Remote Utilization Management Nurse Consultant
$26.01 - $62.32 per hourCVS Health
- Remote job
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join their remote team. This full-time role involves reviewing clinical information to support patient care across the continuum. Candidates should have a valid RN license, a minimum of 3 years of experience, and proficiency in Microsoft Office. The position offers a structured schedule, competitive pay ranging from $26.01 to $62.32 per hour, and a comprehensive benefits package including medical, dental, and vision coverage. Ideal candidates may also bring relevant experience in managed care or utilization management. #J-18808-Ljbffr CVS Health
$26.01 - $62.32 per hour
4062 Aetna Resources, LLC is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to work remotely. The role involves reviewing clinical information and coordinating treatment plans to ensure quality care. Candidates must have an active RN license...Remote workHourly payFull timeAfternoon shift$32.01 - $68.55 per hour
...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 will work four 10-hour days...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$26.01 - $68.55 per hour
...Medicare Precertification Utilization Management Nurse Consultant (Remote) Schedule: Monday–Friday, 9:00AM – 6:00PM (local time); includes occasional evenings, holidays, and participation in a 24/7 operation. About the Role We’re seeking a Registered Nurse (RN) with strong...Remote workHourly payFull timeWork at officeLocal areaMonday to FridayAfternoon shift$26.01 - $62.32 per hour
...Utilization Management Nurse Consultant (Medicare / Spine) Remote | Full-Time | Mon‑Fri, 9:00 AM‑6:00 PM (local time) May include evenings, holidays, and occasional 24/7 operational coverage needs. About the Role Join a collaborative healthcare team as a Utilization Management...Remote workHourly payFull timeTemporary workWork at officeLocal areaAfternoon shift$26.01 - $62.32 per hour
...Medicare Precertification Utilization Management Nurse Consultant (RN) – Remote, Full‑Time. Responsibilities Review and assess clinical information to support coverage determinations. Apply clinical guidelines, policies, and sound judgment across the care continuum. Collaborate...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift workWeekend workAfternoon shift$26.01 - $68.55 per hour
...CVS Health is seeking a Utilization Management Nurse Consultant (RN) for a remote role. This position involves reviewing clinical records, applying clinical judgment, and collaborating with healthcare teams to ensure the right care at the right time. Candidates should...Remote workHourly payFull timeWork at office$26.01 - $68.55 per hour
4062 Aetna Resources, LLC is seeking a Medicare Precertification Utilization Management Nurse Consultant to work remotely. The role requires an active RN license and a minimum of 3 years of RN experience. Responsibilities include reviewing clinical information, making...Remote workHourly payFull time- ...Research, Rehabilitation Therapy and Nursing. Job Description Location :... ...programs are comprised of network management, clinical coverage, and policies. · Utilizes clinical skills to coordinate,... ...Services and benefit utilization · Consults and lends expertise to other...Work at officeWeekend work
- ...years of clinical experience required. ~ Must have experience with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred. Skills: MUST HAVE MEDCOMPASS or ASSURECARE exp. MUST HAVE...Remote work
- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work at officeWeekend work
$26.01 - $74.78 per hour
...do it all with heart, each and every day. Position Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours$26.01 - $56.14 per hour
...effectiveness of healthcare services and benefit utilization./ppConsults and lends expertise to other... ...of the utilization/benefit management function./ppRequired Qualifications:/pulliIndependent... ...based on business needs/liliThis is a remote position/li/ulpPreferred Qualifications:...Remote workHourly payFull timeTemporary workMonday to Friday- ...A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...service eligibility and facilitating care. This remote role requires an RN license and clinical experience. Benefits...Remote workWork from home
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...and Description of Project: Managing a case load for healthcare members with... ...contact and will include 80% travel. Remote role. Will require a driver’s license....Remote workHourly payFull timeContract workImmediate startShift work3 days per week$74 per hour
...considered). Location: Some remote work and some in-person... ...Position Summary The Case Management Consultant provides consultative services... ...alternative approaches to nurse care managers, and participate... ...conditions, and coordinate utilization of community resources...Remote workFull timeTemporary workPart timeInterim roleWork at officeLocal areaShift work$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...and Description of Project: Managing a case load for healthcare members with... ...contact and will include 80% travel. Remote role. Will require a driver’s license....Remote workHourly payFull timeContract workImmediate startShift work3 days per week$71.1k - $97.8k
...A leading healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills for coordinating medical services. This remote position involves assessing care needs, communicating effectively with providers, and serving as part of a team ensuring...Remote work- ...P3 Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven organization. This role offers hybrid or fully remote arrangements, with major responsibilities in telephonic review and collaboration with provider...Remote work
- ...A health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills for coordinating medical services within a remote setting. The role involves interpreting medical documentation and collaborating with healthcare providers. Ideal...Remote work
- ...The Peer-to-Peer (P2P) Utilization Review Nurse is an integral member of the MGB Central Utilization Management team, specializing in identifying, preparing, and clinically reviewing... ...tools. Schedule and Work Model ~ Remote / Work from Home. ~32 hours per week on...Remote workWork from home
- ...A leading healthcare organization is seeking a Utilization Management Registered Nurse to ensure appropriate levels of care for members through clinical... ...and have over a year of clinical experience. This remote position requires strong interpersonal skills and commitment...Remote work
- ...A major healthcare organization is seeking a Utilization Management Registered Nurse to join their team in Richmond, Virginia. This remote role requires an RN license and a minimum of one year of clinical experience in an acute care setting. Responsibilities include coordinating...Remote work
$71.1k - $97.8k
...A healthcare company is seeking a Utilization Management Registered Nurse to support coordination and communication of medical services. The role requires... ..., and facilitating care communication. This is a remote position with a pay range of $71,100 to $97,800 per year...Remote work$71.1k - $97.8k
...A healthcare services organization seeks a Utilization Management Registered Nurse in Jackson, MS. This remote role involves utilizing nursing skills for coordinating medical services, ensuring members receive appropriate care levels. Required qualifications include a...Remote work- ...Mass General Brigham Health Plan is hiring for a role that utilizes clinical expertise for utilization management in a remote environment. Ideal candidates should hold an Associate's Degree in Nursing, possess strong decision-making and problem-solving skills, and have...Remote work
$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Frankfort, KY. This remote role requires clinical nursing skills for coordination and documentation of medical services. Responsibilities include interpreting medical criteria and collaborating...Remote work$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Jefferson City, MO. In this remote role, you will utilize clinical nursing skills to support the coordination of medical services and facilitate care determinations. Candidates must hold...Remote work- ...A leading healthcare facility in the United States seeks a Clinical Product Consultant for Utilization Management. The role involves providing clinical insights, ensuring product accuracy, and managing implementation milestones. Candidates should have a BSN, extensive...Remote workFlexible hours
- ...A leading healthcare company is seeking a Utilization Management Registered Nurse to leverage clinical nursing skills in supporting medical service coordination... ...over a year of clinical experience. Position offers remote work and occasional travel. The role includes utilizing...Remote work
- ...A healthcare administration company is seeking a Utilization Management Nurse to conduct clinical reviews and collaborate with healthcare partners while working remotely. The ideal candidate must be a current Licensed Practical Nurse, skilled in utilization review processes...Remote work
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