Remote Utilization Management RN Consultant

CVS Health; Pennsylvania; Remoto; USD 40.000 - 86.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical coverage

Dental coverage

Vision coverage

PTO

Retirement savings

Wellness programs

Descrizione del lavoro

CVS Health is hiring a Utilization Management Nurse Consultant for a remote EST role. The position requires an RN with 2+ years of adult acute/critical care experience and an active license. Work schedule includes evenings and weekends with a 40-hour week and comprehensive benefits.

Responsibilities include assessing and coordinating care, communicating with providers, and promoting efficient use of healthcare services. Strong computer and VPN access skills are needed.

Competenze

• 2+ years of RN experience in adult acute/critical care.
• Active, unrestricted RN licensure in state of residence.
• Utilization Management experience is a plus.

Mansioni

• Assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
• Communicate with providers to facilitate care/treatment and render coverage determinations.
• Identify referral opportunities to integrate with other programs and products.
• Promote quality and effective utilization of healthcare services and benefits.

Conoscenze

RN licensure

Clinical experience

Utilization Management

Formazione

Associates degree

BSN preferred

Strumenti

Microsoft Office 365

VPN access

EHR portal

Descrizione del lavoro

CVS Health is hiring a Utilization Management Nurse Consultant for a remote EST role. The position requires an RN with 2+ years of adult acute/critical care experience and an active license. Work schedule includes evenings and weekends with a 40-hour week and comprehensive benefits.

Responsibilities include assessing and coordinating care, communicating with providers, and promoting efficient use of healthcare services. Strong computer and VPN access skills are needed.