Remote RN: Utilization Management & Care Coordination

CVS Health; North Dakota; 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) for Utilization Management to help ensure members receive appropriate care through evidence-based review and care coordination. You will review information, apply guidelines, and collaborate with providers to improve outcomes.

The role emphasizes flexible, remote work within the state and a 24/7 operation model. The position requires an active RN license, 2+ years of acute/critical care experience, and an associates degree, with strong communication

Competenze

• Active, unrestricted RN license in your state of residence.
• 2+ years of RN experience in an adult acute care or critical care setting.
• Associates Degree in Nursing required.
• 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 in your state

2+ years in adult acute/critical care

Strong communication and multitasking

Flexible schedule (evenings/weekends/7

Formazione

Associates Degree in Nursing

Descrizione del lavoro

CVS Health is seeking a Registered Nurse (RN) for Utilization Management to help ensure members receive appropriate care through evidence-based review and care coordination. You will review information, apply guidelines, and collaborate with providers to improve outcomes.

The role emphasizes flexible, remote work within the state and a 24/7 operation model. The position requires an active RN license, 2+ years of acute/critical care experience, and an associates degree, with strong communication