Remote RN: Utilization & Care Coordination Specialist

CVS Health; United States; A distancia; USD 54.000 - 117.000; Jornada completa

Descripción de la vacante

CVS Health is seeking an experienced RN to assess, plan, and coordinate healthcare services for members. You will apply clinical criteria to determine coverage and collaborate with providers to facilitate care and benefit utilization.

Ideal candidates hold an Associate Degree in Nursing (Bachelor's preferred) and possess an active RN license with 2+ years in adult acute/critical/critical care settings. EST zone residency and weekend/evening availability are expected.

Formación

• Active unrestricted RN license in the state of residence.
• Minimum 2+ years RN experience in adult acute/critical care.
• Residence in EST time zone.

Responsabilidades

• Assess, plan, implement, coordinate, monitor and evaluate healthcare options for members.
• Apply clinical criteria to render coverage determinations and recommendations.
• Communicate with providers to facilitate care and promote utilization management.
• Support internal/external stakeholders in utilization/benefits coordination.

Conocimientos

RN experience (adult acute/critical)

Active RN license

Educación

Associate Degree in Nursing

Bachelor's Degree in Nursing

Descripción del empleo

CVS Health is seeking an experienced RN to assess, plan, and coordinate healthcare services for members. You will apply clinical criteria to determine coverage and collaborate with providers to facilitate care and benefit utilization.

Ideal candidates hold an Associate Degree in Nursing (Bachelor's preferred) and possess an active RN license with 2+ years in adult acute/critical/critical care settings. EST zone residency and weekend/evening availability are expected.