Utilization Management Nurse Consultant – Weekend Shift

Job not on LinkedIn

🔥 12 hours ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

💵 $26 - $56 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

👻 Ghost score 0%

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• Open for 1 day.
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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 options to facilitate appropriate healthcare services and benefits for members • Gather clinical information and apply clinical criteria, guidelines, policies, procedures and 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 quality and effective healthcare services and benefit utilization • Consult with and provide expertise to internal and external constituents in utilization and benefit management coordination and administration • Meet standard productivity and quality expectations

🎯 Requirements

• Ability to work a weekend position: Saturday/Sunday plus two weekdays • Active, current and unrestricted RN licensure in Kentucky or multi-state compact RN licensure • 3+ years of clinical experience • Proficiency with computer skills, including navigating multiple systems and keyboarding • Ability to work in a fast-paced environment • Associates degree required • Effective verbal and written communication skills • Ability to perform close inspection of handwritten and computer-generated documents • Ability to sit for extended periods, talk on the telephone, type on a computer, multitask, prioritize and adapt to a fast-paced changing environment • BSN preferred • Previous prior authorization experience preferred

🏖️ 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 eligibility

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