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Remote Utilization Management Nurse Consultant – Prior Authorization - Remote Eligible
Develop strategies to integrate referral opportunities with other products and services.
Remote
Senior
$30.39-$65.66 USD per hour
3 months ago
✨ About The Role
- The role involves utilizing clinical experience to assess, plan, implement, and monitor healthcare services for members
- Responsibilities include gathering clinical information, applying appropriate criteria, and communicating with providers to facilitate care
- Identifying opportunities to promote quality healthcare services and benefit utilization is a key aspect of the position
- The position requires working remotely from home in the USA with no travel required
- The hourly pay range for this role is $30.39 - $65.66, with additional benefits and incentives offered by CVS Health
⚡ Requirements
- Ideal candidate will have an active and unrestricted RN licensure in their state of residence with multi-state/compact privileges
- Must possess at least 3 years of nursing experience in various settings such as Med Surg, ICU, ER, or home health
- Ability to work across multiple IT and platform systems is crucial for success in this role
- Strong communication skills are essential for effectively coordinating and facilitating healthcare services for members
- Willingness to work a set schedule including occasional holidays and weekends
Remote Utilization Management Nurse Consultant – Prior Authorization - Remote Eligible
Remote
$30.39-$65.66 USD per hour
Remote
About CVS Health
Enabling a more transparent, simple health care system