CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely, safe, and appropriate care for members.
In this role you will review medical necessity, collaborate with providers, and support cost-effective care while meeting state and federal requirements. Strong clinical judgment and communication are essential.
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