Remote RN Utilization & Quality Consultant

CVS Health; Jackson (MS); A distancia; USD 36.000 - 77.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision coverage

Retirement savings options

Descripción de la vacante

CVS Health is seeking a registered nurse to assess, plan, and coordinate healthcare services for members in a remote, full-time role. You will apply clinical criteria to determine coverage and work with providers to facilitate care and referrals.

The position emphasizes HIPAA-compliant processes and strong communication across teams. Applicants must hold an active RN license and have 2+ years in adult acute/critical care, with availability for weekends, holidays, and evenings.

Formación

• Active RN license in the state of residence is required.
• Minimum 2+ years of RN experience in adult acute/critical care.
• Availability to work weekends, holidays, and evenings as needed.

Responsabilidades

• Assess, plan, implement, coordinate, monitor and evaluate healthcare services/benefits for members.
• Render coverage determinations/recommendations using clinical criteria and guidelines.
• Communicate with providers to facilitate care and identify referral opportunities.

Conocimientos

RN license

Clinical nursing experience

Flexible schedule

Communication skills

Educación

Associates Degree in Nursing

Bachelors Degree in Nursing

Descripción del empleo

CVS Health is seeking a registered nurse to assess, plan, and coordinate healthcare services for members in a remote, full-time role. You will apply clinical criteria to determine coverage and work with providers to facilitate care and referrals.

The position emphasizes HIPAA-compliant processes and strong communication across teams. Applicants must hold an active RN license and have 2+ years in adult acute/critical care, with availability for weekends, holidays, and evenings.