Description
CVS Health is seeking a full-time Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) to join their team. This role involves reviewing clinical cases, making coverage determinations, collaborating with care teams, applying clinical judgment for utilization and benefit management, identifying improvement opportunities, and serving as a clinical resource. The ideal candidate will have strong clinical assessment and decision-making skills, an active RN license, and experience in Med/Surg.
