Consultant

• Assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services and benefits for members
• Gather clinical information and apply clinical criteria, guidelines, policies, procedures and clinical judgment to render coverage determinations or recommendations
• Communicate with providers and other parties to facilitate care and treatment
• Identify members for referral opportunities involving other products, services and programs
• Identify opportunities to promote healthcare service quality and effective benefit utilization
• Consult with and provide expertise to internal and external constituents in coordinating and administering utilization and benefit management
• Participate in a 24/7 utilization management operation, including holidays and evening hours

Explore Utilization Management Nurse Consultant – Weekends, S/S/M/T… at CVS Health Careers. Review requirements and application details.

Consultant jobs in Georgia

Utilization Management Nurse Consultant – Weekends, S/S/M/T (4-10 hour shifts)