Remote RN Utilization & Care Coordination Consultant

4062 Aetna Resources, LLC; Virginia (IL); On-site; USD 61,000 - 130,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Retirement savings

Job summary

CVS Health is seeking a registered nurse to assess, plan, implement and coordinate healthcare services for members in a remote, full-time role. You will apply clinical criteria and guidelines to determine coverage and coordinate care with providers and teams.

Requirements include 3+ years of RN experience, current RN license, and proficiency across IT platforms and Microsoft Office 365. BSN preferred; full-time with robust benefits package.

Qualifications

• 3+ years of RN experience.
• Active RN license in home state.
• Ability to work across IT platforms.

Responsibilities

• Assess, plan, implement, coordinate, monitor and evaluate care options for members.
• Render coverage determinations/recommendations per guidelines and criteria.
• Collaborate with providers and internal teams to coordinate care.

Skills

RN experience

IT platform aptitude

MS Office

Education

Associates Degree in Nursing

BSN preferred

Tools

Microsoft Office 365

VPN access

Job description

CVS Health is seeking a registered nurse to assess, plan, implement and coordinate healthcare services for members in a remote, full-time role. You will apply clinical criteria and guidelines to determine coverage and coordinate care with providers and teams.

Requirements include 3+ years of RN experience, current RN license, and proficiency across IT platforms and Microsoft Office 365. BSN preferred; full-time with robust benefits package.