CVS Health is seeking a remote Utilization Management Nurse Consultant (Clinical Precertification RN) to evaluate medical necessity for Medicare beneficiaries.
You will review cases, determine coverage using guidelines, and coordinate with care teams to ensure appropriate treatment within a fast-paced, 24/7 operating environment.
The role emphasizes solid clinical judgment, collaboration, and the ability to work a weekday schedule from home, with a focus on quality, safety, and patient outcomes. #J-18808-Ljbffr