Remote Precertification Nurse Consultant

CVS Pharmacy; Wisconsin; Remote; USD 74,530,000 - 196,424,000; Full time

Job summary

CVS Health is seeking a Telework RN with at least an Associate’s degree and 3+ years of clinical nursing experience. The role focuses on precertification, reviewing clinical information from providers, and authorizing procedures or referrals.

It requires Monday–Friday hours (8am–5pm) with potential on-call duties and occasional weekends. Ideal candidates hold an active RN license in their state of residence, have strong computer skills, and can thrive in a fast-paced environment while

Qualifications

• Active, current RN license in state of residence with at least an Associate’s Degree.
• 3+ years of clinical nursing experience.
• Ability to work Monday–Friday 8am–5pm with occasional weekend/holiday on-call or rotating 10-hour shifts.

Responsibilities

• Perform precertification activities using clinical criteria and guidelines.
• Review and collect clinical information from providers for authorization decisions.
• Initiate Medical Director referrals as needed.

Skills

RN licensure

Clinical experience

Communication

Computer skills

Education

Associates degree required

BSN preferred

Tools

Microsoft Office 365

Job description

CVS Health is seeking a Telework RN with at least an Associate’s degree and 3+ years of clinical nursing experience. The role focuses on precertification, reviewing clinical information from providers, and authorizing procedures or referrals.

It requires Monday–Friday hours (8am–5pm) with potential on-call duties and occasional weekends. Ideal candidates hold an active RN license in their state of residence, have strong computer skills, and can thrive in a fast-paced environment while