Utilization Management Nurse Consultant

Registered Nurse (RN) – Utilization Management (24/7 Operations)Step away from bedside care and make a system-wide impact. Join our Utilization Management team and help ensure members receive the right care at the right time.What You'll DoReview clinical information and apply guidelines to support coverage decisionsCollaborate with providers and care teams to coordinate appropriate treatmentIdentify opportunities to improve care quality and resource utilizationConnect members to programs and services that support better outcomesProvide clinical expertise across internal and external teamsWhat You Bring - REQUIREDActive, unrestricted RN license in your state of residence2+ years of adult acute care or critical care experienceStrong clinical judgment, communication, and organizational skillsAbility to multitask and thrive in a fast-paced, technology-driven environmentPreferredExperience in Med-Surg or a specialty areaManaged Care or Utilization Management experienceLocated in Central, Mountain, or Pacific time zonesSchedule & Work Environment24/7 operations, including evenings, weekends, and holidaysSedentary, computer-based role with high attention to detail and productivity expectationsEducationAssociate's Degree requiredBSN preferredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$26.01 - $56.14This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.This full?time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well?being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on Benefits Moments.