Concurrent Review Nurse

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Monday-Friday: 11-8pm ET/10-7pm CT with occasional weekend and holiday coverage per business needs. Requirement to reside in CST or EST zone.

This is a full-time telework opportunity. This position is for a letter writer/auditor that will support comprehensive medical services through composition and auditing of approval, partial approval, denial, extension, and request for information letters for the Aetna Medicaid centralized letters team. The letter writer/auditor role assists in maintaining accurate and complete documentation to meet risk management, regulatory, and accreditation requirements. The letter writer/auditor will promote positive communication both internally and externally to enhance effectiveness of medical management services.