Remote Utilization Management Nurse Consultant
CVS Health
- Remote job
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 role emphasizes collaboration, documentation, and ensuring appropriate care and benefits for members. Ideal candidates have Med/Surg or critical care background, strong communication, and proficiency with Microsoft Office 365. #J-18808-Ljbffr CVS Health
$29.1 - $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 Home Care) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$29.1 - $62.32 per hour
...bigger – 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...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday 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 - $56.14 per hour
...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health... ..., is a URAC-accredited medical management organization founded in 1993. We provide... ...complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review,...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work$60.53k - $129.63k
...bigger – 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 | Monday-Friday Are you a Registered Nurse looking to leverage your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$54.1k - $116.77k
...one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | 24/7 Operations Are you an... ...health outcomes Serve as a clinical resource and consultant to internal and external stakeholders WHAT YOU BRING...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across the continuum of care. This role requires... ..., and effective communication. A BSN is preferred; remote work is supported within the state(s) of residence....Remote work
- ...CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN) to work remotely on a full-time Weekday schedule. You will review cases, determine coverage, and collaborate with care teams to ensure appropriate treatment, while applying clinical...Remote workFull timeWeekday work
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in the Baltimore area. The role leverages RN clinical expertise... ..., 3+ years experience, and MS Office proficiency; remote work options with home setup requirements; strong documentation...Remote workWork from home
- ...CVS Health is seeking an Utilization Management Nurse Consultant to ensure Medicare members receive appropriate care. This is a remote, full-time role with a weekday schedule and a base hourly pay range. You will review cases, collaborate with providers, and apply clinical...Remote workHourly payFull timeWeekday work
$29 - $62 per hour
...About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience to assess, plan, implement,... ...delivery. Highlights Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or CST Schedule...Remote workWork at officeWork from homeAfternoon shift- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full-time, remote role will involve assessing and coordinating care, applying clinical criteria to determine coverage, and collaborating with providers to support appropriate...Remote workFull timeWork at office
- ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage decisions in a remote, full-time role. You will collaborate with providers and care teams, apply clinical judgment, and support utilization and benefit management...Remote workFull timeWork at office
- ...CVS Health is hiring a Nurse Consultant for a 100% remote Utilization Management role. You will apply clinical judgment to review inpatient and outpatient services, authorize care, and collaborate with providers while maintaining precise documentation. The position...Remote workFlexible hours
- ...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
- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive the right care at the right time. You will review cases, collaborate with providers, and use evidence-based guidelines...Remote workFull timeLocal areaMonday to FridayAfternoon shift
- CVS Health in West Virginia is seeking a Medicare Precertification Utilization Management Nurse Consultant to support a 24/7 operation and remote work from home. The role requires strong nursing credentials, Med/Surg exposure, and utilization management experience. You...Remote jobWork from home
- CVS Health is seeking an experienced Registered Nurse to support utilization management from a remote home-based setting across the United States. The role involves assessing patient needs, planning and coordinating care, and collaborating with providers to render coverage...Remote jobWork from homeWeekend work
- CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations remotely. The role requires collaborating with providers and care teams to coordinate treatment plans and ensure appropriate member...Remote job
- CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, collaborate with providers to authorize care, and elevate cases when needed...Remote job
- CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorizing care, and escalating cases when needed. The...Remote job
- CVS Health in the United States seeks a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role supports timely, medically necessary care through clinical review and collaboration with providers. The position emphasizes precision,...Remote job
- CVS Health is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for... ...acute/critical care and utilization management, offering remote work in California and a full-time schedule, including...Remote jobFull timeAfternoon shift
- CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage determinations for Medicare beneficiaries. This remote, full-time role follows a weekday schedule, leveraging your RN expertise to ensure appropriate care and outcomes...Remote jobFull timeWeekday work
- CVS Health is seeking an experienced Registered Nurse to join the Utilization Management team in a remote role. You will review clinical information, apply evidence-based criteria, and collaborate with providers to ensure appropriate, high-quality care and benefits for...Remote job
- CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information, and applying guidelines to support appropriate benefits for members. You will collaborate with providers and internal stakeholders...Remote jobWeekend workAfternoon shift
- CVS Health is seeking a Registered Nurse to assess, plan, implement, coordinate and evaluate healthcare services for members.... ...decisions and referral opportunities while maintaining high-quality utilization management practices. The role requires an active RN license, 2+ years...Remote jobWeekend workAfternoon shift
- CVS Health is seeking an experienced Utilization Management RN to join our remote team. You will review authorization requests, assess medical necessity,... ...an active RN license (multi-state preferred), 3+ years of nursing, 2+ years in UM/Prior #J-18808-Ljbffr CVS HealthRemote job
- CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring... ...and support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-Ljbffr CVS Health...Remote jobFull time
- CVS Health is seeking an Utilization Management Nurse Consultant for Medicare precertification, remotely accepting applications nationwide. The role emphasizes clinical judgment and collaboration to ensure appropriate care timing and treatment, aligning with Medicare guidelines...Remote jobWork at office
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