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Remote Utilization Management Nurse Consultant

CVS Health

CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN) to work remotely on a full-time Weekday schedule. You will review cases, determine coverage, and collaborate with care teams to ensure appropriate treatment, while applying clinical judgment in utilization and benefit management decisions.

The role requires an active RN license, 3+ years of RN experience including 1+ year in Med/Surg, and strong assessment/decision-making skills.

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Vacancy posted 10 hours ago
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