Nurse Consultant

2 weeks ago


Albany, New York, United States CVS Health Full time
About the Role

CVS Health is seeking a skilled Nurse Consultant to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring that our members receive the highest quality care.

Key Responsibilities
  • Utilize clinical expertise to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
  • Gather clinical information and apply relevant clinical criteria, guidelines, policies, procedures, and judgment to render coverage determinations and recommendations.
  • Communicate with providers and other parties to facilitate care and treatment, and identify opportunities to promote quality effectiveness of healthcare services and benefit utilization.
  • Consult and lend expertise to internal and external constituents in the coordination and administration of the utilization/benefit management function.
Requirements
  • 3+ years of experience as a Registered Nurse.
  • 3+ years of clinical experience required.
  • Active current and unrestricted RN licensure in the state of residence.
  • 1+ year(s) of clinical experience in an acute or post-acute setting.
Preferred Qualifications
  • Managed Care experience.
  • Education: Associate's Degree required, BSN preferred.
What We Offer

CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan. We also offer numerous well-being programs, education assistance, and a CVS store discount.

As a CVS Health employee, you will have access to a range of benefits and programs designed to support your physical, emotional, and financial well-being. We are committed to creating a work environment that is inclusive, diverse, and supportive of all employees.


  • Nurse Consultant

    1 week ago


    Albany, New York, United States Albany Medical Center Full time

    Job SummaryThe Lactation Nurse Consultant will provide safe, family-centered patient care by assessing, planning, implementing, and evaluating lactation capability and care planning for the mother-infant breastfeeding dyad and family partners in care. This role requires collaboration with nursing and provider staff to promote prenatal and postpartum...

  • Nurse Consultant

    1 week ago


    Albany, New York, United States CVS Health Full time

    Job SummaryCVS Health is seeking a skilled Nurse Consultant to join our team. As a key member of our Utilization Management department, you will play a critical role in assessing, planning, implementing, coordinating, monitoring, and evaluating options to facilitate appropriate healthcare services and benefits for our members.Key Responsibilities:Utilize...


  • Albany, New York, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesUtilize clinical expertise to assess, plan,...


  • Albany, New York, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesUtilize clinical expertise to assess, plan,...


  • Albany, New York, United States CVS Health Full time

    Transforming Healthcare with CVS HealthAt CVS Health, we're committed to delivering innovative healthcare solutions that make a meaningful difference in people's lives. As a Utilization Management Nurse Consultant, you'll play a vital role in shaping our mission to bring heart to every moment of our patients' health.Job SummaryThis 100% remote position...


  • Albany, New York, United States CVS Health Full time

    Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesUtilize clinical expertise to coordinate, document,...

  • Travel Nurse Position

    4 weeks ago


    Albany, New York, United States Travel Nurse Source Full time

    CVICU Registered Nurse Job OpportunityWe are working with Atlas MedStaff to find a qualified CVICU RN for a 26 week contract in Albany, New York.About the PositionAtlas Medstaff is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and our consultative approach has helped us become a...


  • Albany, New York, United States Travel Nurse Source Full time

    About the JobAtlas Medstaff is seeking a qualified Labor and Delivery Registered Nurse (L&D RN) for a 26-week contract in the Albany, New York area.Job DetailsContract Length: 26 weeksLocation: Albany, New YorkJob Type: Travel Healthcare RNAbout Atlas MedstaffAtlas Medstaff is a premier staffing firm dedicated to matching outstanding talent with exceptional...


  • Albany, New York, United States Travel Nurse Source Full time

    Cardiovascular ICU Nurse Job OpportunityTravel Nurse Source is partnering with Concentric Healthcare Staffing to find a skilled CVICU RN for a 26-week contract in Albany, New York. Concentric is a premier staffing firm dedicated to matching exceptional talent with outstanding opportunities.About the PositionWe are seeking a Registered Nurse with a focus in...


  • Albany, New York, United States Travel Nurse Source Full time

    Travel Nursing Opportunity with Atlas MedstaffTravel Nurse Source is partnering with Atlas Medstaff to find a qualified Labor and Delivery RN for a 26-week contract in the Albany, New York area.About the PositionAtlas Medstaff is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and...

  • Travel Nurse RN

    4 weeks ago


    Albany, New York, United States Travel Nurse Source Full time

    Job Title: Travel Nurse RNWe are seeking a qualified Oncology RN for a 26-week contract in the Albany, New York area.About the PositionAtlas Medstaff is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and our consultative approach has helped us become a premier leader in the...

  • Travel Nurse Position

    4 weeks ago


    Albany, New York, United States Travel Nurse Source Full time

    CVICU Registered Nurse Job OpportunityWe are working with Atlas MedStaff to find a qualified CVICU RN for a 26 week contract in Albany, New York.About the PositionAtlas Medstaff is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and our consultative approach has helped us become a...


  • Albany, New York, United States Travel Nurse Source Full time

    Job Title: Labor and Delivery RNTravel Nurse Source is working with Atlas MedStaff to find a qualified Labor/Delivery RN in Albany, New York.About the PositionAtlas Medstaff is currently seeking candidates in the RN (L&D) profession for a 26 week contract in the Albany, New York area. Our commitment to excellence and our consultative approach has helped us...


  • Albany, New York, United States Albany Medical Center Full time

    Job Summary:The Clinical Support Nurse assumes a leadership role by providing on-site expert consultation to Patient Care Services Staff in clinical patient care situations. This role requires a graduate of a professional academic nursing program with current RN Registration or a Limited Permit to practice in the State of New York. A minimum of three years...


  • Albany, New York, United States Travel Nurse Source Full time

    About the PositionAtlas Med Staff is seeking a qualified Labor and Delivery RN for a 26-week contract in the Albany, New York area.Job DetailsPay Information: $2,100 per weekContract Length: 26 weeksLocation: Albany, New YorkAbout Atlas Med StaffAtlas Med Staff is a premier staffing firm dedicated to matching outstanding talent with exceptional...


  • Albany, New York, United States Travel Nurse Source Full time

    About the PositionAtlas Medstaff is seeking a qualified Registered Nurse (RN) for a 13-week contract in the Albany, New York area. As a premier staffing firm, we match outstanding talent with exceptional opportunities. Our commitment to excellence and consultative approach has made us a leader in the staffing industry.BenefitsComprehensive Health, Dental,...


  • Albany, New York, United States Travel Nurse Source Full time

    Travel Nurse RN Job OpportunityAtlas Medstaff is seeking a qualified ER/Trauma RN for a 13-week contract in Albany, NY.About the PositionAs a travel nurse RN, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care in the ER/Trauma department.BenefitsComprehensive health, dental, and vision...


  • Albany, New York, United States Travel Nurse Source Full time

    About the PositionAtlas Medstaff is seeking a qualified Medical-Surgical Registered Nurse for a 26-week contract in the Albany area. As a premier staffing firm, we are dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and consultative approach has helped us become a leader in the staffing...


  • Albany, New York, United States Travel Nurse Source Full time

    About the JobTravel Nurse Source is working with Atlas MedStaff to find a qualified Labor/Delivery RN for a 26-week contract in Albany, New York.Job DetailsPay Information: $2,100 per weekAbout the Position: Atlas MedStaff is seeking candidates in the RN (L&D) profession for a contract in the Albany, New York area.Benefits: Comprehensive Health, Dental and...


  • Albany, New York, United States Travel Nurse Source Full time

    Travel Nurse RN Job Opportunity in Albany, NYWe are working with Atlas MedStaff to find a qualified Med/Surg RN for a 26-week contract in the Albany, NY area.About the PositionAtlas Medstaff is a premier staffing firm dedicated to matching outstanding talent with exceptional opportunities. Our commitment to excellence and consultative approach has helped us...