CVS Health·5 days ago
5 days agoCheck your resume's ATS score
Concurrent Review UM Nurse Consultant - Louisiana Residence Preferred
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About this role
Exciting opportunity for an experienced RN to join our team as a Concurrent Review UM Nurse Consultant. Utilize your expertise in clinical review and utilization management to ensure timely, appropriate, and cost-effective healthcare. Ideal for candidates with strong clinical assessment skills and a background in nursing and utilization management.
Skills
- rn license
- utilization management
- clinical review
- prior authorization
- case management
- medical necessity evaluation
- interqual
- mcg
- electronic medical records
- clinical assessment
- critical thinking
- decision making
- hipaa compliance
- regulatory compliance
- managed care
- medicaid utilization review
- medicare utilization review
- remote work
- microsoft office 365
- google workspace
- vpn
- ehr portal
- troubleshooting
- collaboration
- verbal communication
- written communication
Company
CVS Health
Work at Home, United States of America
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