This role will be based in the High Point, NC office once COVID
restrictions are lifted.
Internal employees may remain working from home.
Required hours are M-F 8:30am-5pm EST with rotation until 9pm
EST 2-3 times per month.
Are you tired of bedside nursing?
Are you looking to get away from 12-hour hospital shifts while
continuing to utilize your RN expertise to impact the lives of
patients in your local community?
As a Utilization Nurse Consultant you will utilize clinical
skills to coordinate, document and communicate all aspects of the
utilization/benefit management program. You would be responsible
for ensuring the member is receiving the appropriate care at the
appropriate time and at the appropriate location, while adhering to
federal and state regulated turn-around times. This includes
reviewing written clinical records. Looking for someone who enjoys
working in an office in a high energy and motivated team
environment and is detail oriented and highly organized.
This role is located in the High Point, NC office and will
require being in the office at least the first 12-18 months. Work
from home opportunities may be available after 12-18 months of
employment, determined by business need.
This is a dynamic and passionate team, with much support! This
is ideal for an applicant seeking a fast paced environment.
To service west coast customers, nurses will be required to work
2-3 times a month until 9:00pm EST after training. Saturday work
required after 6 months of training as needed to meet business
The office is located at 4050 Piedmont Parkway, High Point,
- Active, unrestricted RN License required
- 2+ years of clinical experience required (all clinical areas
considered: Home Health, Med/Surg, Telemetry, ICU, NICU, Long term
care, orthopedics, and more!)
- Strong computer skills including toggling with Windows,
Microsoft Office and Outlook and strong keyboarding skills
- Ability to exercise independent and sound judgment, strong
decision-making skills and well-developed interpersonal skills
- Ability to manage multiple priorities, effective organizational
and time management skills required.
- This position is in an office environment using a computer
station and may require sitting for extended periods of time.
- Experience with all types of Microsoft Office including
PowerPoint, Excel, and Word
- Any Managed Care background is a plus.
- Utilization Review experience preferred, but not required.
BSN, or Associates Degree with equivalent experience
At Aetna, a CVS Health company, we are joined in a common
purpose: helping people on their path to better health. We are
working to transform health care through innovations that make
quality care more accessible, easier to use, less expensive and
patient-focused. Working together and organizing around the
individual, we are pioneering a new approach to total health that
puts people at the heart.
We are committed to maintaining a diverse and inclusive
workplace. CVS Health is an equal opportunity and affirmative
action employer. We do not discriminate in recruiting, hiring or
promotion based on race, ethnicity, gender, gender identity, age,
disability or protected veteran status. We proudly support and
encourage people with military experience (active, veterans,
reservists and National Guard) as well as military spouses to apply
for CVS Health job opportunities.