Remote RN: Utilization Management & Care Coordination

CVS Health; Nevada; Ibrido; USD 36.000 - 94.000; Tempo pieno

Descrizione del lavoro

CVS Health is seeking a Registered Nurse (RN) to join the Utilization Management team in a full-time, remote-capable role. You will review clinical information, apply guidelines, and coordinate care to ensure members receive the right care at the right time.

The role requires an active RN license, 2+ years in adult acute or critical care, strong communication, and flexibility for a 24/7 operation. Associates Degree in Nursing is required; BSN preferred.

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.

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 2+ years (adult acute/cc

Communication/multitasking

Flexible schedule (24/7)

Formazione

Associates Degree in Nursing

Descrizione del lavoro

CVS Health is seeking a Registered Nurse (RN) to join the Utilization Management team in a full-time, remote-capable role. You will review clinical information, apply guidelines, and coordinate care to ensure members receive the right care at the right time.

The role requires an active RN license, 2+ years in adult acute or critical care, strong communication, and flexibility for a 24/7 operation. Associates Degree in Nursing is required; BSN preferred.