Appeals Nurse Consultant - Remote

Overview

As an Appeals Nurse Consultant at CVS Health, you will be responsible for reviewing and resolving clinical appeals while ensuring compliance with regulatory and accreditation requirements.

In Short

• Full-time telework position.
• Responsible for clinical appeals review and resolution.
• Must have active RN licensure.
• 3+ years of clinical experience required.
• Preferred experience in appeals and managed care.
• Exceptional communication and organizational skills.
• Proficiency in navigating multiple computer systems.
• Work hours are Monday-Friday, 8a-5p in your time zone.
• Eligible for bonuses and incentives.
• Comprehensive benefits package offered.

Requirements

• Active and unrestricted RN licensure in state of residence.
• 3+ years of clinical experience.
• Experience in appeals and managed care preferred.
• Utilization review experience is a plus.
• Strong communication skills.
• Highly organized and able to multitask.
• Computer proficiency.
• Associate's Degree minimum.

Benefits

• Affordable medical plan options.
• 401(k) plan with matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs and counseling.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.
• Comprehensive benefits for physical and emotional wellness.