Utilization Management Nurse Consultant - Remote

Overview

As a Utilization Management Nurse Consultant at CVS Health, you will leverage your clinical experience to assess and coordinate appropriate healthcare services for members, ensuring quality and effectiveness in healthcare delivery.

In Short

• Work in a 24/7 operation requiring flexibility in hours.
• Utilize clinical skills for healthcare service assessment and planning.
• 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 proficiency in computer systems and effective communication.
• 2+ years of experience as a Registered Nurse required.
• Active RN licensure in the state of residence is mandatory.
• Education: Associate's degree required; BSN preferred.
• Competitive salary with additional benefits and incentives.

Requirements

• 2+ years of RN experience in adult acute care/critical care.
• Utilization Management experience preferred.
• Ability to work weekends, holidays, and evenings.
• Proficiency with computer skills and multitasking.
• Effective verbal and written communication skills.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• No-cost wellness programs.
• Flexible work schedules and family leave.
• Tuition assistance and financial coaching available.