Quality Management Nurse Consultant (Remote)
CVS Health•Springfield, IL
479d•$66,575 - $142,577•Remote
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About The Position
The Quality Management Nurse Consultant at CVS Health is a full-time remote position responsible for reviewing and evaluating clinical information and documentation. The role involves interpreting data from clinical records and applying clinical criteria in line with regulatory requirements for member and provider claims. The consultant will coordinate clinical resolutions and act as a resource for customer service and claims processing areas, ensuring high-quality care and compliance with standards.
