Utilization Management Nurse Consultant – Behavioral Health (Remote)
CVS Health- Full Time
- Mid-level (3 to 4 years), Senior (5 to 8 years)
This role involves assessing and evaluating member needs to promote optimal wellness. The Field Care Manager, Behavioral Health 2 will guide members and families toward appropriate resources for care and well-being, interpreting situations and determining courses of action independently.
Health insurance provider for seniors and military
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.