Remote Utilization Management Nurse Consultant
CVS Health
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.
Requires an active RN license, 3+ years RN experience (1+ in Med/Surg), and proficiency with Outlook/Teams/Excel. Weekday schedule; travel not required. Benefits are included with full-time employment.
#J-18808-Ljbffr- ...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....Remote workAfternoon shift
$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 workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- ...CVS Health is seeking an experienced Registered Nurse to support utilization management from a remote home-based setting across the United States. The role involves assessing patient needs, planning and coordinating care, and collaborating with providers to render coverage...Remote workWork from homeWeekend work
$29.1 - $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 | Monday-Friday Are you a Registered Nurse looking to leverage your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$26.01 - $56.14 per hour
...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health... ..., 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
...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 Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorizing care, and escalating cases when needed....Remote work
- ...CVS Health is hiring a Nurse Consultant for a 100% remote Utilization Management role. You will apply clinical judgment to review inpatient and outpatient services, authorize care, and collaborate with providers while maintaining precise documentation. The position...Remote workFlexible hours
- ...CVS Health is seeking a qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration...Remote workAfternoon shift
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to remotely review authorizations and assess medical necessity across multiple specialties. You will collaborate with care teams to ensure compliant, evidence-based reviews and timely decisions...Remote work
- ...CVS Health Corporation is seeking a Utilization Management Nurse Consultant in the United States to apply clinical judgment and coordinate care across the continuum for members. This role supports a 24/7 operation with weekend and evening hours and requires strong communication...Remote workWeekend workAfternoon shift
- ...CVS Health is hiring a Registered Nurse for Utilization Management in California. This full-time role supports a 24/7 operation with weekend, holiday... ..., an active RN license, and strong communication. A remote work setup within the state is required, with equipment provided...Remote workFull timeWeekend workAfternoon shift
- ...CVS Health Corporation in Springfield, IL is hiring a Utilization Management Nurse Consultant to assess and coordinate care, applying clinical criteria to determine coverage and benefits for members. This is a 24/7 operation with weekend, holiday and evening hours....Remote workShift workWeekend workAfternoon shift
$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 are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift$26.01 - $62.32 per hour
...RN Utilization Management Nurse Consultant (Medicare – Joint Procedures) We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...Remote workHourly payFull timeTemporary workWork at officeWork from homeWeekday work- ...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
- ...CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, collaborate with providers to authorize care, and elevate cases when needed...Remote work
- ...CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals who thrive in a fast-paced environment and are looking to make a clinical impact without direct patient care....Remote work
- ...CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN) to work remotely on a full-time Weekday schedule. You will review cases, determine coverage, and collaborate with care teams to ensure appropriate treatment, while applying clinical...Remote workFull timeWeekday work
- ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage determinations for Medicare beneficiaries. This remote, full-time role follows a weekday schedule, leveraging your RN expertise to ensure appropriate care and outcomes...Remote workFull timeWeekday work
- ...CVS Health is seeking an experienced RN for a fully remote Precertification Nurse role within Utilization Management. Virginia residents are preferred, with a compact RN license and at least 3 years of nursing experience. You will review requests, gather documentation...Remote work
- ...CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information, and applying guidelines to support appropriate benefits for members. You will collaborate with providers and internal...Remote workWeekend workAfternoon shift
- ...CVS Health is seeking an Utilization Management Nurse Consultant for Medicare precertification, remotely accepting applications nationwide. The role emphasizes clinical judgment and collaboration to ensure appropriate care timing and treatment, aligning with Medicare guidelines...Remote workWork at office
- ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage decisions in a remote, full-time role. You will collaborate with providers and care teams, apply clinical judgment, and support utilization and benefit management...Remote workFull timeWork at office
- ...CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed. Training is mandatory for...Remote workMonday to Friday
- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive the right care at the right time. You will review cases, collaborate with providers, and use evidence-based guidelines...Remote workFull timeLocal areaMonday to FridayAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for remote, full-time weekend coverage. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care. Ideal candidates...Remote workFull timeWork at officeShift work
$29.1 - $62.32 per hour
...simplify health care one person, one family and one community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday$32 - $69 per hour
...About This Role The Utilization Management Nurse Consultant at CVS Health is responsible for assessing, planning, implementing, coordinating, monitoring... .... Highlights Pay: $32 - $69/hour Location: Remote, CA Schedule: Full-time, includes weekends,...Remote workFull timeAfternoon shift$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
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