Remote Medicare Utilization RN Consultant
CVS Health
Sacramento, CA
- Remote job
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. You will assess and coordinate care, determine coverage and communicate with providers to optimize patient outcomes. The role requires 3+ years of RN experience, an active RN license, and Med/Surg exposure. Remote work from home with flexible scheduling and HIPAA compliance. Associates degree is required with BSN preferred. Proficiency in Microsoft Office and MedCompass is beneficial. #J-18808-Ljbffr CVS Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Medicare Utilization RN Consultant in Sacramento, CA vacancy
- ...is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical... ...treatment for members. The role requires an active RN license in your state, 3+ years RN experience, 1...Remote job
- 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 role...Remote jobFull timeWork at office
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care,...Remote jobWork at officeWeekend work
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for a remote full-time role with weekend coverage. You will review clinical information to support coverage determinations, apply guidelines, and collaborate with care teams to...Remote jobFull timeWork at officeWeekend work
- CVS Health is seeking a licensed RN to join our Utilization Management team in a remote, full-time role focused on Medicare precertification. You will review cases, determine coverage, and collaborate with providers to ensure appropriate care. The role requires 3+ years...Remote jobFull timeWork at officeMonday to FridayAfternoon shift
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, coordinate, and determine appropriate healthcare services for members... ...practices. The position requires an active RN license, 3+ years of nursing experience, and comfortable...Remote jobWork at office
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgement... ...with BSN preferred, and RN licensure must be active in the... ...MedCompass experience is valued; remote work is available to qualified...Remote jobAfternoon shift
- 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 jobHourly payFull timeWeekday work
- 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 jobMonday to FridayAfternoon shift
- CVS Health is seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification, assesses clinical information... .... The position requires 3+ years of RN experience, an active RN license, and familiarity...Remote jobWork at officeAfternoon shift
- 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, render...Remote jobFull timeAfternoon shift
- 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 jobWork at officeMonday to Friday
- 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 jobWork at officeMonday to FridayAfternoon shift
- CVS Health is hiring an Utilization Management Nurse Consultant to enhance patient outcomes through clinical assessment in a remote environment. The role emphasizes collaboration with care... ...care and utilization management. The RN with 3+ years of experience, including...Remote job
- MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare services, communicating...Remote jobFull timeFreelanceWork at officeMonday to FridayWeekend work
- CVS Health in Wisconsin is seeking a registered nurse to assess, plan, implement, coordinate, and evaluate care options for members. You will work with providers to determine coverage determinations and promote quality care within a collaborative, HIPAA-compliant framework...Remote jobFull time
- ...AlphaGov delivers public-sector consulting for cities, counties, school systems, special districts, utilities, and related agencies. Our work spans classification and compensation... ...project-based collaborators. Engagements are remote-first with occasional client travel. When you...Remote workContract workBank staff
$71.1k - $97.8k
...our caring community The Utilization Management Registered Nurse uses... ...Compact Registered Nurse (RN) license in your state of residence... ...working in a fully remote, metrics-focused role Experience... ...Experience as an RN for a Medicare Certified Home Health agency...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome officeHumana
Tallahassee, FL3 days ago- HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The ideal candidate has an RN license...Remote job
- ...seeking an experienced Registered Nurse for the Medicare Utilisation Management Nurse Consultant role (Remote, Full-Time). You will help ensure members receive... ...improve care quality while supporting care integration and utilization management. #J-18808-Ljbffr CVS HealthRemote jobFull time
$200k
...applications and next steps. Our partner is looking for a Principal Consultant – Utility Prudence Expert based in the United States. This is a senior... ..., and contribute to business development initiatives. This remote-first opportunity offers the chance to influence important...Remote workFull timeWork at officeFlexible hours- CVS Health is seeking a Nurse Consultant for a remote role focused on inpatient clinical reviews. The position emphasizes collaboration with hospitals... ...5+ years of inpatient nursing experience, and hold a LA RN license or Compact licensure. Associates degree is required,...Remote job
- ...is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical... ...and utilization. The position requires 3+ years RN experience, an active RN license, an associate degree...Remote job
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to join our team in a remote capacity. Schedule is Monday through Friday, 9:00am to 5:30pm in the candidate's time zone, with 24/7 utilization management coverage including holidays...Remote jobMonday to FridayAfternoon shift
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations from a remote location. The role requires strong clinical judgment, collaboration with care teams, and a weekend-oriented schedule after training...Remote jobFull timeWeekend work
- CVS Health is seeking an Utilization Management Nurse Consultant - Clinical Precertification RN for Medicare. This fully remote, full-time role supports the UM team to ensure appropriate care decisions across plans and providers. You will review cases, collaborate with...Remote jobFull time
- ...Humana Inc. is seeking a Utilization Management Registered Nurse to interpret and support the coordination, documentation and communication of medical services and benefit determinations.You will work with the One Home/Home Solutions Utilization Management team to ensure...Remote workWork from home
Humana
Dover, DE1 day ago - CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. Schedule is Monday-Friday, 9:00am-5:30pm in the candidate's time zone, with... ...collaborating with providers. Ideal candidates hold ~3+ years RN experience, active RN license, and ~1+ years Med/...Remote jobWork at officeMonday to FridayAfternoon shift
- ...CVS Health in West Virginia is seeking a Medicare Precertification Utilization Management Nurse Consultant to support a 24/7 operation and remote work from home. The role requires strong nursing credentials, Med/Surg exposure, and utilization management experience....Remote workWork from home
CVS Health
Charleston, WV1 day ago - CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations and care coordination. This remote, full-time role requires an active RN license and 3+ years of nursing experience, including Med/Surg. After...Remote jobFull timeWork at officeShift workWeekend workAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicare Utilization RN Consultant. Be the first to apply!
Related searches