Weekend RN Utilization Management Consultant

4004 Aetna Medicaid Administrators; Kentucky; Hybrid; USD 36,000 - 77,000; Full time

Job summary

CVS Health is hiring for a Utilization Management RN in Kentucky. The role includes weekend shifts with two 10-hour days on weekends and two 10-hour days on weekdays.

You will assess, plan, implement, coordinate, monitor and evaluate care options to facilitate appropriate services and benefits for members, while communicating with providers and coordinating with other programs. Qualifications include current KY RN license, 3+ years clinical experience, and strong computer skills; associates

Qualifications

• RN licensure current and unrestricted in Kentucky.
• 3+ years of clinical experience.
• Proficiency with computer systems and multiple applications.

Responsibilities

• Assess and coordinate care using clinical criteria to determine coverage.
• Communicate with providers to facilitate treatment and utilization decisions.
• Identify referral opportunities and coordinate with internal and external partners.

Skills

RN licensure (KY)

Clinical experience

Computer skills

Weekend availability

Education

Associates degree

BSN preferred

Job description

CVS Health is hiring for a Utilization Management RN in Kentucky. The role includes weekend shifts with two 10-hour days on weekends and two 10-hour days on weekdays.

You will assess, plan, implement, coordinate, monitor and evaluate care options to facilitate appropriate services and benefits for members, while communicating with providers and coordinating with other programs. Qualifications include current KY RN license, 3+ years clinical experience, and strong computer skills; associates