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
Disney Careers Remote (Work From Home Jobs At Disney)
Posted on: 23-02-2025 00:00
Remote Virtual Bookkeeper.
Posted on: 02-01-2025 03:57
Part-Time Evening Data Entry Jobs Remote
Posted on: 02-08-2024 17:49
C/C++, DevOps SWE; TELEWORK w/ salaries to 250k - FS Poly
Posted on: 31-01-2025 10:01
[Entry Level/No Experience] Apple Remote Data Entry Jobs $25/Hour
Posted on: 31-01-2025 10:01
Manager Strategy & Operations USMP Rx Growth
Posted on: 13-09-2024 00:00
Order Builder Loader (Nights)
Posted on: 21-02-2025 00:00
Administrative Assistant Admin Work From Home - Part Time Focus Group Panelists
Posted on: 10-12-2024 18:34
High Pay Remote Sales Talent with Retail Experience
Posted on: 13-12-2024 17:48
Amazon Customer Service Care - Work From Home $16-$35/hr
Posted on: 16-07-2024 18:41