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Remote Utilization Management Nurse Consultant (Medicare)

CVS Health

CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full-time, remote role will involve assessing and coordinating care, applying clinical criteria to determine coverage, and collaborating with providers to support appropriate services in members’ care plans.

The position requires 3+ years as an RN, active licensure, 1+ year Med/Surg, and proficiency with Microsoft Office. Prior authorization or utilization management experience is preferred.

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Vacancy posted 1 hour ago
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