Remote RN: Utilization Management & Care Coordination

Morgantown, PA; Arizona; Remoto; USD 36.000 - 95.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Descrizione del lavoro

CVS Health in the United States is seeking a Registered Nurse (RN) for its Utilization Management team. You will review clinical information to support coverage determinations and care recommendations, applying guidelines, policies, and professional judgment across the continuum of care.

Collaborating with providers and healthcare teams, you will facilitate quality patient outcomes, identify opportunities for care management referrals, and promote effective utilization and quality improvement

Competenze

• Active RN license in your state of residence.
• 2+ years of RN experience in an adult acute care or critical care setting.
• Strong communication, multitasking, and computer navigation skills.
• Ability to work a flexible schedule, including evenings, weekends, and holidays in a 24/7 operation.

Mansioni

• Review and assess clinical information to support coverage determinations and care recommendations.
• Apply clinical guidelines, policies, and professional judgment across the continuum of care.
• Collaborate with providers and healthcare teams to facilitate quality patient outcomes.
• Identify opportunities for care management referrals and member support programs.
• Promote effective healthcare utilization and quality improvement initiatives.

Conoscenze

RN experience

Communication

Multitasking

Computer skills

Flexibility

Formazione

Associate degree in Nursing

BSN preferred

Descrizione del lavoro

CVS Health in the United States is seeking a Registered Nurse (RN) for its Utilization Management team. You will review clinical information to support coverage determinations and care recommendations, applying guidelines, policies, and professional judgment across the continuum of care.

Collaborating with providers and healthcare teams, you will facilitate quality patient outcomes, identify opportunities for care management referrals, and promote effective utilization and quality improvement