CVS Health

Quality Management Nurse Consultant (Remote-Arizona)


Pay$60522.00 - $129615.00 / year
LocationScottsdale/Arizona
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: R0649990
      Employer Industry: Healthcare Solutions

      Why consider this job opportunity:
      - Salary up to $129,615
      - Eligible for a CVS Health bonus, commission, or short-term incentive program
      - Comprehensive benefits including affordable medical plans, 401(k) plan with matching contributions, and an employee stock purchase plan
      - No-cost wellness programs, confidential counseling, and financial coaching available to all colleagues
      - Opportunities for growth and professional development within a supportive nursing team
      - Flexible work schedules and remote work options available

      What to Expect (Job Responsibilities):
      - Review and evaluate clinical information and documentation related to potential quality of care concerns
      - Interpret data obtained from clinical records to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
      - Independently coordinate clinical resolutions with internal/external clinician support as required
      - Conduct local travel to provider locations as needed
      - Collaborate with a nursing team to ensure high standards of care for diverse member populations

      What is Required (Qualifications):
      - Active and unrestricted Arizona RN license
      - Must reside in Arizona
      - Minimum 1 year of nursing experience required
      - Reliable transportation and willingness to participate in local travel up to 10% of the time
      - Associate's degree in nursing required

      How to Stand Out (Preferred Qualifications):
      - Experience in a managed care or health plan setting
      - Proficiency with electronic medical record systems and MS Office Suite applications, including Word and Excel
      - Strong analytical and communication skills
      - Bachelor's degree in nursing preferred

      #HealthcareSolutions #Nursing #QualityManagement #RemoteWork #CareerGrowth

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.

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