Remote Utilization Management RN - Care Coordination Expert

Socket.dev; Florida (PR); On-site; USD 40,000 - 85,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring a Registered Nurse (RN) for Utilization Management in a remote, work-from-home role supporting 24/7 operations. You will review clinical information, coordinate care, and collaborate with providers to ensure appropriate treatment and outcomes.

The ideal candidate has an active RN license, 2+ years in adult acute or critical care, and strong clinical assessment and communication skills. AAN extensive remote-work guidelines, and a comprehensive benefits package are provided.

Qualifications

• Active, unrestricted RN license in your state of residence.
• 2+ years of adult acute care and/or critical care nursing experience.
• Associate Degree in Nursing required.

Responsibilities

• Review clinical information and apply guidelines to support coverage determinations.
• Assess, coordinate, monitor, and evaluate care across the continuum of care.
• Collaborate with providers and care teams to plan appropriate treatment.
• Identify opportunities to improve quality and utilization of services.
• Connect members to programs and resources that support health outcomes.
• Serve as a clinical resource for internal and external stakeholders.

Skills

RN license

Acute/CCU experience

Clinical assessment

Critical thinking

Communication skills

Multitasking

Education

Associate Degree in Nursing

Job description

CVS Health is hiring a Registered Nurse (RN) for Utilization Management in a remote, work-from-home role supporting 24/7 operations. You will review clinical information, coordinate care, and collaborate with providers to ensure appropriate treatment and outcomes.

The ideal candidate has an active RN license, 2+ years in adult acute or critical care, and strong clinical assessment and communication skills. AAN extensive remote-work guidelines, and a comprehensive benefits package are provided.