About the position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
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.
Responsibilities
• Review clinical information and apply guidelines to support coverage decisions
• Collaborate with providers and care teams to coordinate appropriate treatment
• Identify opportunities to improve care quality and resource utilization
• Connect members to programs and services that support better outcomes
• Provide clinical expertise across internal and external teams
Requirements
• Active, unrestricted RN license in your state of residence
• 2+ years of adult acute care or critical care experience
• Strong clinical judgment, communication, and organizational skills
• Ability to multitask and thrive in a fast-paced, technology-driven environment
Nice-to-haves
• Experience in Med-Surg or a specialty area
• Managed Care or Utilization Management experience
• Located in Central, Mountain, or Pacific time zones
Benefits
• medical
• dental
• vision coverage
• paid time off
• retirement savings options
• wellness programs