Utilization Management Nurse Consultant - Remote

Overview

As a Utilization Management Nurse Consultant at CVS Health, you will leverage your clinical experience to facilitate appropriate healthcare services and benefits for members, working in a fully remote capacity.

In Short

• Full-time remote position.
• Utilizes clinical skills for healthcare service facilitation.
• Gathers clinical information for coverage determination.
• Communicates with providers to facilitate care.
• Identifies referral opportunities for members.
• Consults on utilization/benefit management functions.
• Requires effective multitasking and adaptability.
• Must have active RN licensure and clinical experience.
• Work includes weekends and holiday rotations.
• Competitive pay and comprehensive benefits offered.

Requirements

• Active RN licensure in state of residence.
• 3+ years of experience as a Registered Nurse.
• 1+ years of clinical experience in an acute or post-acute setting.
• Availability to work Monday - Friday, including late nights.
• Preferred experience in ER, Med/Surg, or Critical care.
• Managed Care and Utilization review experience preferred.
• Proficiency with MS Office applications.
• 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 for all colleagues.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.
• Confidential counseling and financial coaching.
• Employee stock purchase plan available.
• Comprehensive benefits tailored to employee needs.