Remote RN Utilization Management Consultant
CVS Health
CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant to join a 24/7 operation in a role requiring RN licensure and clinical collaboration. The position involves assessing care plans, applying clinical guidelines, communicating with providers, and referring opportunities to integrate with other CVS Health programs.
Required are ~3+ years as an RN, active licensure, MS/Med/Surg experience, and proficiency with Microsoft Office.
#J-18808-Ljbffr- ...CVS Health is seeking a Utilization Management Nurse Consultant (Remote) to support Florida Medicare home-care requests. You will review cases, determine coverage... ..., full-time setting. The position requires an active RN license, 2+ years of experience (including 1+ year in...Remote workFull time
- ...Health is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will... ...care and utilization. The position requires 3+ years RN experience, an active RN license, an associate degree in...Remote work
- ...CVS Health is hiring a Utilization Management Nurse Consultant for a remote EST role. The position requires an RN with 2+ years of adult acute/critical care experience and an active license. Work schedule includes evenings and weekends with a 40-hour week and comprehensive...Remote workAfternoon shift
- ...CVS Health is seeking a Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) to support treatment decisions remotely. You will collaborate with providers and apply clinical judgment for the right care at the right time. An active RN license...Remote workWork at office
- ...organization, seeks an experienced Registered Nurse for a remote Utilization Management role. You will review cases, assess medical necessity, and... ...interdisciplinary teams. The ideal candidate has 3+ years RN experience, ADN required with BSN preferred, and strong clinical...Remote job
- ...is seeking an experienced Registered Nurse to join our Utilization Management team in a remote role based in Florida. You will review clinical information... ...benefit utilization. The role requires an active RN license, at least 2 years in adult acute or critical care...Remote job
- CVS Health is seeking a Utilization Management Nurse Consultant (UMNC) for a fully remote role. The incumbent will coordinate, document and communicate all aspects of the utilization/benefit management program to ensure appropriate care, timing and location while adhering...Remote job
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, coordinate, and determine appropriate healthcare services... ...compliant practices. The position requires an active RN license, 3+ years of nursing experience, and comfortable...Remote workWork at office
- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across... ...of care. This role requires RN licensure, 2+ years in acute/critical... ...communication. A BSN is preferred; remote work is supported within the state(s...Remote work
$29.1 - $62.32 per hour
...CVS Health Remote Clinical Position We're building... ...in collaboration with management to ensure adequate weekend... .... Position Summary: Utilize your clinical... ...benefit utilization. Consult and lend expertise to other... ...Education: Diploma RN acceptable; Associate degree...Remote workFull timeWork at officeWork from homeShift workWeekend work- ...CVS Health is seeking a qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration...Remote workAfternoon shift
$26.01 - $74.78 per hour
...family and one community at a time. Registered Nurse (RN) - Utilization Management Location: Remote (Preference for candidates in CST or EST time zones)... ...of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeWeekend workAfternoon shift- ...CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information... ...care and referrals. The position requires an active RN license and 2+ years of adult acute/critical care experience,...Remote workWeekend workAfternoon shift
- ...CVS Health is hiring a Registered Nurse for Utilization Management in California. This full-time role supports a 24/7 operation... ...+ years of acute/critical care nursing, an active RN license, and strong communication. A remote work setup within the state is required, with...Remote workFull timeWeekend workAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in Indiana. The role uses clinical expertise to assess and coordinate... ...hours; Associates degree required, BSN preferred, and RN licensure must be active and unrestricted in #J-18808-...Remote workAfternoon shift
$26.01 - $56.14 per hour
...:00pm EST Location: 100% Remote (U.S. only) About Us American... ...URAC-accredited medical management organization founded in 1... ...medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical... ...Qualifications Active, unrestricted RN license in your state of...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work$26.01 - $62.32 per hour
...bigger - helping to simplify health care one person, one family and one community at a time. RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) Remote | Full-Time | Monday-Friday (9:00 am to 5:30 pm in your time zone, with occasional evenings/...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $62.32 per hour
...– helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive... ...guidelines to support coverage determinations. A 3+ year RN background including Med/Surg and an active RN license...Remote workFull timeLocal areaMonday to FridayAfternoon shift
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote role supporting EST/CST time zones. The position requires 2+ years of RN experience, current unrestricted RN licensure, and ability to work weekends/evenings as part of a 24/7 operation. The...Remote workWork at officeWeekend workAfternoon shift
$54.1k - $155.54k
...of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Registered Nurse (RN) - Remote Make a meaningful impact on patient care from wherever you work. We are seeking an experienced Registered...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$54.1k - $116.77k
...Monday-Friday 8:00am-5:00pm CST Position Summary The Utilization Management Nurse Consultant utilizes clinical experience and skills in a... ...setting. ~ Must have active current and unrestricted RN licensure in state of residence. ~ Utilization Management...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...CVS Health in Florida is seeking a Utilization Management Nurse Consultant. This full-time remote (work from home in Florida) role requires an active Florida RN license and at least 3 years of inpatient nursing experience. You will review medical necessity, coordinate...Remote workFull timeWork from homeWeekend workAfternoon shift
$60.53k - $129.63k
...URAC-accredited medical management organization founded in... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply... ...information from providers. Remote Work Expectations... ...Associate's degree in nursing (RN) required, BSN preferred...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work$29 - $62 per hour
...About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience... ...Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST... ...active current and unrestricted RN licensure in state of residence...Remote workWork at officeWork from homeAfternoon shift- ...CVS Health is seeking an Utilization Management Nurse Consultant for Medicare precertification, remotely accepting applications nationwide. The role emphasizes clinical judgment... ...Health standards. The position requires an RN license, 3+ years of nursing experience (1+...Remote workWork at office
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement... .../critical care, plus managed care exposure. Active RN license in home state is required; position includes...Remote workAfternoon shift
- ...CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) to join a remote, full-time team. You will review clinical information for precertification and coordinate care with providers to ensure appropriate treatment...Remote workFull time
- ...CVS Health is seeking a Registered Nurse for Utilization Management in a full-time role based in the United States. The position requires a current RN license, 2+ years in adult acute/critical care, and experience with utilization management processes. You will assess...Remote workFull timeAfternoon shift
- ...CVS Health is seeking a Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) for a remote, full-time role. You will review cases, coordinate care, and apply clinical judgment to support decisions, serving as a resource across stakeholders....Remote workFull timeWeekday work
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