View All Jobs 113

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
1 week ago
CVS Health

CVS Health

Enabling a more transparent, simple health care system

✨ 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
+ Show Original Job Post
























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