RN Quality & Utilization Consultant

CVS Health; Kansas; Remote; USD 36.000 - 77.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Zusammenfassung

CVS Health is seeking a registered nurse to assess and coordinate healthcare services and benefits for members. You will gather clinical information, apply guidelines, and render coverage determinations within a collaborative, fast-paced environment.

The role emphasizes communication with providers and integration with CVS Health programs. Qualified candidates have an active RN license, 2+ years in adult acute/critical care, and must be available for weekends, holidays, and evenings as needed.

Qualifikationen

• Active and unrestricted RN license in state of residence.
• 2+ years RN experience in adult acute/critical care.
• Willingness to work weekends, holidays, and evenings as required.

Aufgaben

• Assess, plan, implement, coordinate, monitor and evaluate options to facilitate healthcare services/benefits for members.
• Communicate with providers to facilitate care/treatment and coordinate with other programs.
• Identify referral opportunities to integrate with other CVS Health products/services.

Kenntnisse

RN licensure

Clinical experience

Evening/weekend flexibility

Ausbildung

Associates Degree in Nursing

Bachelors Degree in Nursing

Jobbeschreibung

CVS Health is seeking a registered nurse to assess and coordinate healthcare services and benefits for members. You will gather clinical information, apply guidelines, and render coverage determinations within a collaborative, fast-paced environment.

The role emphasizes communication with providers and integration with CVS Health programs. Qualified candidates have an active RN license, 2+ years in adult acute/critical care, and must be available for weekends, holidays, and evenings as needed.