Remote NICU Utilization Nurse Consultant
CVS Health
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Job summary
CVS Health seeks 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 nursing experience, and familiarity with utilization management tools; you will collaborate across teams to improve outcomes.
Join a mission-driven environment focused on quality, safety, and patient-centered care while complying with HIPAA in a home-based
Qualifications
- Active, unrestricted RN license in the state of residence. Ability to obtain and maintain additional state licensure as required by business needs.
- 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)
- Excellent clinical judgment, communication, and collaboration skills
- Proficiency with electronic medical records and utilization management systems
- Associates Degree in Nursing
Skills
Education
Tools
Job description
CVS Health seeks 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 nursing experience, and familiarity with utilization management tools; you will collaborate across teams to improve outcomes.
Join a mission-driven environment focused on quality, safety, and patient-centered care while complying with HIPAA in a home-based
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