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.
Similar Remote Jobs
Utilization Management Nurse Consultant - Remote
Posted on: 20-01-2025 00:00
Remote Customer Service Representative at Teleperformance
Posted on: 20-01-2025 00:00
Portfolio Management Intern (Graduate - Summer)
Posted on: 20-01-2025 00:00
Live Chat Agent - WFH REMOTE
Posted on: 20-01-2025 00:00
Entry Level - Administrative Assistant (Remote)
Posted on: 20-01-2025 00:00
Entry-Level Data Entry Remote| Full-time Jobs
Posted on: 20-01-2025 00:00
Merchant Services New Verticals Team Lead
Posted on: 20-01-2025 00:00
22041856542 - Amazon Flat File Expert
Posted on: 20-01-2025 00:00
Entry Level Nonprofit Researcher (Part Time)
Posted on: 20-01-2025 00:00
Remote Resort Reservationist - Entry Level
Posted on: 20-01-2025 00:00
NOW HIRING; NYC Event Staff - Server, Bartender, Captains
Posted on: 22-09-2024 00:00
Netflix Data Entry Online Jobs ?Netflix Customer Support Remote Jobs USA $20 Hour ?MySmartPros
Posted on: 16-11-2024 00:00
Data Entry Specialist - Evening Shifts Available
Posted on: 31-07-2024 19:11
Work From Home Receptionist (FLEXIBLE SCHEDULE)
Posted on: 07-08-2024 00:00
Sales Professional-Remote Position-Flexible Hours
Posted on: 04-11-2024 05:37
Amazon Seller Chat Support Jobs: Work from Home, Earn $25-$35...
Posted on: 16-07-2024 18:47
Customs Brokerage Rep III ***REMOTE MUST LIVE WITHIN 50 MILES OF AIKEN*** M-F 8am-4:30pm
Posted on: 24-10-2024 05:38
Sr Project Manager, PMO - Health Plans/IT Implementation - Remote
Posted on: 04-09-2024 00:00
Dog Walker / Dog Sitter
Posted on: 01-11-2024 07:54
Delta Airlines Careers Remote job at United states
Posted on: 22-11-2024 05:34