Remote Utilization Management Nurse Consultant (RN)

CVS Health Corporation; Richmond (VA); À distance; USD 40 000 - 85 000; Plein temps

Avantages offerts par ce poste

100% remote opportunity

Virginia residency preference

Clinical impact in non-bedside role

Collaborative healthcare environment

Résumé du poste

CVS Health is seeking an experienced RN for a fully remote Precertification Nurse role within Utilization Management. Virginia residents are preferred, with a compact RN license and at least 3 years of nursing experience.

You will review requests, gather documentation, and coordinate with providers in a fast-paced, telework environment. Excellent computer skills and an Associates degree in Nursing are required.

Qualifications

• Active, unrestricted COMPACT RN license in your state of residence.
• 3+ years of clinical nursing experience.
• Strong computer skills and ability to use multiple systems.
• Full-time schedule with standard weekday hours and some on-call coverage.
• Associates degree in Nursing required; BSN preferred.

Responsabilités

• Review clinical information and authorization requests per guidelines.
• Collaborate with providers to obtain documentation.
• Approve services within scope or escalate to Medical Director as needed.
• Manage a high-volume caseload in a remote, computer-based setting.

Connaissances

Clinical nursing

Communication

Computer literacy

Multisystem navigation

On-call flexibility

Formation

Associate's degree in Nursing

BSN

Outils

Microsoft Office 365

EHR systems

VPN/secure portals

Description du poste

CVS Health is seeking an experienced RN for a fully remote Precertification Nurse role within Utilization Management. Virginia residents are preferred, with a compact RN license and at least 3 years of nursing experience.

You will review requests, gather documentation, and coordinate with providers in a fast-paced, telework environment. Excellent computer skills and an Associates degree in Nursing are required.