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Continuum Cvs Jobs (NOW HIRING)

CVS Health

Utilization Management Nurse Consultant

Homer, AK · On-site +1

$26.01 - $68.55/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Coordinate and document utilization management activities across the care continuum * Identify ...

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Continuum Cvs information

What are some common challenges faced when working as a Continuum CVs specialist, and how can they be addressed?

A common challenge for Continuum CVs specialists is staying up-to-date with the latest developments in cardiovascular imaging technologies and protocols, as the field evolves quickly. Additionally, balancing the need for accuracy with efficiency when analyzing imaging data can be demanding, especially in high-volume clinical settings. Building strong communication skills is also important, as collaboration with cardiologists, technicians, and IT staff is often required to ensure optimal patient outcomes. Regular professional development, active participation in multidisciplinary team meetings, and familiarity with new software tools can help specialists overcome these challenges and excel in their role.

What are Continuum CVs?

Continuum CVs, or Continuum Curriculum Vitae, are typically tools or platforms designed to help professionals create, manage, and update their CVs (resumes) over time. Unlike traditional static resumes, a Continuum CV allows for ongoing updates, making it easy to track career progress, skills, and achievements. These platforms are often used in industries where continuous professional development is important, such as academia, healthcare, or technology. By using a Continuum CV, individuals can ensure their professional profiles are always current and tailored for various opportunities.

What is the difference between Continuum Cvs vs Medical Assistants?

AspectContinuum CvsMedical Assistants
Required CredentialsCertification or training in cardiovascular proceduresHigh school diploma and certification (CMA or RMA)
Work EnvironmentCardiology clinics, hospitals, outpatient centersDoctor's offices, clinics, hospitals
Employer & Industry UsageHealthcare providers specializing in cardiovascular careGeneral healthcare settings across various specialties
Common Search & ComparisonOften compared for clinical roles in cardiologyGeneral medical support roles

Continuum Cvs and Medical Assistants both work in healthcare settings, but Continuum Cvs specializes in cardiovascular procedures requiring specific certifications, while Medical Assistants perform general clinical and administrative tasks across various medical fields. The choice depends on the specific healthcare environment and required credentials.

What are the key skills and qualifications needed to thrive as a Continuum CVS Specialist, and why are they important?

To thrive as a Continuum CVS Specialist, you need a solid background in healthcare case management, patient care coordination, and familiarity with medical terminology, typically supported by a degree in nursing or social work. Proficiency with care management software, electronic medical records (EMR), and knowledge of compliance standards like CMS regulations are essential. Strong communication, problem-solving, and organizational skills help you effectively manage patient transitions and collaborate across multidisciplinary teams. These abilities are crucial to ensuring seamless care continuity, improved patient outcomes, and compliance with healthcare standards.
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What states have the most Continuum Cvs jobs? States with the most job openings for Continuum Cvs jobs include:
What job categories do people searching Continuum Cvs jobs look for? The top searched job categories for Continuum Cvs jobs are:
Continuum Cvs jobs near you
Infographic showing various Continuum Cvs job openings in the United States as of June 2026, with employment types broken down into 44% Full Time, 54% Part Time, and 2% Temporary. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.
Utilization Management Nurse Consultant

Utilization Management Nurse Consultant

CVS Health

New York, NY • Remote

$29.10 - $62.32/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,248 frontline employees who took The Breakroom Quiz

77th of 99 rated pharmacies

Job description

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 ourselvesaccountable 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.


Requisition Job Description:

Position Summary

This is a Work at Home role. Working hours are Mon-Fri 8-5pm in your time zone.

  • Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
  • Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care.
  • Communicates with providers and other parties to facilitate care/treatment
  • Identifies members for referral opportunities to integrate with other products, services and/or programs
  • Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
  • Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.

Required Qualifications

  • 3+ years of experience as a Registered Nurse
  • Must have active current and unrestricted RN licensure in state of residence
  • 1+ years of infertility/Women's Health area
  • 1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel)
  • Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours

Preferred Qualifications

  • Prior Authorization or Utilization Management experience
  • Managed care experience
  • Experience using Med Compass

Education

  • Associates degree in Nursing required
  • Bachelor's in Nursing preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$29.10 - $62.32

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/17/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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