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Utilization Management Nurse Consultant - Remote

Posted 6 weeks ago
All others
Full Time
USA
$32.01 - $68.55/hour

Overview

As a Utilization Management Nurse Consultant at CVS Health, you will leverage your clinical experience to assess and coordinate appropriate healthcare services for members, working in a 24/7 operation environment.

In Short

  • Utilizes clinical skills for healthcare service facilitation.
  • Collaborates with providers for care coordination.
  • Identifies opportunities for quality improvement.
  • Requires active RN licensure in the state of residence.
  • Must be available for weekends and holidays.
  • Proficiency in computer skills is essential.
  • 2+ years of RN experience required.
  • Managed care experience preferred.
  • Offers competitive pay and benefits.
  • Flexible work schedules are available.

Requirements

  • 2+ years of experience as a Registered Nurse in adult acute care/critical care setting.
  • Active RN licensure in state of residence.
  • Experience in Utilization Management preferred.
  • Education: Associates Degree required, BSN preferred.
  • Ability to multitask and adapt to a fast-paced environment.
  • Effective communication skills, both verbal and written.
  • Proficiency with navigating multiple computer systems.
  • Availability for a 24/7 operation including weekends and holidays.

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 dependent care resources.
  • Comprehensive wellness support including counseling and coaching.
  • Retiree medical access and other benefits.

A.R

Aetna Resources

Aetna Resources, a part of CVS Health, is a leading health solutions company dedicated to transforming healthcare for millions of Americans. With a workforce of over 300,000 passionate colleagues, Aetna focuses on providing connected, convenient, and compassionate care through various channels. The company emphasizes data intelligence to support its Medicare organization and Stars program, aiming to enhance member experiences and elevate Star ratings while adhering to regulatory guidelines. Aetna is committed to fostering a diverse and inclusive workplace, offering comprehensive benefits and a culture that values collaboration, trust, and innovation.

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