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Clinical Utilization Navigator

Job in Mitchell, Davison County, South Dakota, 57301, USA
Listing for: CVS Health Corporation
Full Time position
Listed on 2026-09-30
Job specializations:
  • Healthcare
    Health Education & Promotion
Salary/Wage Range or Industry Benchmark: 36000 - 103000 USD Yearly USD 36000.00 103000.00 YEAR
Job Description & How to Apply Below

CVS Health Corporation is seeking a clinically focused Utilization Management Specialist to coordinate, document, and communicate all aspects of the utilization/benefit management program for child and adolescent members in Arizona. The role emphasizes applying medical necessity criteria, evidence-based care, and collaboration with providers to ensure appropriate services.

The ideal candidate holds an Arizona license (RN or approved licensure), has 2+ years in utilization management, and can

This is an excellent opportunity to take on the Clinical Utilization Navigator role at CVS Health Corporation.

For the Clinical Utilization Navigator position at CVS Health Corporation, we are reviewing applications now.

Step into the Clinical Utilization Navigator role at CVS Health Corporation in SD, United States and grow with us.

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.

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