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.

**Bring your clinical expertise beyond the bedside and help drive better healthcare outcomes.**

We’re looking for a skilled RN to join our Utilization Management team, ensuring members receive appropriate, high-quality care across the continuum.

**What You’ll Do**

+ Review clinical documentation and apply guidelines to support coverage decisions
+ Collaborate with providers and care teams to coordinate appropriate treatment
+ Identify opportunities to improve quality, outcomes, and resource utilization
+ Co...