Remote Utilization Management Nurse Consultant

CVS Health; New Jersey; Ibrido; USD 36.000 - 94.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical coverage

Dental coverage

Vision coverage

Paid time off

Descrizione del lavoro

CVS Health is seeking a Utilization Management Nurse Consultant for a 24/7 operation. You will assess, plan, and coordinate care to facilitate appropriate services and benefits for members.

The role requires collaboration with providers and internal teams to optimize care quality and benefit utilization. Requirements include 3–5 years Med/Surg experience, 3+ years RN experience, and active RN licensure; familiarity with MS Office and IT platforms is essential.

Competenze

• 3–5 years of Med/Surg nursing experience.
• 3+ years of RN experience.
• 1+ year of inpatient hospital experience.
• Active, current RN license in resident state.
• Able to work across IT platforms/systems.
• 1+ year of MS Office experience.

Mansioni

• Assess, plan, implement, coordinate, monitor and evaluate patient care options for appropriate services/benefits.
• Communicate with providers and other parties to facilitate care and treatment.
• Identify referral opportunities to integrate with other CVS programs.
• Lend expertise to coordination and administration of utilization/benefit management.

Conoscenze

Med/Surg experience

RN licensure

Inpatient hospital experience

IT platforms experience

Microsoft Office (Outlook/Teams/Excel)

Communication / teamwork

Formazione

Associate's Degree

BSN preferred

Strumenti

Microsoft Office

Descrizione del lavoro

CVS Health is seeking a Utilization Management Nurse Consultant for a 24/7 operation. You will assess, plan, and coordinate care to facilitate appropriate services and benefits for members.

The role requires collaboration with providers and internal teams to optimize care quality and benefit utilization. Requirements include 3–5 years Med/Surg experience, 3+ years RN experience, and active RN licensure; familiarity with MS Office and IT platforms is essential.