Quality Management Behavioral Health Nurse Consultant

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🔥 1 hour ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• responsible for the review and evaluation of Behavioral Health (BH) protected clinical information and documentation • independently coordinates the clinical resolution with internal/external clinician support as required • evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines

🎯 Requirements

• active and unrestricted Registered Nurse (RN) License in the state of residence • willing to obtain additional licensure as needed • 2+ years of behavioral health inpatient or outpatient experience

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources

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