Remote RN - Utilization Management & Care Coordination

CVS Health

Columbus (OH)

Remote

USD 40,000 - 86,000

Full time

2 days ago

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Benefits offered by this job

Medical, dental, vision coverage

Retirement options

Paid time off

Job summary

CVS Health is seeking a Registered Nurse to support Utilization Management in a remote-friendly role. You will apply clinical judgment to ensure appropriate services, coordinate with providers, and support care decisions in a fast-paced, tech-enabled environment.

Required RN license and 2+ years in acute or critical care, with BSN preferred. Flexible schedule supporting 24/7 operations and holidays, with a strong benefits package and opportunities for professional growth.

Qualifications

Active, unrestricted RN license in your state of residence.
2+ years of RN experience in adult acute care or critical care settings.
Comfortable working in a fast-paced, technology-driven environment.

Responsibilities

Assess, plan, implement, coordinate and evaluate options to facilitate appropriate healthcare services.
Render coverage determinations/recommendations using clinical criteria and guidelines.
Communicate with providers to facilitate care and coordinate utilization management.
Identify opportunities to promote quality and effective benefit utilization.
Collaborate with internal/external stakeholders in utilization/benefit management.