Remote Utilization Management Nurse Consultant

NurseRemotely

CVS Health is seeking a remote Utilization Management Nurse Consultant (RN) to review authorization requests across medical specialties and determine medical necessity using evidence-based guidelines. The role emphasizes collaboration with providers and care teams to ensure appropriate care and compliance with policies.

Qualifications include an active multi-state RN license, 3+ years nursing and 2+ years UM/CR experience, and proficiency with EMR and decision-support tools.

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Vacancy posted 4 hours ago

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