
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 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.
🔥 6 minutes ago
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 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.
• Support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making • Collaborate with neonatologists, hospitals, case managers, and interdisciplinary teams • Evaluate medical necessity and determine appropriate levels of care • Facilitate timely, cost-effective services for newborns and infants requiring specialized care • Support quality outcomes and discharge planning • Facilitate seamless transitions of care • Ensure compliance with regulatory and accreditation standards
• Active, unrestricted RN license in the state of residence • Ability to obtain and maintain additional state licensure as required by business needs • Minimum 3+ years of clinical NICU nursing experience • Minimum 1+ years of experience in utilization management, case management, managed care, NICU, pediatrics, or maternal-child health • Strong knowledge of neonatal intensive care, prematurity, congenital conditions, and complex infant care needs • Experience reviewing medical records and applying evidence-based clinical criteria (MCG or similar tools) • Excellent clinical judgment, communication, and collaboration skills • Proficiency with electronic medical records and utilization management systems • Associate's Degree in Nursing • 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 • 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 use multiple monitors and navigate multiple applications • Ability to use digital communication tools including email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 applications or similar tools such as Google Workspace • Ability to log in to secure systems, use VPN/EHR portals, lock computer screens, manage strong passwords, and recognize suspicious emails or links • Ability to troubleshoot common technical issues and contact IT when needed • Openness to learning new skills
• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • Remote work opportunity • Other resources supporting physical, emotional, and financial well-being
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