Remote RN: Utilization Management & Care Coordination

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

Descrizione del lavoro

CVS Health is seeking a Registered Nurse (RN) for Utilization Management. You will review clinical information to support coverage determinations, apply guidelines, and coordinate care with providers to ensure appropriate care.

This full-time role offers remote work from home in the United States, with a 40-hour workweek and a pay range of $26.01–$68.55 per hour. A 2+ year RN background and an active, unrestricted license are required, along with an Associate 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

RN license

RN experience

Communication

Multitasking

Computer navigation

Flex schedule

Formazione

Associate Degree in Nursing

Descrizione del lavoro

CVS Health is seeking a Registered Nurse (RN) for Utilization Management. You will review clinical information to support coverage determinations, apply guidelines, and coordinate care with providers to ensure appropriate care.

This full-time role offers remote work from home in the United States, with a 40-hour workweek and a pay range of $26.01–$68.55 per hour. A 2+ year RN background and an active, unrestricted license are required, along with an Associate Degree in Nursing.