CVS Health
Utilization Management Nurse Consultant - Florida
This job is now closed
Job Description
- Req#: R0659733
Employer Industry: Health Solutions
Why consider this job opportunity:
- Salary up to $56.14 per hour
- Eligible for a bonus, commission, or short-term incentive program
- Comprehensive benefits including affordable medical plans, 401(k) with matching, and employee stock purchase plan
- No-cost wellness programs, including screenings, counseling, and financial coaching
- Flexible work schedules and paid time off
- Opportunity for career advancement and additional state license support
What to Expect (Job Responsibilities):
- Utilize clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program
- Consult with internal and external parties regarding utilization/benefit management functions
- Gather clinical information and apply medical necessity criteria for coverage determinations
- Evaluate and facilitate appropriate healthcare services and benefits for members
- Identify members for care management programs and facilitate referrals
What is Required (Qualifications):
- 3+ years of clinical practice experience in an inpatient setting
- Active, current, and unrestricted RN licensure in the state of Florida
- Willingness to obtain additional state licenses as needed
- Must reside in Florida
- Associate's degree required
How to Stand Out (Preferred Qualifications):
- Previous Utilization Management and/or Managed Care experience
- Discharge planning experience
- Bachelor of Science in Nursing (BSN) preferred
#HealthSolutions #NursingJobs #RemoteWork #CareerGrowth #CompetitiveBenefitsAbout the company
At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.
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