Remote Utilization Review Nurse Consultant
CVS Health
CVS Health is seeking an Utilization Management Nurse Consultant (RN) to review authorization requests across multiple medical specialties, evaluate medical necessity, and apply clinical criteria to support determinations. This remote role collaborates with providers and care teams to ensure timely, cost-effective care.
Active multi-state RN license, 3+ years of nursing, 2+ years in UM/Prior Authorization/Managed Care, experience with InterQual/MCG, strong assessment and communication skills,
#J-18808-LjbffrVacancy posted 3 days ago
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