Prior Authorization Registered Nurse - Work at Home - Oklahoma

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.Applicants Must Reside in OklahomaPosition Summary:Applies clinical expertise to assess, plan, and coordinate healthcare services for members. Utilizes clinical guidelines and judgment to make coverage determinations and facilitate appropriate care. Engages with providers to support treatment plans and identifies opportunities for referrals and program integration. Promotes quality and effective benefit utilization, consults with internal and external stakeholders, and meets productivity and quality standards. Requires strong computer proficiency, multitasking, and effective verbal and written communication in a fast-paced environment. Required Qualifications:3+ years of clinical experience as a Registered Nurse in Med-SurgMust have active, current and unrestricted Oklahoma RN licensure Preferred Qualifications:Prior Authorization ExperienceUtilization Management ExperienceManaged Care experience preferred Education:Associates Degree in Nursing Required BSN preferred Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$26.01 - $56.14This 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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 11/08/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.