Remote Utilization Nurse Consultant

University of Minnesota School of Nursing; Minnesota; Remote; USD 36,000 - 94,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is hiring a full-time RN for healthcare services and utilization management. The role emphasizes assessing and coordinating care, applying clinical criteria, and communicating with providers to optimize member outcomes.

The position requires an active RN license, 2+ years in adult acute/critical care, and availability for weekends and evenings. A remote work setup is available within eligible time zones and home requirements are specified.

Qualifications

• Active RN license in resident state, unrestricted.
• Minimum 2+ years in adult acute/critical care.
• Willing to work weekends, holidays, and evenings as required.

Responsibilities

• Assess, plan, implement, coordinate and evaluate healthcare services for members.
• Apply clinical criteria and policy to render coverage determinations.
• Communicate with providers to facilitate care and referrals.
• Collaborate with internal/external teams to coordinate utilization management.

Skills

RN licensure

RN experience

Weekend/evening hours

Effective communication

Computer skills

Education

Associate degree in nursing or nursing diploma

Tools

Microsoft Office 365 (Teams; Outlook; Word; Excel; PowerPoint)

EHR portal

VPN / secure systems

Job description

CVS Health is hiring a full-time RN for healthcare services and utilization management. The role emphasizes assessing and coordinating care, applying clinical criteria, and communicating with providers to optimize member outcomes.

The position requires an active RN license, 2+ years in adult acute/critical care, and availability for weekends and evenings. A remote work setup is available within eligible time zones and home requirements are specified.