Quality Management Nurse Consultant - Remote

Overview

This is a fully remote Quality Management Nurse Consultant opportunity at CVS Health, focusing on the review and evaluation of clinical information and documentation related to outpatient therapy services.

In Short

• Fully remote position with a Monday to Friday schedule.
• Responsible for reviewing clinical documentation and data interpretation.
• Coordinates clinical resolution with clinician/MD support.
• Acts as a resource for customer service and claims processing.
• Requires 2+ years of clinical experience as an RN.
• Active RN licensure in the state of residence is mandatory.
• Experience with Microsoft Office products is required.
• Preferred experience in outpatient therapy and multidisciplinary teams.
• Minimum education requirement is an Associate’s degree in Nursing.
• Competitive salary range with additional benefits available.

Requirements

• 2+ years of clinical experience as an RN.
• Active unrestricted RN licensure.
• Experience with Microsoft Office products.
• Preferred experience with therapy review types.
• Experience working in a multidisciplinary team.
• Associate’s degree in Nursing or Diploma RN required.
• BSN preferred.

Benefits

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