Remote RN: Utilization Management & Care Coordination

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

Vantaggi offerti da questo lavoro

Comprehensive benefits

Bonus program

Descrizione del lavoro

CVS Health is hiring a Registered Nurse (RN) for Utilization Management. You will review clinical information to support coverage decisions, apply guidelines, and coordinate with healthcare teams to ensure patients receive appropriate care.

The role requires strong communication skills and the ability to work a flexible schedule in a 24/7 operation. Ideal candidates hold an active RN license, have 2+ years in adult acute or critical care, and possess an Associate's Degree in Nursing.

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

Active RN license

RN experience

Communication skills

Flexible schedule

Formazione

Associate's Degree in Nursing

Descrizione del lavoro

CVS Health is hiring a Registered Nurse (RN) for Utilization Management. You will review clinical information to support coverage decisions, apply guidelines, and coordinate with healthcare teams to ensure patients receive appropriate care.

The role requires strong communication skills and the ability to work a flexible schedule in a 24/7 operation. Ideal candidates hold an active RN license, have 2+ years in adult acute or critical care, and possess an Associate's Degree in Nursing.