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Utilization Management Nurse Consultant

CVS Health • MO, US • published 2026-09-26 09:51:26.191272

Description

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. **Utilization Management Nurse Consultant (RN)** **Make a meaningful impact on patient care from wherever you are.** We are seeking an experienced **Registered Nurse (RN)** to join our Utilization Management team. In this role, you will use your clinical expertise to review healthcare services, support appropriate care decisions, collaborate with providers, and help members navigate their healthcare journey. **What You'll Do** * Review clinical information and apply evidence\-based criteria to make coverage recommendations. * Collaborate with healthcare providers and internal teams to support quality patient outcomes. * Identify opportunities for care coordination and member support programs. * Promote effective healthcare utilization and contribu...

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