Utilization Management Nurse Consultant - Remote
Overview
The Utilization Management Nurse Consultant at CVS Health plays a crucial role in coordinating and managing healthcare services for members, utilizing clinical skills and judgment to ensure appropriate care delivery.
In Short
Utilize clinical skills for utilization/benefit management.
Coordinate and document healthcare services for members.
Communicate with providers to facilitate care.
Identify referral opportunities for integrated services.
Consult with internal and external parties on management functions.
Work in a typical office environment with productivity expectations.
Must be able to work weekends, holidays, and evenings.
Proficiency in computer skills is required.
Effective verbal and written communication skills are essential.
3+ years of experience as a Registered Nurse is required.
Requirements
Active RN licensure in state of residence.
1+ years of clinical experience in acute or post-acute settings.
Availability for a minimum of 6 weekend rotations per year.
Willingness to work Monday through Friday in specified time zones.
3+ years of clinical experience preferred.
Managed Care experience is a plus.
Associates Degree required; BSN preferred.
Benefits
Full range of medical, dental, and vision benefits.
401(k) retirement savings plan available.
Employee Stock Purchase Plan for eligible employees.
Fully-paid term life insurance for eligible employees.
Short-term and long-term disability benefits offered.
Paid Time Off (PTO) and paid holidays provided.
Numerous well-being programs and education assistance.
Discount programs with participating partners.
Free development courses available.
CVS store discount for employees.
Apply Now
The Utilization Management Nurse Consultant at CVS Health plays a crucial role in coordinating and managing healthcare services for members, utilizing clinical skills and judgment to ensure appropriate care delivery.
In Short
Utilize clinical skills for utilization/benefit management.
Coordinate and document healthcare services for members.
Communicate with providers to facilitate care.
Identify referral opportunities for integrated services.
Consult with internal and external parties on management functions.
Work in a typical office environment with productivity expectations.
Must be able to work weekends, holidays, and evenings.
Proficiency in computer skills is required.
Effective verbal and written communication skills are essential.
3+ years of experience as a Registered Nurse is required.
Requirements
Active RN licensure in state of residence.
1+ years of clinical experience in acute or post-acute settings.
Availability for a minimum of 6 weekend rotations per year.
Willingness to work Monday through Friday in specified time zones.
3+ years of clinical experience preferred.
Managed Care experience is a plus.
Associates Degree required; BSN preferred.
Benefits
Full range of medical, dental, and vision benefits.
401(k) retirement savings plan available.
Employee Stock Purchase Plan for eligible employees.
Fully-paid term life insurance for eligible employees.
Short-term and long-term disability benefits offered.
Paid Time Off (PTO) and paid holidays provided.
Numerous well-being programs and education assistance.
Discount programs with participating partners.
Free development courses available.
CVS store discount for employees.
Apply Now