Utilization Management Nurse Consultant - Remote

Overview

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

In Short

• Utilizes clinical experience in a collaborative process.
• Assesses, plans, implements, and evaluates healthcare options.
• Communicates with providers to facilitate care.
• Identifies referral opportunities for integrated services.
• Promotes quality effectiveness of healthcare services.
• Consults with internal and external constituents.
• Works in a typical office environment with productivity expectations.
• Requires proficiency in computer skills and multitasking.
• Full-time position with 40 hours per week.
• Eligible for bonuses and competitive benefits.

Requirements

• 2+ years of experience as a Registered Nurse in acute care.
• Active RN licensure in state of residence.
• Experience in Utilization Management preferred.
• Associates Degree required; BSN preferred.
• Ability to work weekends, holidays, and evenings.
• Effective verbal and written communication skills.
• Ability to adapt to a fast-paced environment.
• Experience in med surg or specialty area is a plus.
• Proficiency with navigating multiple systems.
• Strong prioritization and multitasking skills.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• No-cost wellness programs and counseling.
• Flexible work schedules and paid time off.
• Tuition assistance and retiree medical access.
• Comprehensive benefits addressing diverse needs.
• Employee stock purchase plan.
• Family leave and dependent care resources.
• Confidential financial coaching available.
• Commitment to employee wellness and satisfaction.