Utilization Management Nurse Consultant - Remote
About the position Responsibilities • Utilizes clinical experience to assess and facilitate appropriate healthcare services for members. • Gathers clinical information to render precertification coverage determinations. • Communicates with providers and other parties to facilitate care and treatment. • Identifies members for referral opportunities to integrate with other products and services. • Promotes benefit utilization opportunities. Requirements • 3+ years of acute experience as a Registered Nurse. • Active current and unrestricted RN licensure in state of residence. • 1+ year(s) of experience with MS Office suites. Nice-to-haves • Managed Care experience • Medicare experience Benefits • Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan. • Fully-paid term life insurance plan. • Short-term and long-term disability benefits. • Well-being programs. • Education assistance and free development courses. • CVS store discount and discount programs with partners. • Paid Time Off (PTO) and paid holidays. Apply tot his job