Remote Medicare Utilization Nurse Consultant

CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role uses clinical experience to assess, plan, coordinate and evaluate options to ensure appropriate healthcare services for members.

You will gather clinical data, apply guidelines, and render coverage determinations while communicating with providers to support patient care. The position requires RN licensure, 3+ years of nursing experience (Med/Surg preferred), and comfort with Microsoft Office