Utilization Management Clinical Consultant

Yesterday

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Logo of CVS Health

CVS Health

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

Description

• Full-time remote Utilization Management Clinical Consultant. • Coordinate, document, and communicate all aspects of the utilization/benefit management program. • Assess appropriateness of treatment plans and apply evidence-based standards. • Coordinate with providers for optimal care. • Identify members at risk for poor outcomes and facilitate referrals.

Requirements

• Must reside in Florida. • Licensed Independent Behavioral Health clinician or unrestricted RN license in Florida. • 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. • Eligible for 401(k) retirement savings plan. • Employee Stock Purchase Plan available. • Fully-paid term life insurance plan. • Short-term and long term disability benefits. • Well-being programs, education assistance, and free development courses. • CVS store discount and discount programs with partners. • Paid Time Off and paid holidays.

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