Utilization Management Nurse Consultant - Remote

Overview

As a Utilization Management Nurse Consultant at CVS Health, you will utilize your clinical experience to assess, plan, and coordinate healthcare services for members, ensuring appropriate benefits are provided.

In Short

• Utilize clinical skills for healthcare assessment and planning.
• Communicate with providers to facilitate care.
• Identify referral opportunities for integrated services.
• Consult on utilization and benefit management.
• Meet productivity and quality expectations.
• Proficient in navigating multiple computer systems.
• Work from home position with communication requirements.
• Full-time position with varying hours, including weekends and holidays.
• Must have active RN licensure in state of residence.
• Competitive pay and comprehensive benefits offered.

Requirements

• Registered Nurse with active and unrestricted licensure.
• 1+ years of Managed Care Experience preferred.
• 1+ years of clinical experience in acute or post-acute settings preferred.
• Diploma RN acceptable; Associate degree/BSN preferred.
• Ability to multitask and adapt to a fast-paced environment.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.