Remote RN Utilization Management Consultant
CVS Health
- Remote job
CVS Health is seeking an experienced Utilization Management Nurse Consultant for a remote role in the Central Time zone. The position offers full-time hours (40 per week) with a schedule that includes evenings, weekends, and holidays, reflecting a 24/7 operation. You will analyze clinical data to determine appropriate healthcare services and benefits, coordinating with providers to ensure quality care for members. #J-18808-Ljbffr CVS Health
- CVS Health is seeking a Registered Nurse to join our Utilization Management team in a work-from-home weekend position. You will assess, plan, and... ...benefits and services for members. The role requires 3+ years RN experience, 1+ year in UM/Care Management, and active RN...Remote jobWork from homeWeekend work
- ...organization, seeks an experienced Registered Nurse for a remote Utilization Management role. You will review cases, assess medical necessity, and... ...interdisciplinary teams. The ideal candidate has 3+ years RN experience, ADN required with BSN preferred, and strong clinical...Remote job
- CVS Health is hiring a Utilization Management Nurse Consultant for a remote EST role. The position requires an RN with 2+ years of adult acute/critical care experience and an active license. Work schedule includes evenings and weekends with a 40-hour week and comprehensive...Remote jobAfternoon shift
- CVS Health is seeking an Utilization Management Nurse Consultant who must reside in Florida. This remote, full-time role reviews clinical information to ensure appropriate... ...teams. The position requires an active Florida RN license and at least 3 years of inpatient nursing...Remote jobFull time
- CVS Health in Florida is seeking a Utilization Management Nurse Consultant who will review and coordinate care for members, applying medical necessity criteria... ...and holidays. The position requires an active Florida RN license, 3 years of inpatient nursing experience, and a...Remote jobFull timeWeekend workAfternoon shift
- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across... ...of care. This role requires RN licensure, 2+ years in acute/critical... ...communication. A BSN is preferred; remote work is supported within the state(s...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
$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- ...is seeking an experienced Registered Nurse to join the Utilization Management team in a remote role. You will review clinical information, apply evidence... ...benefits for members. The role requires an active RN license, ADN, and at least two years in adult acute or critical...Remote work
- ...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
- ...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 - $74.78 per hour
...family and one community at a time. Registered Nurse (RN) - Utilization Management Location: Remote (Preference for candidates in CST or EST time zones)... ...of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeWeekend workAfternoon 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
...And we do it all 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...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$26.01 - $68.55 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a... ...evening hours. This is a full time remote Utilization Management opportunity.... ...have active current and unrestricted RN licensure in state of residence ~1...Remote workHourly payFull timeTemporary workWork at officeMonday 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... ...and one community at a time. Fully remote with requirement to work the... ...have active, current, and unrestricted RN licensure in state of residence Must...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayWeekend work$26.01 - $56.14 per hour
...:00pm EST Location: 100% Remote (U.S. only) About Us American... ...URAC-accredited medical management organization founded in 1... ...medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical... ...Qualifications Active, unrestricted RN license in your state of...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work$26.01 - $74.78 per hour
...of something bigger - helping to simplify health care one person, one family and one community at a time. Utilization Management Registered Nurse (RN) - Remote Make a meaningful impact on patient care from wherever you work. We are seeking an experienced...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$29.1 - $62.32 per hour
...of a partner company, who manages all applications and next... ...partner is looking for a Utilization Management Nurse Consultant based in Canada. We are seeking... ...Nurse to join a remote Utilization Management team... ...unrestricted Registered Nurse (RN) license in the state of residence...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$54.1k - $155.54k
...holidays Applicants must be a RN with a compact licensure... ...licenses as needed. Utilizes clinical skills to coordinate... ...aspects of the utilization/benefit management program. Applies critical... ...utilization of services. Consults and lends expertise to other...Remote workHourly payFull timeTemporary workLocal areaWork from homeRotating shift$26.01 - $68.55 per hour
...determined in collaboration with management to ensure adequate weekend coverage. Position Summary Utilize your clinical experience and... ...and benefit utilization. Consult and lend expertise to other internal... ...Nurse Education: Diploma RN acceptable; Associate degree/...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend work$60.53k - $129.63k
...URAC-accredited medical management organization founded in... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply... ...information from providers. Remote Work Expectations... ...Associate's degree in nursing (RN) required, BSN preferred...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 criteria across the care continuum and collaborate with providers to improve member outcomes. The role...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
$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience... ...Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or... ...have active current and unrestricted RN licensure in state of residence Benefits...Remote workWork at officeWork from homeAfternoon shift
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