Utilization Management Nurse Consultant - Remote

Overview

As a Utilization Management Nurse Consultant at CVS Health, you will utilize your clinical experience to assess and coordinate healthcare services for members in a work-at-home role.

In Short

• Work from home position with hours Mon-Fri 8-5pm in your time zone.
• Utilize clinical skills to assess and implement healthcare options.
• Communicate with providers to facilitate patient care.
• Identify members for referral opportunities to enhance service integration.
• Consult on utilization management functions.
• Requires 3+ years as a Registered Nurse.
• Must have active RN licensure in your state.
• 1+ years of experience in infertility or women's health.
• Experience with Microsoft Office applications required.
• Full-time position with competitive pay and benefits.

Requirements

• 3+ years of experience as a Registered Nurse.
• Active and unrestricted RN licensure in state of residence.
• 1+ years in infertility or women's health.
• Proficiency in Microsoft Office applications.
• Prior Authorization or Utilization Management experience preferred.
• Managed care experience is a plus.
• Associates Degree in Nursing required; Bachelor's preferred.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with matching contributions.
• No-cost wellness programs and counseling services.
• Flexible work schedules and paid time off.
• Tuition assistance and dependent care resources.
• Employee stock purchase plan.
• Retiree medical access and various other benefits.