Remote Utilization Management Nurse Consultant (RN)
CVS Health
Bastrop, LA
- Remote job
CVS Health is seeking an experienced Utilization Management RN to join our remote team. You will review authorization requests, assess medical necessity, and apply clinical criteria to determine appropriate care while maintaining compliance with health plan requirements. The role supports providers, care managers, and interdisciplinary teams to ensure timely, cost-effective services. Qualifications include an active RN license (multi-state preferred), 3+ years of nursing, 2+ years in UM/Prior #J-18808-Ljbffr CVS Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant (RN) in Bastrop, LA vacancy
- ...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
United States5 days ago - ...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
Alton, IL21 hours ago - CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote Utilization Management team. This full-time role focuses on ensuring appropriate care coverage and optimizing member outcomes within a 4‑day weekend schedule...Remote jobFull timeWeekend work
- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across... ...of care. This role requires RN licensure, 2+ years in acute/critical... ...communication. A BSN is preferred; remote work is supported within the state(s...Remote work
CVS Health
Clifton, TX1 day ago - ...CVS Health is hiring for an Utilization Management Nurse Consultant (RN) for remote work. The role focuses on concurrent review and ensuring timely, cost-effective care through evidence-based decision-making. Candidates need active RN licensure, multi-state capability...Remote work
4004 Aetna Medicaid Administrators
United States4 days ago - ...CVS Health is seeking an Utilization Management Nurse Consultant to ensure Medicare members receive appropriate care. This is a remote, full-time role with a weekday schedule and a base hourly... ...care teams. Ideal candidates hold an RN license, have 3+ years of RN experience...Remote workHourly payFull timeWeekday work
CVS Health
Sioux Center, IA1 hour ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement... .../critical care, plus managed care exposure. Active RN license in home state is required; position includes...Remote workAfternoon shift
CVS Health
United States1 day ago - ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive... ...guidelines to support coverage determinations. A 3+ year RN background including Med/Surg and an active RN license...Remote workFull timeLocal areaMonday to FridayAfternoon shift
CVS Health
Coloma, MI2 days ago $26.01 - $56.14 per hour
...one family and one community at a time. Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an... ...health outcomes Serve as a clinical resource and consultant to internal and external stakeholders WHAT YOU BRING...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shiftCVS Health
Home, KS4 days ago- ...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... ...recommendations. The ideal candidate has an active RN license, 2+ years in adult acute/critical care, and...Remote workWork from homeWeekend work
4062 Aetna Resources, LLC
Columbia, SC5 days ago $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
...:00pm EST Location: 100% Remote (U.S. only) About Us American... ...URAC-accredited medical management organization founded in 1... ...medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical... ...Qualifications Active, unrestricted RN license in your state of...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift 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... ...when needed. The position requires an active RN license, 3+ years in behavioral health or substance abuse...Remote work
CVS Health
United States2 days ago - ...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... ...documentation. The position requires an active RN license, 3+ years in behavioral health, and a mandatory...Remote workFlexible hours
Pennsylvania Psychological Association
Phoenix, AZ2 days ago - ...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
Heber City, UT3 days ago - ...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
Anacalifornia
United States1 day ago - ...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
Wilmot, SD2 days ago - ...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... ...outcomes. The role requires an RN license, 3+ years RN experience (1+ in Med...Remote workFull timeWork at office
CVS Health
United States3 days ago - ...CVS Health is seeking a Registered Nurse for Utilization Management in a fully remote role. You will review clinical information, coordinate with care teams,... ...coverage and care plans from home. Requires an active RN license and 2+ years in adult acute, critical care or...Remote work
CVS Health
New York, NY1 day ago - ...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... ...thorough documentation. The position requires active RN licensure, 3+ years of acute behavioral health or...Remote work
Preferra Insurance
United States1 day ago - ...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
CVS Health
United States3 days ago - ...CVS Health is hiring a Utilization Management Nurse Consultant (Clinical Precertification RN, Medicare) for a remote, full-time weekday role. You will review clinical cases, determine coverage decisions and coordinate care with providers to ensure appropriate treatment...Remote workFull timeWork at officeHome officeWeekday work
CVS Health
Lincoln, NE1 hour ago - ...CVS Health is seeking a Remote Utilization Management Nurse Consultant (RN) to review and determine appropriate coverage, applying policies and clinical guidelines. The role collaborates with care teams to coordinate treatment and improve member outcomes in a 4-day weekend...Remote workWeekend work
CVS Health
United States3 days ago - ...CVS Health Corporation in Springfield, IL is hiring a Utilization Management Nurse Consultant to assess and coordinate care, applying clinical criteria... ...and evening hours. Requirements include 2+ years of RN clinical experience in adult acute/critical care, active...Remote workShift workWeekend workAfternoon shift
CVS Health
United States21 hours ago - ...CVS Health is hiring a Registered Nurse for Utilization Management in California. This full-time role supports a 24/7 operation... ...years of acute/critical care nursing, an active RN license, and strong communication. A remote work setup within the state is required, with...Remote workFull timeWeekend workAfternoon shift
California Nursing Students Association
United States1 day ago - ...CVS Health Corporation is seeking an experienced Utilization Management Nurse Consultant (RN) to support remote concurrent review. You will review authorization requests, determine medical necessity, and apply clinical criteria to inform denials or approvals while collaborating...Remote work
CVS Health
Austin, TX3 days ago - ...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... ...on-call elements. The position requires an active RN license and 3+ years in acute behavioral health/...Remote workMonday to Friday
Istss
United States3 days ago $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 shiftCVS Corporation
United States3 days ago- ...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 Corporation
Virginia, MN21 hours ago $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 workCVS Health
Guin, AL22 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Nurse Consultant (RN). Be the first to apply!
Related searches
- public health registered nurse Bastrop, LA
- travel registered nurse l&d Bastrop, LA
- nicu registered nurse Bastrop, LA
- rn urgent care Bastrop, LA
- rn skilled nursing facility Bastrop, LA
- travel clinic rn Bastrop, LA
- labor delivery registered nurse Bastrop, LA
- pcu rn Bastrop, LA
- united nations registered nurse rn Bastrop, LA
- call center rn Bastrop, LA