Utilization Management Clinical Consultant

5 days ago

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CVS Health

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Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy

10,000+

Description

• Fulltime remote Utilization Management Clinical Consultant opportunity • Schedule is Monday-Friday, 8am-5pm EST with flexibility • Utilizes clinical skills for benefit management program • Applies critical thinking and is knowledgeable in evidence based care • Coordinates and facilitates optimal healthcare services/benefits • Provides triage and crisis support • Gathers clinical information for coverage determination

Requirements

• Must reside in Florida • Licensed Independent Behavioral Health clinician or unrestricted RN license in FL with psychiatric specialty or behavioral health experience • 3+ years clinical practice experience in behavioral health • 1+ years' experience using MS Office applications • 1+ year electronic medical record documentation experience

Benefits

• Full range of medical, dental, and vision benefits • 401(k) retirement savings plan • Employee Stock Purchase Plan • Fully-paid term life insurance • Short-term and long term disability benefits • Well-being programs • Education assistance • Free development courses • CVS store discount • Paid Time Off (PTO) or vacation pay • Paid holidays throughout the year