Utilization Management Nurse Consultant - Remote

Overview

As a Utilization Management Nurse Consultant at CVS Health, you will leverage your clinical experience to assess and facilitate appropriate healthcare services for members, ensuring quality and effective benefit utilization.

In Short

• Utilize clinical skills to assess healthcare options for members.
• Communicate with providers to facilitate treatment and care.
• Identify opportunities for referral to integrate services.
• Monitor and evaluate healthcare services and benefits.
• Work in a collaborative environment with a focus on quality.
• Must be available for weekend, holiday, and evening shifts.
• Proficiency in navigating multiple computer systems required.
• 2+ years of experience as a Registered Nurse required.
• Active RN licensure in state of residence is mandatory.
• Comprehensive benefits package available for employees.

Requirements

• 2+ years of experience in adult acute/critical care settings.
• Active and unrestricted RN licensure.
• Experience in Utilization Management is preferred.
• Associates Degree required; BSN preferred.
• Ability to multitask and adapt to a fast-paced environment.

Benefits

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