Utilization Management Nurse Consultant (Weekend) - Remote

Overview

The Utilization Management Nurse Consultant at CVS Health plays a critical role in assessing and coordinating healthcare services for members, ensuring they receive appropriate benefits and care.

In Short

• Utilizes clinical skills to assess and coordinate healthcare services.
• Communicates with providers to facilitate care and treatment.
• Identifies opportunities for referral and integration of services.
• Meets productivity and quality expectations.
• Works from home with availability for meetings as required.
• Requires sitting for extended periods and multitasking.
• Position includes working weekends and holidays.
• Must have active RN licensure.
• 3+ years of nursing experience preferred.
• Competitive pay and comprehensive benefits offered.

Requirements

• Registered Nurse with active licensure in state of residence.
• 3+ years of experience as a Registered Nurse.
• 1+ years of Managed Care experience.
• 1+ years of clinical experience in acute or post-acute settings.
• Diploma RN acceptable; Associate degree/BSN preferred.
• Proficient in computer skills and navigating multiple systems.
• Effective verbal and written communication skills.
• Ability to adapt to a fast-paced environment.
• Must be available for occasional office visits.
• Willingness to work flexible hours including weekends.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• Employee stock purchase plan.
• No-cost wellness programs and counseling services.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.
• Programs for financial coaching and dependent care resources.
• Retiree medical access and additional benefits based on eligibility.
• Commitment to fostering a diverse and inclusive workplace.
• Recognition programs and a supportive work culture.