Remote NICU Utilization Nurse Consultant

CVS Health; Baton Rouge (LA); On-site; USD 47,000 - 77,000; Full time

Job summary

CVS Health is seeking a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making. This remote role requires an active RN license, NICU experience, and knowledge of utilization management systems.

We offer a full-time schedule with a base pay range and bonus eligibility. Ideal candidates will have 3+ years NICU nursing and 1+ year in utilization management, with Louisiana residency

Qualifications

• Active, unrestricted RN license in the state of residence.
• 3+ years of clinical NICU nursing experience minimum.
• 1+ years of experience in utilization management, case management, managed care, NICU, pediatrics, or maternal-child health.
• Strong knowledge of neonatal intensive care, prematurity, congenital conditions, and complex infant care needs.
• Experience reviewing medical records and applying evidence-based clinical criteria (MCG or similar tools).
• Associates Degree in Nursing required.

Responsibilities

• Support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making.

Skills

RN license

NICU nursing

Utilization management

Clinical review

EMR systems

Education

Associates Degree in Nursing

BSN (preferred)

Tools

Electronic medical records

Utilization management systems

Job description

CVS Health is seeking a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making. This remote role requires an active RN license, NICU experience, and knowledge of utilization management systems.

We offer a full-time schedule with a base pay range and bonus eligibility. Ideal candidates will have 3+ years NICU nursing and 1+ year in utilization management, with Louisiana residency