical Nurse Consultant

2 weeks ago


Raleigh, North Carolina, United States CVS Health Full time

At CVS Health, we're committed to delivering enhanced human-centric healthcare. Our purpose guides us in providing innovative solutions that make healthcare more personal, convenient, and affordable.

Job Title: Clinical Nurse Consultant

This is a fully remote opportunity requiring collaboration with clinical experience and skills to assess, plan, implement, coordinate, monitor, and evaluate options for members.

  • Gathers clinical information and applies relevant criteria, guidelines, policy, procedure, and judgment to render coverage determination/recommendation.
  • Communicates with providers and parties to facilitate care/treatment.
  • Identifies members for referral opportunities to integrate with other products, services, and/or programs.
Requirements:
  • 3+ years of experience as a Registered Nurse.
  • Active current and unrestricted RN licensure in the state of residence.
  • 1+ year(s) of clinical experience in acute or post-acute settings.
  • Proficiency with computer skills, including navigating multiple systems and keyboarding.
Preferred Qualifications:
  • Managed Care experience.
  • Utilization review experience.
Compensation Package:

$26.01 - $56.14 per hour (based on experience). Eligible employees enjoy comprehensive benefits, including medical, dental, vision, 401(k), Employee Stock Purchase Plan, term life insurance, short-term and long-term disability benefits, well-being programs, education assistance, development courses, store discount, and partner discounts.



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