Remote Utilization Management Nurse Consultant
CVS Health Corporation
- Remote job
CVS Health Corporation is seeking a Telework RN for precertification review and coordination. The role focuses on collecting and evaluating clinical information from providers, applying evidence-based guidelines, and initiating Medical Director referrals as needed. Ideal candidates have an active RN license, 3+ years of clinical nursing experience, and ability to manage multiple systems in a fast-paced environment while supporting a remote work setup with HIPAA compliance. #J-18808-Ljbffr CVS Health Corporation
- ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to join our remote team. This 100% work-from-home role serves members across the CST zone, ensuring safe, appropriate care and timely approvals. You will review clinical documents, collaborate...Remote workWork from home
- ...CVS Health is seeking a Utilization Management Nurse Consultant to assess, plan, and coordinate healthcare services for members. This role involves 24/7 coverage with weekend/evening hours and requires strong clinical judgment and cross-functional collaboration. Critical...Remote workWork from homeWeekend workAfternoon shift
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and collaborate with providers to support members with complex needs. Qualifications include ADN required,...Remote work
- ...CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information... ...preference. You will operate in a high-volume, computer-based setting and support utilization management from home. #J-18808-LjbffrRemote workFull time
- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (RN) to review authorization requests across medical specialties and determine medical necessity using evidence-based guidelines. The role emphasizes collaboration with providers and care teams to...Remote work
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% remote role available to CST Zone residents in the United States. You will review medical necessity, coordinate care, and ensure timely, appropriate services while meeting state and...Remote workFull time
$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 (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$32.01 - $68.55 per hour
...care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Perm Schedule- Monday-Friday 8a-5p EST Position...Remote workHourly payPermanent employmentFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday$29.1 - $62.32 per hour
...Position Summary Utilizes clinical skills to coordinate... ...utilization/benefit management program. Requires an... ...resource optimization. Consults with and provides... ...coaching and guidance to nursing staff and other... ...Consultant role is 100% remote and the candidate can...Remote workHourly payFull timeTemporary workWork experience placementLive inWork at officeLocal areaMonday to FridayShift workAfternoon shift- 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. Highlights...Remote job
$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 - $56.14 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | Central Time Zone Preferred Are you an experienced Registered Nurse looking to expand your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- CVS Health Corporation is seeking a remote Utilization Management Nurse Consultant. This RN role requires an unrestricted license and 2+ years of acute care experience. You will coordinate and document UM activities, review medical necessity, and collaborate with providers...Remote job
- CVS Health Corporation is seeking an experienced RN for a remote precertification role. You will evaluate clinical information, apply guidelines, and determine authorization for procedures while maintaining a high standard of accuracy and patient privacy. The position...Remote jobWork at office
- ..., HIPAA-compliant handling, and coordinating with medical directors as needed. The position requires active RN licensure, 3+ years of nursing experience, and the ability to work standard hours with on-call on weekends or holidays. #J-18808-Ljbffr CVS Health CorporationRemote jobWeekend work
- ...forward. As a healthcare IT consulting and staffing firm, we help health... ...26 - 12/31/2026 Location: Remote We are seeking experienced Epic Tapestry Utilization Management (UM) Workflow Configuration... ...of Prior Authorization nurses, reviewers, and care management...Remote work
- ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice, and we are looking for a Senior Utility Management Services (UMS) Consultant to help lead that growth from the... ...This is a hybrid position (in office/remote). We offer a telecommute option to work...Remote workFull timeFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
- ...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
- ...Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care such as SNF, Home Health, and DME. You will report to the Manager of Utilization Management and collaborate with...Remote work
- ...Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations... ...make critical patient-care decisions. This full-time, remote position offers a competitive salary and comprehensive...Remote workFull time
$60.15 - $85.81 per hour
...Job Summary: The Utilization Management Nurse supports the case management department by providing a variety of utilization management functions... ...weekend coverage ~ Hybrid Position - Primarily remote/work-from-home, with an expectation to be on-site at least...Remote workFull timeWork experience placementWork from homeShift work$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation... ...center or triage experience Additional Information Remote to work the eastern or central time zone Work at Home...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
- ...Registered Nurse – Utilization Review (Remote) Position Overview: This is a fully remote Utilization Review RN role supporting multiple service... ...Qualifications: Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote work
- ...Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join... ...regulations (LCD/NCD policies). This is a fully remote opportunity requiring discipline, accuracy, and effective...Remote work
- ...Collaborating with the Medical Director, the full-time Registered Nurse Utilization Review will manage care variance reduction, ensure timely discharges, and refer members to appropriate resources while working remotely. Key responsibilities Assist in building and implementing...Remote workFull time
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and Guidehealth policies. This role applies...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Registered Nurse - Utilization Review The right role can make all the difference in your career... ...computer literate; experience working remote; degree accreditation verification or five... ...of experience. Responsibilities: Manage utilization review processes, ensuring...Remote workContract workRotating shift
- ...skilled and experienced Registered Nurse with specialties in Medical/... ...skilled nursing care, case management, and hospice care to... ...Certifications: Experience in Utilization Review or case management... ...to work independently in remote settings. Must be able to...Remote workFlexible hours
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