Utilization Management Nurse Consultant - Remote

Overview

This position involves working as a Utilization Management Nurse Consultant at CVS Health, providing essential healthcare services through a remote setup.

In Short

• Full-time remote position in Utilization Management.
• Utilizes clinical skills to assess and facilitate appropriate healthcare services.
• Communicates with providers to coordinate care and treatment.
• Identifies members for referral opportunities.
• Consults with internal and external parties on utilization management.
• Requires strong computer skills and the ability to multitask.
• Must reside in the EST time zone.
• Requires 3+ years of clinical experience as a Registered Nurse.
• Work schedule may include evenings, weekends, and holidays.
• Competitive pay range with various benefits offered.

Requirements

• Active RN licensure in state of residence.
• 3+ years of clinical experience in a hospital setting.
• 1+ years of clinical experience in acute or post-acute settings.
• Willingness to work Monday through Friday, 8:00am to 5:00pm EST.
• Preferred experience in utilization review and Medicare.
• Minimum of an Associate's Degree in Nursing; BSN preferred.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching.
• No-cost wellness programs and counseling services.
• Flexible work schedules and paid time off.
• Tuition assistance and dependent care resources.
• Comprehensive benefits to support physical and emotional wellness.