Remote Utilization Nurse Consultant

CVS Health Corporation; Iowa (LA); Hybrid; USD 36,000 - 95,000; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Retirement savings options

Wellness programs

Bonus/incentive program

Job summary

CVS Health Corporation is seeking a telework RN for precertification review and clinical information assessment. The role emphasizes working from home with standards aligned to HIPAA guidelines and secure access to EHR systems.

The candidate should hold an active RN license, an Associate’s degree, and at least 3 years of nursing experience. This full-time position offers a structured schedule (Mon-Fri 8:00–5:00) with occasional weekend on-call, plus comprehensive benefits and potential bonuses

Qualifications

• Active RN license in resident state with an Associate’s degree.
• 3+ years of clinical nursing experience.
• Willing to work Monday–Friday 8:00 am–5:00 pm with occasional weekend/holiday on-call or rotating 10-hour shifts.
• Proficient with multiple systems on a computer.
• Ability to work in a fast-paced environment.
• Associates degree required; BSN preferred.

Responsibilities

• Perform precertification using clinical criteria and guidelines.
• Review clinical information from providers and coordinate with care teams.
• Authorize procedures/services or initiate Medical Director referrals as needed.

Skills

RN licensure

Associate's degree

3+ years nursing

Mon-Fri 8am-5pm availability

computer proficiency

fast-paced environment

Education

Associates degree

BSN preferred

Job description

CVS Health Corporation is seeking a telework RN for precertification review and clinical information assessment. The role emphasizes working from home with standards aligned to HIPAA guidelines and secure access to EHR systems.

The candidate should hold an active RN license, an Associate’s degree, and at least 3 years of nursing experience. This full-time position offers a structured schedule (Mon-Fri 8:00–5:00) with occasional weekend on-call, plus comprehensive benefits and potential bonuses