Remote Utilization Management Nurse Consultant
CVS Health Corporation
- Remote job
CVS Health Corporation is seeking an experienced Registered Nurse for Utilization Management. The role examines and coordinates care options, applying clinical criteria to determine coverage and guide patient pathways. The position operates in a 24/7 environment with weekends, holidays and evenings. Remote work is supported for colleagues who live in-state, with equipment provided and HIPAA-compliant home offices, within a competitive pay and benefits package. #J-18808-Ljbffr CVS Health Corporation
$26.01 - $56.14 per hour
...Position Summary Utilization management is a 24/7 operation and work schedules will include weekends... ...services and benefit utilization. Consults and lends expertise to other internal... ...+ years of experience as a registered nurse in adult acute care/critical care setting...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join... ...meaningful impact on member care and healthcare outcomes Work remotely while collaborating with a supportive clinical team...Remote workHourly payFull timeTemporary workLocal areaAfternoon shift- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports utilization management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities...Remote jobWork from home
$26.01 - $56.14 per hour
...CVS Health Utilization Management PositionWe're building a world of health around... ...: 3-11 or 11-8 Location: Remote (Central Time)Utilizes clinical... ...and benefit utilization.Consults and lends expertise to other... ...experience as a Registered Nurse in adult acute care/critical...Remote workHourly payFull timeTemporary workWork at officeAfternoon shift$26.01 - $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 | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday work- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely, safe, and appropriate care...Remote jobFull timeWork from home
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full‑time role serving candidates in the EST or CST zones. You will coordinate, document, and communicate utilization and benefit management activities to ensure appropriate...Remote jobFull time
- CVS Health is seeking a Utilization Management (UM) Nurse Consultant to join our team. This is a 100% remote, full‑time role available to MST/PST residents. You will apply clinical expertise to review medical necessity, coordinate care, document outcomes, and ensure members...Remote jobFull time
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to EST residents across the U.S. You will apply clinical expertise to ensure members receive safe, appropriate and cost-effective care. Schedule: Monday...Remote jobFull timeMonday to FridayWeekend work
- CVS Health is seeking an Utilization Management Nurse Consultant (Clinical Precertification RN) for Medicare, remotely. This full-time role asks for an active RN license and several years of experience to evaluate care and determine coverage using evidence-based guidelines...Remote jobFull timeAfternoon shiftWeekday work
- CVS Health seeks a Medicare Precertification Utilization Management Nurse Consultant for a 24/7 operation. The role focuses on assessment, coordination... .... Shifts include evenings/holidays after training; remote work is allowed with required home setup. #J-18808-Ljbffr...Remote jobShift workAfternoon 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$29.1 - $62.32 per hour
...care one person, one family and one community at a time. Utilization Management (UM) Nurse Consultant 100% Work‑From‑Home | Full-Time | Open to MST/PST... ...UM) Nurse Consultant to join our team. This is a fully remote role available to candidates in any U.S. state in the...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend work$26.01 - $56.14 per hour
...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health... ..., is a URAC-accredited medical management organization founded in 1993. We provide... ...complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review,...Remote jobHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work- CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote role. You will apply clinical judgment to determine coverage, coordinate care, and collaborate with providers. The position schedules Tue-Sat 9:30am-6:00pm and may include evenings, weekends...Remote jobAfternoon shift
$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization ManagementJoin a dynamic healthcare team and make an impact on patient care from wherever you work.We are... ...experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will use your clinical...Hourly payFull timeTemporary workWork at officeWork from homeAfternoon shift- Blue Cypress Consulting is seeking a Senior Utility Management Services (UMS) Consultant to support current projects and facilitate the expansion of our utility... ...of this job. This is a hybrid position (in office/remote). We offer a telecommute option to work once a week...Remote workFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
- ...Remote, RI Contract Job Description: Responsible for the review and evaluation of clinical information and documentation... ...with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred. Skills: MUST...Remote workContract work
$26.01 - $68.55 per hour
...Position Summary Utilizes clinical experience and skills in a collaborative... ...and benefit utilization. Consults and lends expertise to other... ...of the utilization/benefit management function. Typical office... ...of experience as a Registered Nurse in adult acute care/critical...Hourly payFull timeTemporary workWork at officeLocal areaAfternoon shift$1,900 - $2,000 per week
...Registered Nurse (RN) | Utilization Review Location: Cape Coral, FL Agency: Lifelink Healthtech LLC Pay: $1,900... ...Start Date: 9/14/2026 About the Position REMOTE POSITION Utilization Management: Shift: Monday through Friday 8A to 4:30P, with every...Remote workFull timeContract workMonday to FridayShift workWeekend work$1,900 - $2,000 per week
...Registered Nurse (RN) | Utilization Review Location: Cape Coral, FL Agency: Lifelink Healthtech LLC Pay: $1,900... ...Utilization Review RN in Cape Coral, Florida, 33904! REMOTE POSITION Utilization Management: Shift: Monday through Friday 8A to 4:30P, with...Remote workFull timeContract workMonday to FridayFlexible hoursShift workWeekend work- ...Alliance for Health in California is seeking a Registered Nurse for a temporary Utilization Management role. You will ensure prior authorizations comply with... ...paths may substitute for experience. Hybrid work and remote- interview options are offered. #J-18808-Ljbffr...Remote workTemporary work
- ...Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient... ...experience, and familiarity with managed care principles, with a remote work option and a competitive pay range. #J-18808-Ljbffr...Remote workFull time
- ...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
- ...Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to provide timely coverage decisions for inpatient and outpatient... ...maintaining patient-centered care. The position offers a remote work setup, competitive benefits, and opportunities to...Remote workFull time
- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of... ...Observation (OBS). Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote work
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services... ...Medicare/Medicaid, strong communication, and US work authorization. Anticipated 40-hour weeks; remote work option. #J-18808-Ljbffr...Remote workFull time
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation... ...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective... ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
- ...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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