Remote RN - Utilization & Care Coordination Consultant

CVS Health; Athens (GA); Remote; USD 36,000 - 77,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking an experienced registered nurse for a full-time remote role in the United States. The position focuses on assessing, planning, implementing, and coordinating healthcare services and benefits for members, with emphasis on clinical judgment and utilization management.

Requires 2+ years of acute/critical care RN experience, an active RN license, and residency in EST zones. Availability to work weekends, holidays, and evenings is required.

Qualifications

• Associate degree in nursing is required.
• BSN degree is preferred.
• Active and unrestricted RN license in your state of residence.
• Minimum 2+ years as RN in adult acute/critical care.

Responsibilities

• Assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
• Render coverage determination/recommendation along the continuum of care using clinical criteria and guidelines.
• Communicate with providers and other parties to facilitate care/treatment.
• Identify referral opportunities to integrate with other CVS Health products/services/programs.

Skills

RN experience

Acute/critical care

Active RN license

Flexible schedule

Education

Associates Degree in Nursing

Bachelors Degree in Nursing

Job description

CVS Health is seeking an experienced registered nurse for a full-time remote role in the United States. The position focuses on assessing, planning, implementing, and coordinating healthcare services and benefits for members, with emphasis on clinical judgment and utilization management.

Requires 2+ years of acute/critical care RN experience, an active RN license, and residency in EST zones. Availability to work weekends, holidays, and evenings is required.