Remote RN Utilization & Precertification Consultant
CVS Health
Sacramento, CA
- Remote job
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 coordinate treatment plans. The ideal candidate holds an active RN license, 3+ years RN experience, and 1+ year Med/Surg experience, with proficiency in Microsoft Office and a willingness to work the post-training schedule. #J-18808-Ljbffr CVS Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote RN Utilization & Precertification Consultant in Sacramento, CA vacancy
- 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
- 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 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 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 an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification, assesses clinical information, and... .... The position requires 3+ years of RN experience, an active RN license, and...Remote jobWork at officeAfternoon 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
- CVS Health Corporation is seeking a precertification nurse for a remote role, ideally with Virginia licensure or willingness to obtain compact licensure. The role involves reviewing clinical information from providers to authorize procedures and coordinate Medical Director...Remote jobWeekday work
- 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
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote ~ Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven... ...timely reviews of healthcare services, including precertification and concurrent reviews, using approved medical necessity...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health... ...Provides casemanagement and/or consultation for complex cases.• Assists departmental... ...medical records/documentation, precertification, reimbursement and claim denials...Remote work
- ...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 member...Remote work
- ...experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint... ...review clinical information for precertification, apply criteria, and collaborate... .... The position requires 3+ years RN experience, an active RN license,...Remote job
- 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
- ...Behavioral Health Utilization Manager Behavioral Health Utilization Manager will perform... .... Complies with established referral, precertification and authorization policies, procedures,... ..., and telephone systems Work Schedule: Remote Other Requirements: Able to work independently...Remote workContract workWork experience placement
- CVS Health Corporation is seeking a Utilization Management Nurse Consultant for Medicare Home Care. This remote, full-time role supports Florida members and partners with... ...hours as needed. Required: active, unrestricted RN license in your state, 2+ years RN experience (...Remote jobFull timeAfternoon shift
- Epitec seeks a Registered Nurse Review Analyst to support inpatient precertification and utilization management in a fully remote environment. You will perform prospective, concurrent, and retrospective medical reviews to determine medical necessity, level of care, intensity...Remote job
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for remote weekend coverage. The role focuses on ensuring appropriate care determinations, applying guidelines, and coordinating with care teams. Hours include 40 hours weekly...Remote jobWork at officeShift workWeekend work
- CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote, full‑time team. The role focuses on ensuring appropriate care and coordinating with providers to optimize member outcomes, with a weekend‑heavy...Remote jobFull timeWork at officeShift workWeekend work
- 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 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
$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 workWork at officeFlexible hours$1,759.5 per week
...Travel RN - Case Management/Utilization Review American Traveler Austin, Texas... ...RN for a fully remote role requiring TX or compact... ...Provides case management and consultation for complex cases Assists... ...coding, documentation, precertification, reimbursement, and claims...Remote workWeekly payLocal areaShift work- CVS Health is seeking a Utilization Management Nurse Consultant (Medicare) to review cases and determine appropriate coverage while working fully remote on a Monday-Friday schedule. You will apply clinical judgment to safeguard quality and coordinate care across teams....Remote jobMonday to Friday
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to work remotely on a full-time weekend schedule after training. This role focuses on ensuring members receive the right care at the right time by reviewing clinical information...Remote jobFull timeWork at officeWeekend workDay shift
- 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
- ...Behavioral Health Prior Authorization Utilization Review Consultant monitors, evaluates, and approves or denies... ...position is located in Phoenix with remote work options available and is part of... ...: Current Arizona medical license (RN or higher) or Arizona Behavioral Health...Remote work
- An established industry player seeks a Principal Consultant to lead utilities civil litigation efforts. This role involves providing expert guidance, managing client relationships, and overseeing complex legal cases. The ideal candidate will have extensive experience in...Remote job
- AiDASH in Palo Alto, CA seeks a Senior Solutions Consultant to bring the PreventionFirst Platform to electric utilities. You’ll translate complex business needs into stories that demonstrate ROI and guide strategic deals from discovery to close. You will work at the intersection...Remote job
- ...division of Harris, is seeking an Application Consultant to support existing clients and... ...the CayOps program. Ideal candidates have utility process knowledge and strong business-IT... ...travel up to 25% within North America. Remote work is supported; passport and travel eligibility...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Utilization & Precertification Consultant. Be the first to apply!
Related searches
- public health registered nurse Sacramento, CA
- temporary rn Sacramento, CA
- cath-lab rn Sacramento, CA
- perioperative rn Sacramento, CA
- part time rn Sacramento, CA
- pacu rn Sacramento, CA
- travel registered nurse l&d Sacramento, CA
- nicu registered nurse Sacramento, CA
- telephonic rn Sacramento, CA
- rn urgent care Sacramento, CA


