CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to support prior authorization decisions remotely. You will review requests, determine medical necessity, and apply clinical criteria to ensure efficient, cost-effective care.
Collaboration with care teams and adherence to regulatory standards are essential. The role requires multi-state RN licensure, 3+ years of nursing, and 2+ years in utilization management or related fields.
#J-18808-LjbffrRemote RN: Prior Authorization & Utilization Management in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.