Remote RN Medicare Utilization Consultant

CVS Health

CVS Health is hiring an RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) for remote, full-time work. You will review Medicare precertification data, apply criteria, and coordinate care plans to ensure appropriate treatment and utilization.

The role requires an active RN license in your state, 3+ years of RN experience, 1+ year in Med/Surg, and proficiency with Microsoft Office. BSN is a plus and remote-work guidelines apply.

#J-18808-Ljbffr

Apply

Vacancy posted -52

Similar jobs that could be interesting for youBased on the Remote RN Medicare Utilization Consultant in King, WI vacancy

Remote RN Utilization Consultant - Medicare
...is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical... ...treatment for members. The role requires an active RN license in your state, 3+ years RN experience, 1...
Remote work
CVS Health
Manchester, NH
-52
Remote RN Utilization & Precertification Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, plan, coordinate, and evaluate care options for members within a 24/7 Utilization Management operation. The role emphasizes collaboration with providers to facilitate appropriate...
Remote work
CVS Health
Little Rock, AR
-52
Remote Medicare Utilization RN Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full‑time role requires RN licensure in the state of residence and 3+ years of RN experience... ...that includes holidays and evenings, and remote work within the U.S. The role focuses on...
Remote work
Full time
Work at office
Afternoon shift
CVS Health
Honolulu, HI
-52
Remote RN: Precertification & Utilization Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant via remote work in the United States. The role requires RN licensure and 3+ years of nursing experience, with Med/Surg exposure and proficiency in Microsoft Office. You will assess...
Remote work
Work at office
Afternoon shift
CVS Health
Springfield, IL
-52
Remote Medicare Utilization RN Consultant
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. You will assess and coordinate care, determine... .... The role requires 3+ years of RN experience, an active RN license, and Med/Surg exposure. Remote work from home with flexible...
Remote job
Work at office
Work from home
Flexible hours
CVS Health
Sacramento, CA
2 days ago
Remote RN Utilization & Care Coordination Consultant
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care,...
Remote job
Work at office
Weekend work
CVS Health
Phoenix, AZ
2 days ago
Remote RN Utilization & Precertification Consultant
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for a remote full-time role with weekend coverage. You will review clinical information to support coverage determinations, apply guidelines, and collaborate with care teams to...
Remote job
Full time
Work at office
Weekend work
CVS Health
Sacramento, CA
23 hours ago
Remote RN Quality & Utilization Management Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, coordinate, and determine appropriate healthcare services for members... ...practices. The position requires an active RN license, 3+ years of nursing experience, and comfortable...
Remote work
Work at office
CVS Health
Kansas City, MO
-52
Remote RN Utilization & Quality Management Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgement... ...with BSN preferred, and RN licensure must be active in the... ...MedCompass experience is valued; remote work is available to qualified...
Remote work
Afternoon shift
CVS Health
Missouri
-52
Remote RN Utilization & Quality Management Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role requires 3+ years of RN experience, active RN licensure, and strong Med/Surg and... ...appropriate care and benefits. This full-time remote position supports a 24/7 Utilization...
Remote work
Full time
Work at office
Afternoon shift
CVS Health
Lansing, MI
-52
Remote RN Utilization & Precertification Consultant
...CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with ~3+ years of clinical experience and active licensure in the state of residence. You will coordinate care, apply clinical criteria,...
Remote work
Work from home
Afternoon shift
CVS Health
Helena, MT
-52
Remote Medicare Utilization Nurse Consultant
...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant. The role involves assessing care options, applying clinical criteria, and coordinating... ...appropriate services are delivered. Requires RN licensure and 3+ years of nursing experience, with...
Remote work
Full time
Work from home
Monday to Friday
CVS Health
Lexington, KY
-52
Remote Utilization Nurse Consultant (Medicare Precert)
...CVS Health is looking for a Utilization Management Nurse Consultant (Clinical Precertification RN) to evaluate cases and ensure appropriate care for Medicare members. This remote, full-time role follows a weekday schedule with a base hourly pay range. You will review...
Remote work
Hourly pay
Full time
Weekday work
CVS Health
Milton, MA
-52
Remote Medicare Utilization Nurse Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in the United States. The role runs Monday–Friday, 9:00am–5:30pm in the candidate’s time zone, with 24/7 utilization management scheduling including holidays and evenings. You...
Remote work
Monday to Friday
Afternoon shift
CVS Health
Clayton, NM
-52
Remote Nurse Consultant - Medicare Utilization
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with 3+ years of experience and active licensure in the state of residence. The position involves remote work with a Monday–Friday schedule, some evenings...
Remote work
Monday to Friday
Afternoon shift
CVS Health
Yuma, AZ
-52
Remote Medicare Utilization Nurse Consultant
...CVS Health is seeking an RN Utilization Management Nurse Consultant. This full-time role is remote within the state, with a 40-hour work week, primarily Mon-Fri, and includes evening/holiday coverage as needed in a 24/7 operation. You will assess and coordinate care...
Remote work
Full time
Afternoon shift
CVS Health
Arizona
-52
Remote Nurse Consultant Medicare Utilization Precertification
...CVS Health in Rhode Island is seeking a Medicare Precertification Utilization Management Nurse Consultant to join a 24/7 operation. The role uses clinical expertise... ...and evening hours. This role requires 3+ years of RN experience, active licensure, 1+ year Med/Surg, and...
Remote work
Monday to Friday
Afternoon shift
CVS Health
Bristol, RI
-52
Remote Medicare Utilization Nurse Consultant
...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant remote in the United States. The role requires ~3+ years of RN experience, active RN license, and 1+ year Med/Surg, plus proficiency with Microsoft Office (Outlook, Teams, Excel)....
Remote work
Work at office
Monday to Friday
Afternoon shift
CVS Health
Phoenix, AZ
-52
Remote Medicare Utilization Nurse Consultant
CVS Health is seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification, assesses clinical information... .... The position requires 3+ years of RN experience, an active RN license, and familiarity...
Remote job
Work at office
Afternoon shift
CVS Health
New York, NY
2 days ago
Medicare Utilization Nurse Consultant — Remote
CVS Health is seeking a remote Utilization Management Nurse Consultant to review cases, determine coverage, and coordinate care. You’ll bring RN licensure, 3+ years of experience, including Med/Surg, and work a Monday-Friday schedule in your time zone. This role emphasizes...
Remote job
Work at office
Monday to Friday
CVS Health
Salem, NH
2 days ago
Remote UM Nurse Consultant - Medicare Precertification (RN)
...CVS Health is seeking a Utilization Management Nurse Consultant – Clinical Precertification RN (Medicare) for a remote, full-time role. The position supports utilization management and prior authorization decisions, collaborating with providers and care teams to ensure...
Remote work
Full time
CVS Health
Lorida, FL
-52
RN Utilization & Quality Care Consultant (Remote)
CVS Health in Wisconsin is seeking a registered nurse to assess, plan, implement, coordinate, and evaluate care options for members. You will work with providers to determine coverage determinations and promote quality care within a collaborative, HIPAA-compliant framework...
Remote job
Full time
CVS Health
King, WI
23 hours ago
Remote RN Utilization Management Nurse Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in the Baltimore area. The role leverages RN clinical expertise to assess care options, determine... ...experience, and MS Office proficiency; remote work options with home setup...
Remote work
Work from home
CVS Health
Baltimore, MD
-52
Remote RN Utilization Management Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role supports coordination of care, uses clinical criteria to render coverage... ...members. The position requires ~3+ years as an RN with active licensure, Med/Surg experience, and...
Remote work
Work from home
Monday to Friday
Afternoon shift
CVS Health
Little Elm, TX
-52
Remote RN Utilization Management Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess and coordinate healthcare services for members. The role emphasizes... ..., and effective utilization management. Strong RN background and licensure are required, with Med/...
Remote work
Work at office
Work from home
Afternoon shift
CVS Health
Atlanta, GA
-52
Utility Rate Consultant
...AlphaGov delivers public-sector consulting for cities, counties, school systems, special districts, utilities, and related agencies. Our work spans classification and compensation... ...project-based collaborators. Engagements are remote-first with occasional client travel. When you...
Remote work
Contract work
Bank staff
AlphaX
Remote
3 days ago
Remote RN Utilization Management Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess and authorize appropriate healthcare services for members, coordinating with providers to ensure effective care and optimal utilization of benefits. The role requires...
Remote work
CVS Health
Wyoming, MI
-52
Remote RN Utilization Management Consultant
...CVS Health is recruiting a Medicare Precertification Utilization Management Nurse Consultant in a remote-capable role. The position requires collaboration to assess, plan, implement, and monitor care, using clinical criteria to determine coverage and coordinate with providers...
Remote work
CVS Health
Baton Rouge, LA
-52
Remote RN UM Consultant - Medicare Joint Procedures
...CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant to support Medicare joint procedures from a remote, full-time setting. You will review clinical data to determine coverage and collaborate with care teams to plan appropriate treatments....
Remote work
Full time
Work at office
CVS Health
Montana
-52
Remote RN Utilization Management Consultant (Medicare)
...is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical... ...utilization. The position requires 3+ years RN experience, an active RN license, an associate degree...
Remote work
CVS Health
Guin, AL
-52

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Medicare Utilization Consultant. Be the first to apply!