Utilization Management Nurse Consultant

Job not on LinkedIn

🔥 51 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $29 - $62 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💼 Consultant

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.

Apply Now

Find Similar Remote Jobs

CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Assess, plan, implement, coordinate, monitor, and evaluate healthcare service and benefit options for members • Gather clinical information and apply clinical criteria, guidelines, policies, procedures, and clinical judgment to render coverage determinations or recommendations • Communicate with providers and other parties to facilitate care and treatment • Identify members for referral opportunities involving other products, services, or programs • Identify opportunities to promote healthcare service quality and benefit utilization • Consult with and provide expertise to internal and external constituents on utilization and benefit management • Work in a 24/7 utilization management operation, including weekends, holidays, and evenings • Perform work in a home office environment with productivity and quality expectations • Inspect handwritten and computer-generated documents and PC monitor content • Use multiple computer systems and applications while typing, talking on the telephone, and multitasking

🎯 Requirements

• 2+ years of experience as a Registered Nurse in an adult acute care/critical care setting • Active, current and unrestricted RN licensure in the state of residence • Associates Degree required • 2+ years of clinical experience in med surg or a specialty area • Ability to work weekends, holidays, and evening hours in a 24/7 operation • Effective verbal and written communication skills • Computer proficiency, including navigating multiple systems and keyboarding • Ability to use Microsoft Office 365 applications or similar Google Workspace applications • Ability to use secure systems such as VPN and EHR portals • Ability to obtain a hardwired internet connection with minimum speeds of 50 Mbps download and 5 Mbps upload • Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently residing • Ability to sit for extended periods and perform sedentary work • Ability to multitask, prioritize, and adapt to a fast-paced changing environment

🏖️ Benefits

• 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 in addition to base pay • Company-provided equipment (keyboard, monitor, computer, headset, etc.)

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume