Utilization Management Nurse Consultant - Remote

Overview

As a Utilization Management Nurse Consultant at CVS Health, you will leverage your clinical expertise to assess and coordinate healthcare services for members, ensuring they receive appropriate benefits and care.

In Short

• Full-time remote position.
• Utilizes clinical skills in a collaborative process.
• Assesses and implements healthcare services for members.
• Communicates with providers to facilitate care.
• Identifies opportunities for quality improvement.
• Requires active RN licensure in state of residence.
• 3+ years of RN experience required.
• Work schedule includes evenings, weekends, and holidays.
• Proficiency in MS Office applications preferred.
• Competitive salary and benefits offered.

Requirements

• Active and unrestricted RN licensure.
• 3+ years of experience as a Registered Nurse.
• 1+ years of clinical experience in acute or post-acute settings.
• Experience in ER, Med/Surg, or Critical Care preferred.
• Managed Care and utilization review experience preferred.
• Must be able to work Monday - Friday 8:00am-5:00pm EST.
• Ability to multitask and adapt to a fast-paced environment.
• Effective verbal and written communication skills.
• Proficiency in navigating multiple systems and keyboarding.
• Associate's Degree in Nursing required; BSN preferred.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and family leave options.
• Tuition assistance available.
• Confidential counseling and financial coaching.
• Paid time off and other benefits based on eligibility.
• Access to retiree medical benefits.
• Comprehensive support for physical, emotional, and financial wellness.