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Cvs Health Utilization Management Jobs in Virginia

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 ...

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 ...

Staff Pharmacist Full Time

Woodbridge, VA · On-site

$59 - $69.25/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 ...

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

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 purpose ... Manage the welcome visit and orientation process for new Oak Street Health patients * Educate ...

Showing results 41-60

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 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 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 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 the most commonly searched types of Cvs Health Utilization Management jobs in Virginia?

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

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

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

Infographic showing various Cvs Health Utilization Management job openings in Virginia as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 72% In-person, 14% Hybrid, and 14% Remote job distribution.

Dispensing Pharmacist - Long Term Care - Full Time

CVS Health

Richmond, VA

$50.48 - $84.62/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,338 frontline employees who took The Breakroom Quiz

89th of 112 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:

This role is based in a closed-door Long Term Care facility (non-customer-facing)

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.

Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the healthcare environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.

Are you searching for a fast paced and multifaceted environment where you can show your passion for helping others? If this sounds like the opportunity you're looking for, apply to our Pharmacist role at Omnicare today! We can't wait to meet you!

As a pharmacist for our Long Term Care Pharmacy you will work in an exciting, dynamic and fast paced environment, ensuring the continuation of pharmacy management's goals and objectives within the dispensing pharmacy. This pharmacist will provide routine and emergency comprehensive and accurate drug screening, information, processing, and dispensing services for various drug distribution systems to the centers. We are looking for someone who has a phenomenal work ethic to provide outstanding service and to ensure that the appropriate drug product reaches the customer both efficiently and safely.

You will:
  • Ensure accurate entry of orders

  • Maintain security of the pharmacy

  • Adhere to required delivery schedules

  • Verify orders entered by technician staff for accuracy.

  • Check for completeness and precision of all new and refill labels and orders.

  • Check for content and accuracy of all drug packaging and labeling.

  • Preparation and/or supervision of sterile IV drug products or solutions, if required.

  • Assist in maintaining a perpetual inventory for schedule II drugs.

  • Knowledge of DEA and state law with regards to controlled drug dispensing.

  • Provide evening, weekend, and holiday coverage during scheduled rotation based on the needs of the business.

  • Follow all applicable state and government regulations including HIPAA.

  • Other duties as assigned (these vary by location).

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 CVS Health as a leader within the LTC marketplace.

This is a full time, benefit eligible position. CVS Health offers a competitive benefit package which includes, but is not limited to, Paid Time Off, Health/Dental/Vision insurance, Employee Stock Purchase Program , 401K with a company match, and a generous employee discount at all CVS stores.

This is an overnight, 7on 7off, full time position working 35.5 hours. Schedule will be Sunday-Thursday 7:30pm-6am / Friday and Saturday 7:30pm-6:30am. There is no on-call requirement.

Required Qualifications:

Must be a licensed pharmacist in the state of Virginia, must be active & in good standing

Preferred Qualifications:

Long Term Care pharmacy experience

IV Certification or experience

Immunization certification or willingness to become immunization certified

Education:

Bachelors of Science Degree in Pharmacy or Doctorate of Pharmacy

Anticipated Weekly Hours

35.5

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: 08/31/2026

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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