Remote RN - Utilization Management & Care Coordination

CVS Health; Minnesota; Ibrido; USD 36.000 - 95.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, vision coverage

Paid time off

Retirement options

Descrizione del lavoro

CVS Health is seeking a Registered Nurse (RN) to join our Utilization Management team. You will help ensure members receive the right care at the right time through evidence-based clinical review and care coordination.

In this role you’ll review clinical information, apply guidelines and collaborate with providers to promote appropriate utilization and high-quality outcomes. Flexibility for evenings, weekends, and holidays is required in our 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.

Conoscenze

RN license

RN experience

communication skills

multitasking

computer navigation

flexible schedule

Formazione

Associates Degree in Nursing

Strumenti

Microsoft Office 365

Descrizione del lavoro

CVS Health is seeking a Registered Nurse (RN) to join our Utilization Management team. You will help ensure members receive the right care at the right time through evidence-based clinical review and care coordination.

In this role you’ll review clinical information, apply guidelines and collaborate with providers to promote appropriate utilization and high-quality outcomes. Flexibility for evenings, weekends, and holidays is required in our 24/7 operation.