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.
What You’ll Do
- 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
What You Bring - REQUIRED
- 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
Preferred
- Experience in Med-Surg or a specialty area
- Managed Care or Utilization Management experience
- Located in Central, Mountain, or Pacific time zones
Schedule & Work Environment
- 24/7 operations, including evenings, weekends, and holidays
- Sedentary, computer-based role with high attention to detail and productivity expectations
Education
- Associate’s Degree required
- BSN preferred
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$32.01 - $68.55This 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 people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- Active, unrestricted RN license in 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
- Availability to work 24/7 operations, including evenings, weekends, and holidays
- Associate's Degree
- Experience in Med-Surg or a specialty area
- Managed Care or Utilization Management experience
- BSN
- Located in Central, Mountain, or Pacific time zones
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
