CVS Health
Utilization Management Nurse Consultant
This job is now closed
Job Description
- Req#: R0315231
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $62.32 per hour
- Eligible for bonuses, commissions, or short-term incentive programs
- Comprehensive medical, dental, and vision benefits
- Opportunities for career advancement and professional development
- Supportive work environment focused on employee well-being
- Paid Time Off (PTO), paid holidays, and additional leave consistent with state laws
What to Expect (Job Responsibilities):
- Apply critical thinking and clinical criteria for services requiring precertification
- Collect and review clinical information from healthcare providers
- Communicate with providers and other parties to facilitate care and treatment
- Identify members for referral opportunities to integrate with other services and programs
- Monitor and evaluate options to facilitate appropriate healthcare services and benefits for members
What is Required (Qualifications):
- Active, current, and unrestricted RN licensure in the state of Virginia or multi-state compact licensure
- Minimum of 3 years of clinical experience
- At least 1 year of clinical experience in an acute or post-acute setting
- Must be available to work Monday through Friday, 8:00 am to 5:00 pm EST
- Proficiency in computer skills, including navigating multiple systems
How to Stand Out (Preferred Qualifications):
- Previous experience in prior authorization
- Discharge planning experience
- Experience in Utilization Management
- Ability to thrive in a fast-paced environment
- Additional proficiency in computer skills
#HealthcareServices #NursingJobs #ClinicalRoles #CareerGrowth #EmployeeBenefits
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.
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.