Utilization Management Nurse Consultant - Remote

Overview

The Utilization Management Nurse Consultant at CVS Health plays a crucial role in coordinating and managing healthcare services for members, utilizing clinical skills and judgment to ensure appropriate care delivery. In Short • Utilize clinical skills for utilization/benefit management. • Coordinate and document healthcare services for members. • Communicate with providers to facilitate care. • Identify referral opportunities for integrated services. • Consult with internal and external parties on management functions. • Work in a typical office environment with productivity expectations. • Must be able to work weekends, holidays, and evenings. • Proficiency in computer skills is required. • Effective verbal and written communication skills are essential. • 3+ years of experience as a Registered Nurse is required. Requirements • Active RN licensure in state of residence. • 1+ years of clinical experience in acute or post-acute settings. • Availability for a minimum of 6 weekend rotations per year. • Willingness to work Monday through Friday in specified time zones. • 3+ years of clinical experience preferred. • Managed Care experience is a plus. • Associates Degree required; BSN preferred. Benefits • Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan available. • Employee Stock Purchase Plan for eligible employees. • Fully-paid term life insurance for eligible employees. • Short-term and long-term disability benefits offered. • Paid Time Off (PTO) and paid holidays provided. • Numerous well-being programs and education assistance. • Discount programs with participating partners. • Free development courses available. • CVS store discount for employees. Apply Job!