Utilization Management Nurse Consultant

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

**Position Summary**
Fully remote role. Tuesday–Saturday. Hours are 10:00 a.m.–6:30 p.m. Tuesday through Friday. Saturday hours may be either 8:00 a.m.–4:30 p.m. or 10:00 a.m.–6:30 p.m. ET.

Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations. Applies critical thinking and clinical judgment grounded in evidence-based care and clinical practice guidelines for behavioral health and/or medical conditions, ...