PRN Utilization Review Nurse Reviewer
Blank StreetFull Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Key technologies and capabilities for this role
Common questions about this position
The typical pay range for this role is $32.01 - $68.55 per hour, representing the base hourly rate for positions in the job grade. The actual base salary offer will depend on various factors.
Utilization Management is a 24/7 operation, so work schedules will include weekends, holidays, and evening hours. It is a full-time role with anticipated weekly hours of 40.
Candidates must have 2+ years of experience as a Registered Nurse in adult acute care/critical care setting and an active current and unrestricted RN licensure in the state of residence. Proficiency with computer skills, effective communication skills both verbal and written, and an Associates Degree are also required.
It is a typical office working environment with productivity and quality expectations, involving sedentary work with extended periods of sitting, talking on the telephone, typing, and close inspection of documents and PC monitors.
Strong candidates will have the required 2+ years RN experience in adult acute care/critical care, active RN licensure, and Associates Degree, plus preferred qualifications like 2+ years in med surg or specialty areas, Managed Care or Utilization Management experience, post-acute experience, and a BSN.
Comprehensive pharmacy and healthcare services
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.