Remote Utilization Management Nurse Consultant (RN)
CVS
- Remote job
CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports utilization management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities include reviewing medical necessity, coordinating with providers, and ensuring timely care while meeting state and federal requirements. Strong documentation and communication skills are essential. #J-18808-Ljbffr CVS Health
- ...CVS Health is seeking an Utilization Management Nurse Consultant (Clinical Precertification RN) for Medicare, remotely. This full-time role asks for an active RN license and several years of experience to evaluate care and determine coverage using evidence-based guidelines...Remote workFull timeAfternoon shiftWeekday work
$26.01 - $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 beyond...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday work$26.01 - $56.14 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 ScheduleAre you a Registered Nurse ready to make an impact beyond the...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday work$26.01 - $56.14 per hour
...CVS Health Utilization Management Position We're building a world... ...-11 or 11-8 Location: Remote (Central Time)... ...benefit utilization. Consults and lends expertise to... ...experience as a Registered Nurse in adult acute care/critical... ...and unrestricted RN licensure in state of...Remote workHourly payFull timeTemporary workWork at officeAfternoon shift$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team where your clinical expertise helps ensure members receive the right... ...include evenings (until 7pm), weekends, and holidays Remote/office-based environment with extensive computer and...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayAfternoon shift- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to coordinate, document, and... ...benefit management process. This 100% remote role supports members to receive appropriate... .... The position requires an active RN license, 2+ years in acute hospital...Remote job
- ...Alliance for Career Enhancement is seeking an experienced Utilization Management Nurse - Precertification RN whose primary focus is ensuring appropriate, high-quality care through the precertification process. This remote, full-time role emphasizes evidence-based decision-...Remote jobFull time
- CVS Health is hiring a Utilization Management Nurse Consultant for a 100% remote role focused on the EST zone. You will review medical necessity, coordinate care,... ...while meeting regulatory timelines. Required: active RN license and 2+ years of acute hospital experience,...Remote job
- CVS Health in the United States is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role available to candidates in EST or CST zones. You will apply clinical expertise to ensure members receive safe, effective care at the right time and...Remote jobFull time
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote position in the EST zone. The role focuses on coordinating, documenting... ...timelines. Minimum requirements include an active RN license and 2+ years of acute hospital experience....Remote job
- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to CST-zone residents. You will apply clinical expertise to ensure safe, effective, and appropriate care, coordinating utilization and benefits while meeting state...Remote jobFull time
- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, full‑time role open to CST zone residents. You’ll coordinate, document, and communicate all aspects of utilization and benefit management, ensuring safe, effective care and adherence...Remote jobFull time
- CVS Health is seeking a Utilization Management Nurse Consultant for a full-time remote role. You will coordinate, document, and communicate the utilization/benefit management program and ensure appropriate care in the right setting within turn-around times. You’ll review...Remote jobFull time
- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% remote role open to EST residents. You will coordinate, document, and communicate... ...-effective care. The position requires an active RN license, 2+ years hospital experience, strong...Remote job
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to EST residents across the U.S. You will apply... ...-5:00 PM EST, with some weekend/holiday coverage. RN license active, 2+ years acute hospital experience...Remote jobFull timeMonday to FridayWeekend work
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a fully remote, full-time position available to CST zone residents. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring timely, appropriate...Remote jobFull time
$32.01 - $68.55 per hour
...with heart, each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$32.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApplyremote type: Remotelocations: IL - Work from hometime type: Full timeposted on: Posted Todaytime... ...community at a time.**Utilization Management Nurse Consultant (RN)****Remote | Full-Time***Utilization Management is a 24/7...Remote workHourly payFull timeTemporary workLocal areaAfternoon shift- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected... ...the utilization/benefit management program. Requires an RN (consideration for LCSW) with unrestricted active license...Work at officeWeekend work
- ...Remote, RI Contract Job Description: Responsible for the review and evaluation... ...~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred.... ...Prior Authorization. Education: ~ RN with current unrestricted state...Remote workContract work
- ...an experienced Organizational Change Management Consultant to support a late-stage technology deployment... ...supporting field operations, utility operations, inspection teams, asset management... ...: August 2026 through March 2027 ~ Remote or hybrid arrangement may be...Remote workFull timeContract work
$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart time- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical... ...proficiency in computer usage. Previous Utilization Management experience is preferred. Join a dynamic...Remote work
$70k - $75k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build... ...Job Description The Utilization Management Registered Nurseis responsible... ...education consistent with current nursing practice standards and the...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Seeking a part-time Utilization Review Nurse RN, the candidate will perform medical-necessity reviews and level-of-care determinations, ensuring... ...weekends. Key responsibilities Conduct utilization management reviews and apply medical policies and evidence-based criteria...Remote workPart time
$32.01 - $68.55 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual shaping a more connected, convenient and compassionate... ...: ~ Must have active, current, and unrestricted RN licensure in state of residence ~ Willingness to obtain...Full timeAfternoon shift$59.5k - $116.6k
UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote jobWeekend work- ...Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full‑time position involves managing utilization reviews and ensuring compliance with clinical policies for quality...Remote workFull time
$26.01 - $74.78 per hour
...Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will... .... Required Qualifications Registered Nurse (RN) with current unrestricted US licensure required. 2+ years...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours$30 - $38 per hour
...Job Summary We are seeking Utilization Review Nurse RN to join our team on a part... ...review or senior care consultants. Process appeals for non‑certification... ...potential cases to case management, wellness, chronic disease... ...successfully perform in a remote healthcare environment....Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work
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