Utilization Management Nurse Consultant - Remote

Overview

The Utilization Management Nurse Consultant role at CVS Health focuses on assessing and facilitating appropriate healthcare services for members, utilizing clinical expertise in a telework environment.

In Short

• Full-time telework role with a schedule of Monday through Friday, 8am-5pm EST.
• Utilizes clinical experience to assess and coordinate healthcare services.
• Communicates with providers to facilitate care and treatment.
• Identifies members for referral opportunities.
• Promotes quality effectiveness of healthcare services.
• Requires proficiency in computer skills and effective communication.
• 2+ years of experience as a Registered Nurse is required.
• Managed Care experience preferred, especially in Utilization Management.
• Education: Associate's Degree required, BSN preferred.
• Salary range is $32.01 - $68.55 per hour.

Requirements

• Active RN licensure in state of residence.
• 2+ years of clinical experience in med surg or specialty area.
• Effective communication skills, both verbal and written.
• Ability to multitask and adapt to a fast-paced environment.
• Proficiency with navigating multiple systems and keyboarding.

Benefits

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