Utilization Management Nurse Consultant - Remote

Overview

The Utilization Management Nurse Consultant role at CVS Health involves applying clinical criteria and guidelines to authorize medical procedures and services, primarily through telework.

In Short

• Remote position with preference for Virginia residents.
• Utilizes critical thinking and clinical guidelines for precertification.
• Requires active RN licensure and at least an Associate's Degree.
• 3+ years of clinical nursing experience required.
• Proficient computer skills necessary for navigating multiple systems.
• Fast-paced work environment.
• Eligible for bonuses and short-term incentives.
• Comprehensive benefits package including medical, 401(k), and wellness programs.
• Commitment to fostering a diverse and inclusive workplace.
• Application window closes on 08/31/2025.

Requirements

• Active RN licensure in the state of residence.
• Associate's Degree required; BSN preferred.
• 3+ years of clinical nursing experience.
• Proficient in computer skills.
• Experience in prior authorization preferred.
• Ability to work independently and manage time effectively.
• Strong communication skills.
• Critical thinking and problem-solving abilities.
• Compact RN licensure preferred.
• Willingness to work in a telecommuting environment.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and financial coaching.
• Comprehensive benefits addressing diverse needs.
• Dependent care resources and family leave.
• Colleague assistance programs.
• Retiree medical access.