Utilization Management Clinical Nurse Consultant

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary:
The Utilization Management Clinical Nurse Consultant - Prior Authorization utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program

Job Duties include (but are not limited to):

• Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services.

• Consults and lends expertise to other internal and ext...

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