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CVS Health

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Clinical Team Lead, Utilization Management (Remote)

US · IL - Work from home · Remote · Full-time · Lead

偏好中部时区,需适应周末、节假日及晚间工作

Remote worldwideLead / managementOpen to China
Clinical ExperienceUtilization ManagementCase ReviewClinical Criteria ApplicationReport AnalysisCross-party CommunicationComputer ProficiencyMultitasking

Salary not stated

AI summary

About the company

CVS Health是一家医疗健康企业,致力于打造更互联、便捷、有同情心的健康体验,重视员工安全与质量,业务覆盖医疗服务相关领域。

Role overview

该岗位为CVS Health的利用管理团队临床团队主管,需运用临床经验评估、协调医疗服务,负责团队支持、病例审查、与各方沟通等工作,全职远程办公,需适应轮班及多系统操作,薪资范围66575-142576美元/年,含福利及奖金。

Responsibilities

  • 分析报告、趋势、指标及问题
  • 解答一线员工的病例相关问题
  • 可能需监考RN/MD查房
  • 协助处理升级病例审查及设施问题
  • 收集临床信息并应用标准制定覆盖决定
  • 与供应商沟通以协调医疗服务
  • 识别转诊机会及服务推广点
  • 为内外部人员提供利用管理专业支持

Requirements

  • 3年以上成人急症/重症护理注册护士经验
  • 持有当前有效的无限制RN执业执照
  • 需适应周末、节假日及晚间轮班
  • 具备多系统操作及打字的计算机技能
  • 良好的口头及书面沟通能力

Nice to have

  • 具备管理式医疗经验,尤其是利用管理领域
  • 居住在中部时区
  • 拥有护理理学学士(BSN)优先

Pay & benefits

  • 薪资范围66575-142576美元/年
  • 符合条件可参与奖金或短期激励计划
  • 提供医疗、牙科、视力保险
  • 带薪休假
  • 退休储蓄选项
  • 健康福利项目

Hiring process & how to apply

  • 申请截止时间为2026年10月13日
  • 申请流程中提供详细福利信息
  • 按联邦、州及地方法律考量有犯罪记录的申请人

Notes for China-based candidates

  • 需持有美国有效RN执业执照
  • 需适应美国中部时区及轮班工作
  • 薪资以美元结算
  • 需远程完成工作

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Excerpt

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…

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Clinical Team Lead, Utilization Management (Remote) · CVS Health · Global Search | Fintegrity