UM Nurse Consultant

The UM Nurse Consultant at CVS Health is a remote position ideal for experienced inpatient Registered Nurses looking to leverage their clinical expertise in a non-bedside role. This role involves conducting concurrent reviews and collaborating with healthcare teams to ensure high-quality patient care.

• Pay: $26.01 - $56.14/hour
• Location: Remote, LA
• Schedule: Full-time, Monday–Friday, 8:00 AM–5:00 PM CST with occasional weekend and holiday on-call coverage
• Residency: Must reside in Louisiana or have Compact RN licensure

• Conduct concurrent reviews for inpatient admissions and continued stays
• Evaluate clinical documentation and determine medical necessity using established guidelines
• Collaborate with hospitals, physicians, and care teams to support appropriate levels of care
• Facilitate timely discharge planning and care transitions
• Monitor ongoing inpatient treatment and identify opportunities to improve healthcare utilization
• Communicate recommendations and clinical findings to providers and internal stakeholders
• Support effective resource utilization while maintaining quality and compliance standards

• Associates Degree required, Bachelors preferred

• 5+ years of inpatient clinical nursing experience

• Active, unrestricted RN license with Louisiana licensure or Compact RN licensure required
• Ability and willingness to obtain additional state licensure as required

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs and other resources

CVS Health is a leading healthcare provider committed to delivering exceptional patient care. They focus on creating a more connected and compassionate health experience for individuals and communities.