Utilization Review Rn Jobs in Cleveland, OH (NOW HIRING)

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 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.

Registered Nurse

Oak Street Health

The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients.

• Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner
• Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations
• Provide clinically competent triage and symptom management to patients who may or may not be physically present
• Utilize standardized protocols for medication management, prescription refills and prior authorizations.
• Conduct thorough and accurate reviews of patient medications and update as needed
• Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings
• Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels
• Form relationships with patients and their caregivers to support preventative care and ED/hospital diversion where appropriate
• Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are
• Delegation of activities to other clinical care team members to support the needs of our patients
• Participate in care team meetings to discuss patient care and clinic operations
• Deliver an exceptional patient experience through service, responsiveness and respectful care
• Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed
• Performs other related duties as assigned

• Active Registered Nurse (RN) Licensure in good standing with the applicable state
• BLS Certification
• Electronic Medical Record (EMR) experience
• Ability to maintain patient confidentiality and process information in a confidential manner
• US work authorization
• Ability to assess patients without face-to face interaction, strong communication and assessment skill

• Ability to collaborate and communicate with members of an interdisciplinary care team
• Excellent computer skills with ability to read, interpret and analyze data from various computer systems
• Effective problem solving and prioritization skills
• 2+ years of healthcare experience, working as an RN

• Previous experience in clinic setting
• Ability to work independently
• Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve

40

Full time

The typical pay range for this role is:

• $60,522.00 - $129,615.00

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.

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 full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being 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: 11/08/2026

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