Remote RN: Quality & Utilization Consultant

CVS Health; Maine; Remote; USD 36,000 - 77,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health in the United States is seeking an experienced registered nurse to assess, plan, implement, coordinate, monitor, and evaluate options to ensure appropriate healthcare services and benefits for members. You will interact with providers, apply guidelines, and support utilization management within a fast-paced, quality-driven environment.

The role requires an active RN license, 2+ years in adult acute or critical care, and availability for weekends, holidays, and evenings.

Qualifications

• Active RN license in their state of residence.
• 2+ years as RN in adult acute/critical care.
• Available to work weekends, holidays, and evenings as required.

Responsibilities

• Assess, plan, implement and coordinate care for members.
• Collaborate with providers to determine coverage determinations.
• Communicate findings and coordinate with interdisciplinary teams.

Skills

RN license

Acute/critical care

Weekend hours

Education

Associate Degree in Nursing

Bachelor's in Nursing

Tools

Microsoft Office 365

Job description

CVS Health in the United States is seeking an experienced registered nurse to assess, plan, implement, coordinate, monitor, and evaluate options to ensure appropriate healthcare services and benefits for members. You will interact with providers, apply guidelines, and support utilization management within a fast-paced, quality-driven environment.

The role requires an active RN license, 2+ years in adult acute or critical care, and availability for weekends, holidays, and evenings.