Remote RN - Utilization Management & Care Coordination

CVS Health

Arkansas

Ibrido

USD 36.000 - 94.000

Tempo pieno

3 giorni fa

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Vantaggi offerti da questo lavoro

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Descrizione del lavoro

CVS Health in the United States is seeking an experienced Registered Nurse (RN) to join our Utilization Management team. You will review clinical information to determine coverage and coordinate care with providers to support quality patient outcomes.

The role requires an active RN license, 2+ years of adult acute or critical care experience, strong communication, and the ability to work a flexible schedule including evenings, weekends, and holidays in a 24/7 operation.

Competenze

Active, unrestricted 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 as part of a 24/7 operation.
Associates Degree in Nursing required.

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.