Utilization Management Nurse Consultant - Must reside in Florida

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.

As a Utilization Management Nurse Consultant, you will leverage your clinical expertise to review, coordinate, and manage healthcare services for members, ensuring the right care is delivered at the right time and in the most appropriate setting. This role involves evaluating clinical information, applying evidence-based guidelines and medical necessity criteria, and collaborating with providers and interdisciplinary teams to support quality, cost-effective healthcare outcomes.

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.