
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
đź›’ Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🔥 21 hours ago
⚜️ Louisiana – Remote
đź’µ $26 - $56 / hour
⏰ Full Time
🟡 Mid-level
đźź Senior
đź’Ľ Consultant
đź‘» Ghost score 0%
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
đź›’ Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Conduct concurrent reviews for inpatient admissions and continued stays • Evaluate clinical documentation and determine medical necessity using established guidelines and evidence-based criteria • Collaborate with hospitals, physicians, utilization review departments, and care teams to support appropriate levels of care • Facilitate timely discharge planning and care transitions • Monitor ongoing inpatient treatment and identify opportunities to improve healthcare utilization and outcomes • Communicate recommendations and clinical findings to providers and internal stakeholders • Support effective resource utilization while maintaining quality and compliance standards
• Active, unrestricted RN license with Louisiana licensure or Compact RN licensure • Ability and willingness to obtain additional state licensure as required • 5+ years of inpatient clinical nursing experience • Strong clinical assessment, critical-thinking, and communication skills • Ability to participate in rotating weekend coverage and holiday on-call schedules • Associates Degree required; Bachelors preferred • Direct/hardwired internet connection to a modem/router within 7 feet of the computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • WiFi and satellite internet are not permitted • Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently living • Must provide own workspace furniture • Comfort setting up and using multiple monitors and navigating multiple applications • Ability to use email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar Google Workspace tools • 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 independently • Openness to learning new skills as the workplace evolves
• Fully remote work environment • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Medical, dental, and 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
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