Remote RN Quality & Utilization Management Consultant
CVS Health
- Remote job
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, coordinate, and determine appropriate healthcare services for members. The role emphasizes collaboration with providers to facilitate care and referrals, leveraging clinical guidelines and HIPAA-compliant practices. The position requires an active RN license, 3+ years of nursing experience, and comfortable use of Microsoft Office tools. #J-18808-Ljbffr CVS Health
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to remotely review authorizations and assess medical necessity across multiple... ...-based reviews and timely decisions that support quality care and member outcomes. The role requires 3+ years...Remote workQuality
- CVS Health is seeking an Utilization Management Nurse Consultant - Clinical Precertification RN for Medicare. This fully remote, full-time role supports the UM team to ensure appropriate... ...with care teams, and contribute to quality outcomes while working standard...Remote jobQualityFull time
- ...Columbus, OH seeks a Registered Nurse for Utilization Management to assess, plan, implement and coordinate healthcare... ...coverage recommendations and promote quality care. Requires 2+ years in adult acute/critical care, an active RN license in the resident state, and...Remote jobQualityWeekend workAfternoon shift
- ...Health in the United States seeks an RN Utilisation Management Nurse Consultant to support Medicare joint procedures in a remote, full-time role. Remote work... ...with providers, and help optimise utilization while upholding safety and quality. #J-18808-Ljbffr CVS HealthRemote jobQualityFull timeAfternoon shift
- ...seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical... ...is required with BSN preferred, and RN licensure must be active in the home... ...and MedCompass experience is valued; remote work is available to qualified #J-1...Remote jobQualityAfternoon shift
$60.53k - $129.63k
...ourselves accountable and prioritize safety and quality in everything we do. Join us and be part... ...family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare Home Care) Remote | Full-Time | Weekday Schedule Are...Remote workQualityHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...experienced Registered Nurse to join the Utilization Management team in a remote role. You will review clinical... ...providers to ensure appropriate, high-quality care and benefits for members. The role requires an active RN license, ADN, and at least two years in...Remote workQuality
$26.01 - $56.14 per hour
...accountable and prioritize safety and quality in everything we do. Join us and be... ...at a time. Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations... ...Serve as a clinical resource and consultant to internal and external stakeholders...Remote workQualityHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$60.53k - $129.63k
...ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of... ..., one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a...Remote workQualityHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$54.1k - $129.63k
...ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of... ..., 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...Remote workQualityHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$54.1k - $116.77k
...prioritize safety and quality in everything we do... ...EST Location: 100% Remote (U.S. only) About... ...accredited medical management organization... ...medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical... ..., unrestricted RN license in your state...Remote workQualityHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We... ...coordinate care, and help ensure members receive appropriate, high-quality healthcare services. What You'll Do Review...Remote workQualityHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift$32 - $69 per hour
...About This Role The Utilization Management Nurse Consultant at CVS Health is responsible... ...- $69/hour Location: Remote, CA Schedule: Full-time... ...other services. Promote quality effectiveness of healthcare... ...current and unrestricted RN licensure in state of residence...Remote workQualityFull timeAfternoon shift- ...decisions. You will collaborate with providers and internal teams, identify referral opportunities, and promote efficient utilization and quality care. This full-time, onsite role requires strong communication, computer skills, and ability to #J-18808-Ljbffr CVS HealthRemote jobQualityFull time
- CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare - Joint Procedures) to join our remote, full-time team. Bring your clinical expertise... ...appropriate care at the right time, shaping high-quality Medicare coverage decisions. In this role...Remote jobQualityFull time
- CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for... ...admissions, ensuring high-quality, cost-effective care. You will evaluate... ...transitions of care. This full-time remote role is based in Louisiana. #J-188...Remote jobQualityFull time
- ...collaborate with providers to support care decisions and referral opportunities while maintaining high-quality utilization management practices. The role requires an active RN license, 2+ years of acute/critical care experience, and flexibility to work weekends and evenings...Remote jobQualityWeekend workAfternoon shift
- CVS Health is seeking a licensed RN for Utilization Management Nurse Consultant (Medicare) to work remotely in a full-time, Monday-Friday schedule. You will review cases... .... This role emphasizes clinical judgment, quality outcomes, and cost-effective care. The position...Remote jobQualityFull timeMonday to Friday
- CVS Health is seeking an experienced RN for a remote Utilisation Management Nurse Consultant role focused on Medicare joint procedures. You will evaluate clinical... .../holidays, emphasizing a non-bedside role and quality-driven outcomes. Requires active RN license and 3+...Remote jobQualityAfternoon shiftWeekday work
$26.01 - $62.32 per hour
About This Role The Utilization Management Nurse Consultant at CVS Health is a detail-oriented RN role focused on improving healthcare outcomes... ...and collaboration within a remote work environment. Highlights... ...opportunities to enhance quality, efficiency, and member outcomes...Remote workQualityFull timeShift workWeekend work$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing... ...$29 - $62/hour Location: Remote, TX Residency: Must reside... ...and programs. Promote quality effectiveness of healthcare... ...current and unrestricted RN licensure in state of residence...Remote workQualityWork at officeWork from homeAfternoon shift$29.1 - $62.32 per hour
...prioritize safety and quality in everything we do... ...accredited medical management organization... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply... ...from providers. Remote Work Expectations... ...degree in nursing (RN) required, BSN preferred...Remote jobQualityHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work$26.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApply: Remote: IL - Work from home: Work At Home-Idaho: Work... ...prioritize safety and quality in everything we do. Join... ...Utilization Management Nurse Consultant position:*** Utilizes... ...and unrestricted RN licensure in state of residence...Remote workQualityHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$29.1 - $62.32 per hour
...ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of... ..., one family and one community at a time. Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a...Remote workQualityHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeMonday to Friday$26.01 - $62.32 per hour
...hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of... ...one community at a time. Medicare Precertification Utilization Management Nurse Consultant (RN) Remote | Full-Time | Weekends Are you a detail-oriented RN...Remote workQualityHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend workAfternoon shift- ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice... ...we are looking for a Senior Utility Management Services (UMS) Consultant to... ...of the project Perform quality control and quality... ...hybrid position (in office/remote). We offer a telecommute option...Remote workQualityFull timeFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
- ...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...Remote work
- ...with providers to facilitate care and treatment. You will identify referral opportunities to integrate CVS Health products and programs and serve as a clinical resource to internal and external stakeholders in utilization/benefit management. #J-18808-Ljbffr CVS HealthRemote job
- CVS Health is seeking an experienced Utilization Management RN to join our remote team. You will review authorization requests, assess medical necessity, and apply clinical criteria to determine appropriate care while maintaining compliance with health plan requirements...Remote job
- ...Health is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will... ...appropriate care and utilization. The position requires 3+ years RN experience, an active RN license, an associate degree...Remote job
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