Remote Utilization Management Nurse Consultant

CVS Health; Utah; Hybrid; USD 36,000 - 94,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Coverage

Paid Time Off

Retirement Savings Options

Job summary

CVS Health is seeking an experienced Registered Nurse to support utilization and case management initiatives. The role involves assessment, planning, coordination and evaluation of care options to ensure appropriate healthcare services and benefits for members.

Ideal candidates will have 2+ years in adult acute/critical care, an active RN license, and flexibility to work weekends and evenings. This full-time position offers comprehensive benefits and opportunities to impact patient care.

Qualifications

• Must hold active RN licensure in state of residence.
• Minimum 2 years' experience as a Registered Nurse in adult acute/critical care.
• Ability to work weekends, holidays and evenings as required.

Responsibilities

• Gathers clinical information and applies criteria to render coverage determinations.
• Collaborates with providers and other stakeholders to coordinate care.
• Facilitates appropriate healthcare services and benefits for members.
• Communicates effectively in verbal and written form.

Skills

Clinical experience

Communication skills

Multitasking ability

Attention to detail

Education

Associates Degree in Nursing or Nursing Diploma

Tools

Microsoft Office 365

EHR systems

VPN access

Job description

CVS Health is seeking an experienced Registered Nurse to support utilization and case management initiatives. The role involves assessment, planning, coordination and evaluation of care options to ensure appropriate healthcare services and benefits for members.

Ideal candidates will have 2+ years in adult acute/critical care, an active RN license, and flexibility to work weekends and evenings. This full-time position offers comprehensive benefits and opportunities to impact patient care.