Utilization Management Nurse Consultant - Remote

Overview

As a Utilization Management Nurse Consultant at CVS Health, you will utilize your clinical skills to assess and coordinate appropriate healthcare services for members, working in a collaborative environment to ensure quality care.

In Short

• Full-time position with 24/7 operation hours including weekends and holidays.
• Utilize clinical experience to assess and implement healthcare services.
• Gather clinical information to render coverage determinations.
• Communicate with providers to facilitate care and treatment.
• Identify opportunities for quality improvement in healthcare services.
• Consult with internal and external parties regarding utilization management.
• Requires effective multitasking and prioritization skills.
• Proficiency with computer skills is essential.
• Experience in adult acute care or critical care is required.
• Competitive pay and comprehensive benefits offered.

Requirements

• 2+ years of experience as a Registered Nurse in acute care.
• Active and unrestricted RN licensure in state of residence.
• Experience in managed care and utilization management preferred.
• Associate Degree required; BSN preferred.
• Ability to work in a fast-paced environment.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching contributions.
• No-cost wellness programs and counseling services.
• Flexible work schedules and paid time off.
• Tuition assistance and dependent care resources.