Remote Utilization Management Nurse Consultant

CVS Health; Georgia; À distance; USD 36 000 - 77 000; Plein temps

Avantages offerts par ce poste

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Résumé du poste

CVS Health is seeking a Registered Nurse for a remote utilization management role in the United States. The RN will assess and coordinate care, render coverage determinations, and communicate with providers to facilitate treatment and benefit optimization.

The ideal candidate holds an Associate degree in Nursing, an active RN license, and 2+ years in adult acute/critical care, with availability for weekends and evenings. A private home workspace and reliable internet are required.

Qualifications

• 2+ years of experience as a Registered Nurse in adult acute care/critical care setting.
• Candidate must reside in EST zones.
• Active and unrestricted Registered Nurse license in state of residence.
• Available to work weekends, holidays, and evening hours as required by business needs.

Responsabilités

• Assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
• Render coverage determination/recommendation along the continuum of care.
• Communicate with providers to facilitate care/treatment.
• Identify referral opportunities to integrate with other products, services, and/or programs.
• Consult and lend expertise to coordination and administration of utilization/benefit management.

Connaissances

Acute/critical care

RN license

Formation

Associates Degree in Nursing

Bachelors Degree in Nursing

Description du poste

CVS Health is seeking a Registered Nurse for a remote utilization management role in the United States. The RN will assess and coordinate care, render coverage determinations, and communicate with providers to facilitate treatment and benefit optimization.

The ideal candidate holds an Associate degree in Nursing, an active RN license, and 2+ years in adult acute/critical care, with availability for weekends and evenings. A private home workspace and reliable internet are required.