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Cvs Health Utilization Management Jobs in Indiana

Pharmacy Manager

Greencastle, IN · On-site

$65 - $85/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Pharmacy Manager

Terre Haute, IN · On-site

$65 - $85/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Pharmacy Manager

Terre Haute, IN · On-site

$65 - $85/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Pharmacy Manager

Greencastle, IN · On-site

$65 - $85/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Utilization Review OR Case Management experience required * Must live locally in Indiana Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health system ...

Utilization Management Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and ... Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold ...

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Inventory Management * Financial Profitability * Loss Prevention * Workflow Management A key ...

Pharmacist

Corydon, IN · On-site

$60 - $76/hr

At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Inventory Management * Financial Profitability * Loss Prevention * Workflow ManagementA key ...

Showing results 21-40

Cvs Health Utilization Management information

What is CVS Health Utilization Management?

CVS Health Utilization Management refers to a set of services and processes used to ensure that patients receive appropriate, effective, and efficient health care. This involves reviewing medical necessity, appropriateness, and efficiency of health care services, procedures, and facilities under the provisions of a health benefits plan. At CVS Health, Utilization Management professionals work with healthcare providers, payers, and patients to optimize care outcomes while controlling costs. They help determine coverage decisions, coordinate care, and assist in managing complex cases.

What are the key skills and qualifications needed to thrive in CVS Health Utilization Management?

To thrive as a CVS Health Utilization Management Nurse, you need a current RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance guidelines and regulatory requirements is typically expected. Excellent communication, attention to detail, and critical thinking skills help in advocating for patients and collaborating with healthcare providers. These skills ensure effective care coordination, compliance with policies, and optimized patient outcomes in a managed care environment.

What are some typical challenges faced by CVS Health Utilization Management professionals, and how can they be addressed?

Utilization Management professionals at CVS Health often encounter challenges such as balancing clinical decision-making with cost-effectiveness, managing high caseloads, and navigating complex insurance policies. Staying updated on healthcare regulations, maintaining clear communication with providers, and leveraging the company's decision-support tools can help address these challenges. Regular collaboration with interdisciplinary teams also ensures that patient care remains the top priority while meeting organizational guidelines.

What is the difference between Cvs Health Utilization Management vs Cvs Health Case Management?

AspectCvs Health Utilization ManagementCvs Health Case Management
Primary FocusReviewing and authorizing healthcare services to ensure appropriate utilizationCoordinating patient care and connecting patients with resources
Work EnvironmentUtilization review teams, insurance settingsPatient homes, healthcare facilities, community settings
CredentialsRN, LPN, or other healthcare certificationsRN, social worker, or case management certifications
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers

While both roles involve healthcare professionals, Utilization Management focuses on reviewing services for appropriateness, whereas Case Management emphasizes coordinating comprehensive patient care. Understanding these differences helps in choosing the right career path or job search focus within the healthcare industry.

What are the most commonly searched types of Cvs Health Utilization Management jobs in Indiana?

The most popular types of Cvs Health Utilization Management jobs in Indiana are:

What cities in Indiana are hiring for Cvs Health Utilization Management jobs?

Cities in Indiana with the most Cvs Health Utilization Management job openings:

Infographic showing various Cvs Health Utilization Management job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Dispensing Pharmacist - Long Term Care - Full Time

CVS Health

Brownsburg, IN • On-site

$55.25 - $66.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,359 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation.


This pharmacist will be an integral member of the pharmacy team. Your success will be driven by your ability to lead and foster a culture of continuous improvement, quality, and service. The most successful pharmacists demonstrate excellent customer service skills, as well as the ability to prioritize the workflow. The contributions you will make as a pharmacist in this role will position Omnicare as a leader within the LTC marketplace.

Responsibilities

  • Execute day-to-day operations in the pharmacy as they pertain to workflow, production quotas, and deadlines.

  • Ensure that the pharmacy is in compliance with all local, state, and federal rules and regulations regarding the practice of pharmacy. Assist in ensuring that the pharmacy is in compliance with all DEA policies and procedures as set forth by Omnicare or the regulatory agency, whichever is stricter. Ensure that the pharmacy is in compliance with all third-party payor contract rules and regulations by which the pharmacy is bound. Maintain compliance with Omnicare SOPs and all current controlled substance laws, SOX regulation, USP 797 / 795 for sterile/non-sterile compounding, and Omnicare purchasing and formulary initiatives.

  • Have a thorough understanding of the Omnicare Long Term Care Pharmacy/Home Infusion Pharmacy Policy and Procedure Manual and internal pharmacy policies and procedures.

  • Supervise the pharmacy production staff to ensure proper and timely order entry, workflow, security of the pharmacy area, and adherence to delivery schedules.

  • Check for completeness and accuracy of all new and refill labels and orders. Check for content and accuracy of all drug packaging and labeling.

  • Check for appropriateness of therapy through prospective drug utilization review including assessment for appropriateness of therapy, high risk medications, allergies, adverse indications or interactions, and other potentially adverse outcomes

  • Remain informed of medication storage, stability and administration requirements.

  • Preparation and/or supervision of all sterile IV drug products or solutions and maintain all applicable required IV documentation and clinical monitoring and supervision of IV department colleagues

  • Assist in the proper ordering, counting, handling, receiving, documentation, and storage of all controlled substances; assist in maintaining a perpetual inventory for schedule II drugs.

  • Assist in the proper maintenance of emergency kit dispensing including ekits and Omnicells

  • Provide evening, weekend, and holiday coverage

  • Workflow grid is cleared daily Follow all applicable government regulations including HIPAA.

  • Communicate ongoing issues to Pharmacy Management Thorough knowledge of medication occurrence reporting process as well as performs drug recall surveillance and reporting

  • Other duties as assigned; Job duties may vary by location.

This is a full time position. The schedule will be based on the needs of the business. The schedule will be rotating days and evening shifts. Schedule starting times will be between the hours of 6am-1pm. The weekend rotation is every fourth. There is no on-call requirement.

Required Qualifications

  • BS Degree in Pharmacy or Pharm.D. degree from an accredited School of Pharmacy required

  • Current Indiana Pharmacist license in good standing

  • Ability to read, write, speak and understand English


Preferred Qualifications

  • At least two (2) years of long-term care experience

  • Excellent organizational and time management skills.

  • Excellent interpersonal skills

  • Excellent verbal and written communication skills

  • Ability to work independently to plan, develop and coordinate pharmacy activities

  • Ability to read, analyze and interpret complex topics using reasoning abilities to apply advanced mathematical concepts and draw valid conclusions.

  • Knowledge of the American Society of Consultant Pharmacist guidelines for practice, state and federal regulations, and drug indicators for long term care centers

  • Knowledge of all government regulations impacting upon pharmacy


Education

BS Degree in Pharmacy or Pharm.D. degree from an accredited School of Pharmacy required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$50.48 - $84.62

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


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