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Clinical Nurse Consultant
2 months ago
This is a full-time remote opportunity for a Utilization Management Nurse Consultant to join CVS Health. As a key member of our team, you will play a crucial role in assessing, planning, implementing, coordinating, monitoring, and evaluating options to facilitate appropriate healthcare services and benefits for our members.
Key Responsibilities
- Utilize clinical experience and skills in a collaborative process to assess and plan healthcare services and benefits for members.
- Gather clinical information and apply clinical criteria, guidelines, policies, and procedures to render coverage determinations and recommendations.
- Communicate with providers and other parties to facilitate care and treatment.
- Identify opportunities to promote quality effectiveness of healthcare services and benefit utilization.
Requirements
- Must reside in the Eastern Standard Time zone.
- Must have active, current, and unrestricted RN licensure in the state of residence.
- 3+ years of experience as a Registered Nurse.
- 1+ years of clinical experience in an acute or post-acute setting.
- 2+ years of experience working with MS Office applications, including Teams, Outlook, Excel, and Word.
Preferred Qualifications
- Experience working in ER, Med/Surg, and/or Critical Care settings.
- Managed Care experience.
- Utilization review experience.
- Experience working with electronic medical record systems, such as EPIC, Cerner, or Meditech.
What We Offer
- Competitive pay range: $34.92 - $74.78.
- Bonus, commission, or short-term incentive program.
- Comprehensive benefits package, including medical, dental, and vision coverage.
- 401(k) retirement savings plan and Employee Stock Purchase Plan.
- Fully-paid term life insurance and short-term and long-term disability benefits.
- Well-being programs, education assistance, and free development courses.
- CVS store discount and discount programs with participating partners.
CVS Health is an Equal Opportunity Employer
We are committed to diversity, equity, and inclusion. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
