Remote Utilization Management Nurse Consultant

IntelliResume; Virginia (MN); Remote; USD 40,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs and other resources

Job summary

CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals who thrive in a fast-paced environment and are looking to make a clinical impact without direct patient care.

Highlights include a remote role in VA with Virginia residency or Compact license preference, and a schedule of Mon-Fri, 8:00 AM-5:00 PM with potential on-call coverage. Prior authorization experience is valued.

Qualifications

• Associate's degree in Nursing required.
• 3+ years of clinical nursing experience required.
• Active, unrestricted COMPACT RN license in your state of residence required.
• Compact RN license preferred.
• BSN preferred.

Responsibilities

• Review clinical information and authorization requests using evidence-based guidelines.
• Collaborate with healthcare providers to gather necessary documentation.
• Approve services within scope or refer complex cases to a Medical Director.
• Manage a high volume of cases in a fast-paced, phone and computer-based environment.

Skills

Utilization management

Clinical nursing

Remote work

Education

Associate's degree in Nursing

BSN (preferred)

Job description

CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals who thrive in a fast-paced environment and are looking to make a clinical impact without direct patient care.

Highlights include a remote role in VA with Virginia residency or Compact license preference, and a schedule of Mon-Fri, 8:00 AM-5:00 PM with potential on-call coverage. Prior authorization experience is valued.