R0604055
Description
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
Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours.
This is a full-time telework role that could require up to 10% travel.
The Clinical Precert Team Lead is accountable to leadership to support the day-to-day operations of the team. This position has no supervisory oversight, but requires a solid understanding of the workflows, policies and procedures to ensure the team is producing at a successful level.
– Supports the on-boarding of new staff as well as quality monitoring and assignment triage.
– Single point and first line of contact for staff for clinical issues, and may lead projects as assigned.
– Provides ongoing communication and updates to leadership and contributes and participates in team meetings.
– The role requires promoting cooperation and team building between all department members.
Required Qualifications
– Must have active, current, and unrestricted RN licensure in state of residence
– Must be willing and able to work Monday through Friday, 8:00am to 5:00pm EST or 9:00am to 6:00pm EST. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours.
– Must be willing and able to travel up to 10% per business needs for meetings/audits
– 3+ years of clinical experience
– 2+ years of clinical precertification experience
– 1+ years of MS office suites experience
Preferred Qualifications
– Previous leadership experience
Education
Associate’s Degree in Nursing required
BSN preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$54,095.00 – $142,576.00
This 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 05/27/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.