At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

POSITION SUMMARY

Schedule for this position is 8:00 - 5:00 PM CST with Weekends Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for ser‐ vices requiring precertification. The majority of the time is spent at a desk and on the phone collecting and reviewing clinical information from providers. Utilization Management nurses use specific criteria to authorize inpatient NICU/Spine admissions or initiate a Medical Director referral as needed.

REQUIRED QUALIFICATIONS

Must have active, current and unrestricted RN licensure in state of residence
3+ years of clinical experience
Must be wiling and able to work Monday - Friday 8 am - 5 pm CST with occasional weekend/holiday on-call
Position requires proficiency with computer skills which includes navigating multiple systems
Ability to work in a fast paced environment
NICU experience 3+ years

PREFERRED QUALIFICATIONS

Previous Utilization Management experience
Spine Experience

EDUCATION

Associates degree required
BSN preferred

Please refer the Job description for details