Job Responsibilities : UM Nurse Consultant
Salary : $17 per hour
Company : CVS Health
Location : Remote US
Educational requirements : Associate Degree
Normal Working Hours: 8:00am-4:30 pm EST Monday through Friday with a rotation until 6:30pm EST.
There is a weekend and holiday rotation per the needs of the department.
No travel will be required.
As a Utilization Management (UM) Nurse Consultant you will utilize clinical skills to coordinate document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. Looking for someone who is high energy and motivated team environment and is detail oriented and highly organized.
- Experience with all types of Microsoft Office including PowerPoint Excel and Word
- Utilization Review experience preferred but not required.
- Any Managed Care background is a plus
- Strong telephonic communication skills