CVS Health
Bringing our heart to every moment of your health.
Appeals Nurse Consultant
Location
Kentucky
Posted
1 day ago
Salary
$54.1K - $116.8K / year
Professional Certificate3 yrs expEnglish
Job Description
• Responsible for intake, investigation and resolution of appeals, complaints and grievances scenarios for all products
• Ensure timely, customer focused response to appeals, complaints and grievance
• Identify trends and emerging issues and report and recommend solutions
• Review and resolution of clinical documentation, clinical complaints and appeals
Job Requirements
- Experience in reading or researching benefit language
- Excellent verbal and written communication skills
- Excellent customer service skills
- 3-5 years of clinical experience required
- RN with current unrestricted state licensure required
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
