Utilization Management Nurse Consultant - Concurrent Review - Remote

Overview

The Utilization Management Nurse Consultant role at CVS Health involves working from home and coordinating clinical care for patients, ensuring appropriate utilization of healthcare services.

In Short

• Work from home position with rotating shifts.
• Requires RN with compact licensure.
• Utilizes clinical skills for utilization management.
• Consults on treatment and medical necessity criteria.
• Coordinates care and communicates with providers.
• Identifies members for care management programs.
• Offers support for urgent or emergent interventions.
• 3+ years of clinical practice experience required.
• Preferred experience in managed care and discharge planning.
• Comprehensive benefits package offered.

Requirements

• 3+ years of clinical practice experience in an inpatient setting.
• RN with unrestricted state licensure.
• Willingness to obtain additional state licenses.
• Preferred managed care/utilization review experience.
• Acute care experience preferred.
• Education: AA Nursing required, BSN preferred.

Benefits

• Affordable medical plan options.
• 401(k) plan with matching contributions.
• No-cost wellness programs.
• Flexible work schedules and family leave.
• Tuition assistance and dependent care resources.
• Comprehensive benefits tailored to employee needs.