Utilization Management Nurse Consultant
About The Position
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members. This position does require a weekend schedule.
Requirements
- Registered Nurse
- Must have active current and unrestricted RN licensure in state of residence
- May be required to obtain addition Nursing Licenses as business needs require
- Diploma RN acceptable
- Associate degree/BSN preferred
- 3+ years of experience as a Registered Nurse
- 1+ years of clinical experience in acute or post-acute setting
- 1+ years of Utilization Management / Care Management Experience
Nice To Haves
- Utilization Management experience preferred
Responsibilities
- assess
- plan
- implement
- coordinate
- monitor
- evaluate options to facilitate appropriate healthcare services and benefits for members
Benefits
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
