Utilization Management Nurse Consultant

Vaga não está no LinkedIn

🕒 3 dias atrás

🏈 Ohio – Remoto

🏈 Ohio – Remote

💵 $26 - $74 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

💼 Consultor

👻 Score fantasma 12%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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CVS Health Careers

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛒 Varejo

📦 Logística

Healthcare • Retail • Logistics

CVS Health Careers é a área de recrutamento e employer branding da CVS Health, apresentando oportunidades de trabalho em diversas áreas da empresa — lojas de varejo farmacêutico, serviços de farmácia, clínicas de saúde, centros de distribuição, funções corporativas e transporte. O site de carreiras destaca um trabalho orientado por propósito, focado em melhorar o acesso, a acessibilidade financeira e a qualidade dos cuidados de saúde, além de apresentar uma grande força de trabalho (mais de 300. 000 funcionários), uma cultura inclusiva, benefícios e recursos de contratação para candidatos.

Descrição

• Assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members • Gather clinical information and apply clinical criteria, guidelines, policies, procedures, and clinical judgment to render coverage determinations or recommendations across the continuum of care • Communicate with providers and other parties to facilitate care and treatment • Identify members for referral opportunities involving other products, services, and programs • Identify opportunities to promote healthcare-services quality, effectiveness, and benefit utilization • Consult and provide expertise to internal and external constituents in coordinating and administering utilization and benefit management • Work in a typical office environment with productivity and quality expectations • Inspect handwritten and computer-generated documents and PC monitors • Perform sedentary work involving extended sitting, telephone conversations, listening, and computer typing • Navigate multiple systems and applications while multitasking and prioritizing work

🎯 Requisitos

• Active, unrestricted RN license in your state of residence • 2+ years of RN experience in adult acute care or critical care settings • Associate Degree in Nursing required • Preference for candidates in CST or EST time zones • Flexibility for evenings, weekends, and holidays • Direct/hardwired internet connection to a modem/router within 7 feet of the computer • Minimum internet speed of 25 mbs download and 3 mbs upload • Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines • Ability to work within the state and city where currently living • Proficiency with computer skills, multiple systems, multiple monitors, and keyboarding • Ability to use email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace applications • Ability to access secure systems such as VPN and EHR portals • Ability to manage strong passwords and recognize suspicious emails or links • Ability to troubleshoot common technical issues • Ability to multitask, prioritize, and adapt to a fast-paced changing environment • Effective verbal and written communication skills • Preferred: 2+ years of Med-Surg or specialty clinical experience • Preferred: Managed Care and/or Utilization Management experience • Preferred: Strong clinical assessment, communication, and multitasking skills • Preferred: Comfortable working in a fast-paced, technology-driven environment • BSN preferred

🏖️ Benefícios

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program • Company-provided equipment (keyboard, monitor, computer, headset, etc.)

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