Remote Utilization Nurse Consultant

CVS Health; Maine; Remote; USD 36,000 - 77,000; Full time

Job summary

CVS Health is seeking a Registered Nurse with 2+ years in adult acute/critical care to assess and coordinate patient care, determine coverage needs, and collaborate with providers. This full-time role supports a remote work framework with onsite requirements within the EST zone and adherence to HIPAA guidelines.

Ideal candidates hold an Associate RN degree (Bachelor's preferred) and can work flexible hours including weekends, holidays, and evenings as needed by the business.

Qualifications

• Associates Degree in Nursing is required.
• Bachelor's Degree in Nursing is preferred.
• 2+ years RN experience in adult acute/critical care.
• Must reside in EST time zones and be available weekends/holidays.

Responsibilities

• Assess, plan, implement, coordinate, monitor and evaluate healthcare services for members.
• Render coverage determinations/recommendations across the continuum of care.
• Coordinate with providers and internal/external partners to facilitate treatment and referrals.
• Promote quality and effectiveness of healthcare services and benefit utilization.

Skills

RN experience

adult acute care

critical care

weekend availability

Education

Associates Degree in Nursing

Bachelor's Degree in Nursing

Tools

MS Office 365

Teams

Outlook

Word

Excel

PowerPoint

Google Workspace

Job description

CVS Health is seeking a Registered Nurse with 2+ years in adult acute/critical care to assess and coordinate patient care, determine coverage needs, and collaborate with providers. This full-time role supports a remote work framework with onsite requirements within the EST zone and adherence to HIPAA guidelines.

Ideal candidates hold an Associate RN degree (Bachelor's preferred) and can work flexible hours including weekends, holidays, and evenings as needed by the business.