Full-Time

Quality Management Nurse Consultant

Posted on 1/7/2025

CVS Health

CVS Health

10,001+ employees

Comprehensive pharmacy and healthcare services

Healthcare
Consumer Goods

Compensation Overview

$54.1k - $116.8kAnnually

+ Bonus + Commission + Short-term Incentive Program

Mid, Senior

Company Historically Provides H1B Sponsorship

Phoenix, AZ, USA

Candidates must reside in Phoenix, AZ or the surrounding area and may need to conduct onsite visits.

Category
Nursing & Allied Health Professionals
Medical, Clinical & Veterinary
Required Skills
Word/Pages/Docs
Excel/Numbers/Sheets

You match the following CVS Health's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Active and unrestricted Arizona or compact state RN license
  • Candidate must reside in Phoenix, AZ or the surrounding area
  • Willing and able to drive within assigned geographic area (maximum of 60 miles) about 25-50% of the time and have reliable transportation
  • 3+ years of clinical experience as a RN
  • 3+ years experience reading and interpreting medical records, including handwritten records
  • 3+ years experience documenting electronically using keyboard and multiple computer screens-- navigating through internal/external computer systems, and MS Office Suite applications, including Word and Excel
Responsibilities
  • Responsible for obtaining, reviewing, abstracting, and data entering medical records utilized for HEDIS ® supplemental data processes
  • Collaborate with the health plan HEDIS ® project managers and other health plan departments to achieve the common goal of improving member outcomes
  • Conduct onsite visits to obtain, review, abstract, and data enter all medical record data for large groups/groups that request an onsite visit
  • Review documentation and abstract compliant medical record data for entry into supplemental data tool
  • Contact the providers of record, vendors, or internal Aetna departments to obtain additional information
Desired Qualifications
  • Experience with a variety of EMR systems highly preferred
  • Computer literacy and demonstrated proficiency is preferred in order to navigate through internal/external computer systems, Adobe, and MS Office Suite applications, including Word and Excel

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, beauty items, and general merchandise. CVS Health also functions as a pharmacy benefits manager, serving over 75 million plan members, and has a senior pharmacy care business that assists more than one million patients each year. This integrated model allows CVS Health to deliver affordable health management solutions, improving access to quality care and health outcomes while aiming to lower overall healthcare costs. Unlike many competitors, CVS Health combines retail pharmacy services with clinical care, making it a significant player in the healthcare sector with a commitment to supporting individuals and communities in achieving better health.

Company Size

10,001+

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Simplify Jobs

Simplify's Take

What believers are saying

  • Expansion of telehealth services leverages CVS's infrastructure for remote healthcare consultations.
  • Rising demand for health and wellness products aligns with CVS's retail offerings.
  • AI integration in pharmacy operations optimizes inventory and enhances customer service.

What critics are saying

  • DOJ's complaint on unlawful opioid prescriptions could harm CVS's reputation and finances.
  • Walgreens' divestment of VillageMD may increase competition in healthcare clinics.
  • Focus on digital personalization requires significant investment and poses execution risks.

What makes CVS Health unique

  • CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
  • The company integrates pharmacy benefits management with retail and specialty pharmacy services.
  • CVS Health's all-in-one app aims to personalize and enhance the healthcare experience.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Company News

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Walgreens Continues Efforts To Divest Healthcare Clinic Chain Villagemd

Walgreens Boots Alliance-backed healthcare clinic chain VillageMD is reportedly working with advisers to explore a sale, restructuring or other options. This move comes after Walgreens CEO Tim Wentworth said during a January earnings call that the company plans to divest VillageMD, Bloomberg reported Wednesday (Feb. 12). A Walgreens spokesperson told Bloomberg that Walgreens “is continuing to work toward executing its stated goal of securing an endpoint for its investment in VillageMD, consistent with Walgreens’ turnaround strategy.”

PYMNTS
Feb 12th, 2025
Cvs Health’S All-In-One App Aims To Personalize Healthcare

Digital personalization in the healthcare industry is critical to elevate the customer experience. In keeping with that theme, CVS Health CEO David Joyner identified advancing digital strategies as one of four priorities for 2025 during the company’s fourth-quarter earnings call Wednesday (Feb. 12). The newly redesigned CVS Health app will help “drive simplicity and efficiency while delivering better experiences for the people we serve,” Joyner said during the call

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