Remote Nurse Consultant — Inpatient Care & Utilization

CVS Health Corporation; Louisiana (MO); Remote; USD 54,000 - 117,000; Full time

Job summary

CVS Health is seeking a Nurse Consultant for a remote role focused on inpatient clinical reviews. The position emphasizes collaboration with hospitals and care teams to ensure appropriate levels of care and efficient discharge planning from a non-bedside capacity.

Ideal candidates have 5+ years of inpatient nursing experience, and hold a LA RN license or Compact licensure. Associates degree is required, with a Bachelor's preferred, and ongoing licensure expansion may be required by state rules.

Qualifications

• Associates Degree required; a Bachelor's degree is preferred.
• 5+ years of inpatient clinical nursing experience.
• Active, unrestricted RN license with Louisiana or Compact licensure.
• Willingness to obtain additional state licensure as required.

Responsibilities

• Conduct concurrent reviews for inpatient admissions and continued stays.
• Evaluate clinical documentation and determine medical necessity using established guidelines.
• Collaborate with hospitals, physicians, and care teams to support appropriate levels of care.
• Facilitate timely discharge planning and care transitions.
• Monitor ongoing inpatient treatment and identify opportunities to improve healthcare utilization.
• Communicate recommendations and clinical findings to providers and internal stakeholders.
• Support effective resource utilization while maintaining quality and compliance standards.

Education

Associates Degree; Bachelor's preferred

Job description

CVS Health is seeking a Nurse Consultant for a remote role focused on inpatient clinical reviews. The position emphasizes collaboration with hospitals and care teams to ensure appropriate levels of care and efficient discharge planning from a non-bedside capacity.

Ideal candidates have 5+ years of inpatient nursing experience, and hold a LA RN license or Compact licensure. Associates degree is required, with a Bachelor's preferred, and ongoing licensure expansion may be required by state rules.