Remote Medicare Utilization Nurse Consultant

CVS Health

CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant. The role involves assessing care options, applying clinical criteria, and coordinating with providers to ensure appropriate services are delivered. Requires RN licensure and 3+ years of nursing experience, with Med/Surg and MS Office skills preferred. The position is full-time with a schedule Monday–Friday; work-from-home options may apply within state requirements.

#J-18808-Ljbffr

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Remote Medicare Utilization Nurse Consultant in Lexington, KY vacancy

Remote Medicare Utilization Nurse Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess and coordinate care for members. The role requires a registered nurse with at least 3 years of experience and an active license in the resident state. The position operates...
Remote work
Work from home
CVS Health
Tallahassee, FL
3 days ago
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
United States
4 days ago
Remote Medicare Utilization Nurse Consultant
...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant. The role supports a 24/7 operation with holidays and evenings, following a Monday–Friday schedule from 9:00am to 5:30pm in the candidate's time zone. The job emphasizes RN clinical...
Remote work
Monday to Friday
Afternoon shift
CVS Health
Montgomery, AL
3 days ago
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... ...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
United States
17 hours ago
Remote Medicare Utilization Nurse Consultant
...CVS Health is seeking an Utilization Management Nurse Consultant (Clinical Precertification RN) for a remote, full-time weekday schedule. The RN will review clinical cases, determine coverage, and coordinate care using evidence-based guidelines.This is a 40-hour week with...
Remote work
Full time
Afternoon shift
Weekday work
CVS Health
Clancy, MT
3 days ago
Remote Medicare Utilization Nurse Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves assessing and coordinating care, applying clinical guidelines... ...are required. The position supports a remote, full-time schedule with strict home-office requirements...
Remote work
Hourly pay
Full time
Work at office
Home office
CVS Health
Madison, WI
3 days ago
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 to assess care options, render coverage determinations, and communicate with providers. Schedule is Monday...
Remote work
Monday to Friday
Afternoon shift
CVS Health
Bristol, RI
4 days ago
Remote Medicare Utilization Nurse Consultant (RN)
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full-time, remote role supports members and requires an RN license with 3+ years of RN experience, plus Med/Surg background and strong MS Office skills. The role operates...
Remote work
Full time
Monday to Friday
Afternoon shift
CVS Health
United States
3 days ago
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 will...
Remote job
Monday to Friday
Afternoon shift
CVS Health
Clayton, NM
5 days ago
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 cases...
Remote job
Hourly pay
Full time
Weekday work
CVS Health
Milton, MA
4 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
4 days ago
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 job
Work at office
Monday to Friday
Afternoon shift
CVS Health
Phoenix, AZ
4 days ago
Remote Medicare Utilization RN Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to support a 24/7 operation. The role requires RN licensure, 3+ years of RN experience, and 1+ year in Med/Surg, with utilization management responsibilities across clinical criteria...
Remote work
Work from home
Flexible hours
CVS Health
United States
17 hours ago
Remote RN: Medicare Utilization & Precertification Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess and coordinate care for members from a home-based location. The role requires clinical expertise in Utilization Management and collaboration with providers to ensure appropriate...
Remote work
Work from home
CVS Health
United States
4 days ago
Remote Utilization Nurse Consultant (Medical Review)
...CVS Health is seeking a Utilization Management Nurse Consultant (Medical Review) to ensure members receive timely, medically necessary care through thoughtful... ...review and collaboration with providers. This fully remote role leverages your clinical expertise in a fast-paced,...
Remote work
CVS Health
United States
5 days ago
Remote RN Utilization Consultant - Medicare
...CVS Health is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical information, apply criteria, and coordinate care with providers to ensure appropriate, timely...
Remote work
CVS Health
Manchester, NH
3 days ago
Remote RN Medicare Utilization Consultant
...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...
Remote work
Full time
Work at office
CVS Health
King, WI
1 day ago
Remote RN: Medicare Utilization & Quality Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgment to determine coverage and coordinating... ...and MS Office skills are essential. Remote work from home with strict HIPAA guidelines is supported...
Remote work
Work from home
CVS Health
Virginia Beach, VA
3 days ago
Remote Utilization Nurse Consultant (Medical Review)
...American Health Holding, Inc. (an division of CVS Health) is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role emphasizes precise clinical review, collaboration with providers, and compassionate patient care in a fast...
Remote work
CVS Health
United States
3 days ago
Remote RN Utilization & Quality Management Consultant
...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgement to determine appropriate care... ...MS Office and MedCompass experience is valued; remote work is available to qualified #J-18808-Ljbffr
Remote work
Afternoon shift
CVS Health
United States
17 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. The role emphasizes collaboration with providers to facilitate care and referrals, leveraging clinical...
Remote work
Work at office
CVS Health
United States
4 days ago
Remote RN Utilization Consultant Medicare Joint Procedures
...CVS Health is seeking an experienced RN for an Utilisation Management Nurse Consultant role focusing on Medicare joint procedures. This remote, full-time position supports evidence-based decisions to ensure appropriate care. You’ll collaborate with care teams, coordinate...
Remote work
Full time
CVS Health
New York, NY
1 day ago
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, and...
Remote work
Work from home
Afternoon shift
CVS Health
United States
4 days ago
Remote RN: Quality & Utilization Consultant
...Health in the United States is seeking an experienced registered nurse to assess, plan, implement, coordinate, monitor, and evaluate... ...You will interact with providers, apply guidelines, and support utilization management within a fast-paced, quality-driven environment....
Remote work
Weekend work
Afternoon shift
CVS Health
United States
1 day 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
3 days ago
RN Utilization & Quality Care Consultant (Remote)
...CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays, leveraging your clinical...
Remote work
Full time
Monday to Friday
Afternoon shift
CVS Health
Charlotte, NC
17 hours ago
RN Quality & Utilization Consultant - Remote
...CVS Health is seeking a Registered Nurse with acute/critical care experience to assess and coordinate patient care and utilization management. You will work in a fast-paced, office-based environment with a focus on accurate documentation, communication with providers,...
Remote work
Full time
Work at office
CVS Health
United States
3 days ago
Quality & Utilization RN Consultant (Remote)
...CVS Health is seeking a Registered Nurse to join its Utilization Management team in Minnesota. This full-time role requires clinical expertise to assess, plan, implement, coordinate, monitor and evaluate care and benefits for members, with emphasis on evidence-based criteria...
Remote work
Full time
CVS Health
United States
2 days 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... ...3+ years experience, and MS Office proficiency; remote work options with home setup requirements; strong...
Remote work
Work from home
CVS Health
United States
4 days ago
Remote Precertification UM RN Consultant
...CVS Health is seeking an Utilization Management Nurse Consultant – Clinical Precertification RN (Medicare) for a remote, full-time role. You will collaborate with providers and care teams to ensure appropriate care, apply clinical judgment to decisions, and support quality...
Remote work
Full time
CVS Health
United States
3 days ago

Do you want to receive more vacancies?

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