Remote Utilization Management Nurse Consultant
CVS
- Remote job
CVS Health is seeking an RN for a weekend, full-time, work-from-home role. The position requires Saturday and Sunday coverage with multiple scheduling options to meet operations. You will assess, plan, implement, coordinate, monitor, and evaluate healthcare services and benefits for members. Responsibilities include determining coverage using clinical criteria, collaborating with providers, and promoting quality and efficient care. #J-18808-Ljbffr CVS Health
- ...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 in the United States is seeking an experienced Utilization Management Nurse Consultant (RN) to join our remote team. You will review prior authorization requests, evaluate medical necessity, and apply clinical criteria to support timely, cost-effective care...Remote 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 work
- ...CVS Health is seeking an experienced Registered Nurse for Utilization Management. The role involves assessing and coordinating healthcare services... ...supports a 24/7 operation with weekend and evening shifts, in a remote-friendly environment. The ideal candidate holds an...Remote workWeekend workAfternoon 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
- ...CVS Health is seeking a Registered Nurse for Utilization Management. This remote, full-time role requires 2+ years in adult acute/critical care, an active RN license, and readiness for a 24/7 schedule including weekends and holidays. You will assess, plan, implement...Remote workFull time
$26.01 - $62.32 per hour
...something 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- ...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 an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring... ...planners, and support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-LjbffrRemote workFull time
- ...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
$26.01 - $56.14 per hour
...to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare- Complex Spine Team) 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 - $56.14 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse - Utilization Management (Remote) Make a difference in patient care while leveraging your clinical expertise in a dynamic, collaborative...Remote workFull timeWork at officeLocal areaWork from homeAfternoon shift$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) Remote | Full-Time | Monday-Friday What You’ll Do Review clinical cases and make coverage...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$32.01 - $68.55 per hour
..., 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$29.1 - $62.32 per hour
...UM Nurse ConsultantUtilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours.Fully Remote- WFHSchedule: Monday-Friday 10:30AM- 7:30PMPosition Summary:UM Nurse Consultant Utilizes clinical experience and skills in a...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift$26.01 - $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... ..., one family and one community at a time. Fully remote with requirement to work the following schedule:...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayWeekend work$26.01 - $56.14 per hour
...00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American... ..., 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$29.1 - $62.32 per hour
...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Management Nurse Consultant based in Canada. We are seeking an experienced Registered Nurse to join a remote Utilization Management team in a non-...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$54.1k - $155.54k
...additional licenses as needed. Utilizes clinical skills to coordinate... ...of the utilization/benefit management program. Applies critical... ...utilization of services. Consults and lends expertise to other... ...experience Education AA Nursing Required BSN Preferred...Remote workHourly payFull timeTemporary workLocal areaWork from homeRotating shift$66.58k - $142.58k
...community at a time. Position Summary Utilization Management is a 24/7 operation and work schedules... ...Services and benefit utilization Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$29.1 - $62.32 per hour
...CVS Health Utilization Management Position We're building a world of health around every individual... ...Services and benefit utilization Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care setting...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift$26.01 - $68.55 per hour
...determined in collaboration with management to ensure adequate weekend... .... Position Summary Utilize your clinical experience and... ...and benefit utilization. Consult and lend expertise to other internal... ...Registered Nurse Education: Diploma RN acceptable...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend work$60.53k - $129.63k
...Health, is a URAC-accredited medical management organization founded in 1993. We... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment... ...information from providers. Remote Work Expectations This is a 10...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- CVS Health is seeking a qualified Registered Nurse for a remote Utilization Management role. You will assess and coordinate care, apply clinical criteria, and collaborate with providers to ensure appropriate services for members. Responsibilities include reviewing cases...Remote jobFull timeWork from home
- CVS Health is seeking an experienced Utilization Management RN to support coverage determinations from a remote location in the United States. You will apply clinical... ...care experience, and an Associate’s degree in nursing. Preference for candidates in Eastern Time Zone...Remote job
- CVS Health is seeking a UM Nurse Consultant in New Jersey to join a 24/7 Utilization Management operation. The role involves clinical assessment, planning and coordinating care, applying guidelines to determine coverage and collaborating with providers to optimize services...Remote job
- CVS Health is seeking a Registered Nurse for Utilization Management. You will assess and coordinate care, apply clinical criteria to determine coverage, and communicate with providers to support appropriate treatment. The role requires collaboration across teams and a...Remote job
- CVS Health is seeking a Nurse Consultant to join our Utilization Management team. You will apply clinical judgment and evidence-based criteria to review inpatient... ...and are comfortable with computer-based work. Remote work is 100% remote with a dedicated workspace; a mandatory...Remote job
- CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement and evaluate services for members, with a strong focus on utilization management and care coordination. Ideal...Remote jobAfternoon shift
$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience to assess, plan, implement, and... ...healthcare delivery. Highlights Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or CST Schedule: 24/7...Remote workWork at officeWork from homeAfternoon shift
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