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Utilization Management Nurse Consultant ( UM) - Work at home in MST/PST Zone

CVS Health logo

CVS Health

Arizona

Eligibility
RNMed surgICUBehavioral Health
Shift
8-hour days
Hours a week
40 hrs a week

Posted Aug 9 · Not open to new grads

What the listing says

Role

Schedule
8-hour days · 5 a week · 40 hours
Weekends
Weekends required
Term
Permanent
Setting
Telehealth
Accepts
RN
Experience
2+ years

Ratio not posted. Ask in the interview.

Pay

About this role

We're looking for an experienced and compassionate Utilization Management (UM) Nurse Consultant to join our team. This is a fully remote role available to candidates in any U. S. state in the MST/PST Zone. You'll apply your clinical expertise to ensure members receive safe, effective, and appropriate care—at the right time and in the right setting. As a UM Nurse Consultant, you will use your clinical background to coordinate, document, and communicate all aspects of the utilization and benefit management process. You'll ensure members receive the most appropriate level of care while meeting state and federal requirements and turnaround times.

Sourced from a public job board.

Required Qualifications Active, unrestricted RN license 2+ years of acute hospital clinical experience (strong preference for medical-surgical, ICU, behavioral health or other specialty area) Strong clinical assessment…· from this posting

Requirements

  • RN
  • Active, unrestricted RN license
  • 2+ years of acute hospital clinical experience (strong preference for medical-surgical, ICU, behavioral health or other specialty area)
  • Strong clinical assessment and decision-making abilities
  • Excellent organizational skills with the ability to manage multiple priorities
  • Ability to work independently and communicate effectively via phone
Show all 9 requirements
  • Comfort with computer-based work, multitasking across multiple screens, and documenting while on calls
  • 1+ year of Utilization Review experience (preferred)
  • 1+ year of Managed Care experience (preferred)

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
Show all 7 benefits
  • Bonus, commission or short-term incentive program

Place

City
Arizona

How this role fits you

About the employer

CVS Health logo
CVS Health
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Worth asking

We can’t answer these from the listing we have. Good ones to ask a recruiter or in the interview.

  • Can you walk me through base pay range and differentials?
  • What should I expect for holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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