This is a 4-day/10-hour week full-time telework role that includes every Saturday and Sunday shifts.
This alternate shift schedule will begin six months after the nurse successfully completes the orientation period. During orientation, hours will be 8-5pm weekdays with occasional rotation until 8pm.
Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for surgical services requiring precertification. The majority of the time is spent at a desk and on the phone collecting and reviewing clinical information from providers. Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed.
- Registered Nurse (RN) with current unrestricted state licensure
- 3+ years of acute clinical experience (i.e. Med/Surg, ER, or ICU)
- Position requires proficiency with computer skills which includes navigating multiple systems
- Sedentary work involves periods of sitting, talking, listening, and computer use
- Ability to work in a fast-paced environment
- Clinical precertification experience
- Managed care experience
- Utilization review experience
- Associate's degree or nursing diploma required
- BSN degree preferred
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.
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