Remote Utilization Nurse Consultant
CVS Health
- Remote job
CVS Health is seeking a licensed Registered Nurse for a remote, full-time Utilization Management role focused on weekend coverage. The position supports Saturday and Sunday shifts, with schedules including four 10-hour shifts or other approved configurations. You will assess, plan, implement, coordinate, and evaluate care and benefits for members, coordinating with providers and internal teams to promote quality and appropriate utilization. Competitive pay and comprehensive benefits are offered. #J-18808-Ljbffr CVS Health
- CVS Health is seeking an experienced Registered Nurse for Utilization Management. You will assess and coordinate care, apply clinical criteria... ...experience, and flexibility for weekend/evening shifts in a remote-home-based setting. Strong computer and communication skills...Remote workWork from homeWeekend workAfternoon shift
- American Health Holding, Inc. (an division of CVS Health) is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role emphasizes precise clinical review, collaboration with providers, and compassionate patient care in a fast...Remote job
- CVS Health is seeking a Utilization Management Nurse Consultant (RN) for Medicare-Complex Spine. This remote, full-time role requires clinical expertise to ensure appropriate, timely care and to coordinate with providers and care teams. The position follows a weekday schedule...Remote jobFull timeWork at officeWeekday work
$66.58k - $142.58k
Appeals Nurse Consultant (Remote)### Appeals Nurse Consultant (Remote)Apply: Remote/Hybrid: CT - Work from home: Full time: Posted Yesterday:... ...experience.**Preferred Qualifications*** Appeals, Managed Care, or Utilization Review experience.* Proficiency with computer skills...Remote workHourly payFull timeTemporary workLocal areaWork from homeMonday to FridayShift work- ...Womble Bond Dickinson (US) LLP seeks a Nurse Consultant to join our team. The Nurse Consultant... ...case outcomes. This role is performed utilizing firm-approved technology tools, including... ...analysis. This position has been approved for remote work. RESPONSIBILITIES: Perform...Remote workWork at office
$66.58k - $142.58k
...Appeals Nurse ConsultantWe're building a world of health around every individual... ...is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a critical... ..., Managed Care, or Utilization Review experience.Proficiency with computer...Remote workFull timeLocal areaMonday to FridayShift work- ...Position: Remote Nurse Consultant Company Overview: Absolute Elder Care is a leading provider of in-home care services for seniors. Our mission... ...in senior care to continuously improve our services Utilize telehealth technology to conduct virtual consultations with...Remote workFull timeMonday to FridayFlexible hours
- ...MDS Consultant/ Nurse Consultant JOB DESCRIPTION Summary/Objective The MDS Coordinator... ...focused on MDS coordination, interim remote MDS coverage, and training MDS nurses,... ...consulting teams to expand service utilization and support client retention. Communicate...Remote workFull timeInterim roleWork at officeNight shift
- ...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
- CVS Health is seeking an Appeals Nurse Consultant to join our remote team. In this role you will review clinical appeals, apply clinical criteria,... ...collaborate with internal and external clinicians, may support utilization management and related areas, and participate in...Remote job
$66.58k - $142.58k
...community at a time. Position Summary Utilization Management is a 24/7 operation and work... ...Services and benefit utilization Consults and lends expertise to other internal and... ...~2+ years of experience as a Registered Nurse in adult acute care/critical care setting...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeShift workAfternoon shift$26 - $56 per hour
About This Role The Utilization Management Nurse Consultant (RN) - Concurrent Review position is ideal for experienced RNs with a background in acute... ...coordination. Highlights Pay: $26 - $56/hour Location: Remote, LA Schedule: Full-time What You'll Do Perform concurrent...Remote workFull time- ...Job Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between... ...and administrative compliance. Unlike remote roles, this position relies heavily... ...and Clinical Collaborationo Physician Consultation: Meet in person with attending/...Remote workFull timeImmediate startShift work
$26.01 - $56.14 per hour
...part of something bigger - helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you an experienced RN with utilization management or...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home- ...Cambia Health Solutions, Inc. is seeking an Utilization Management Nurse to perform prospective, concurrent, and retrospective reviews for member care across multiple states. The role emphasizes applying clinical criteria, ensuring medical necessity, and coordinating...Remote workWork from home
$76k
...current vacancy. Medcan is recruiting for a Nurse Consultant, RN to join our collaborative LiveWell... ...every 6-8 weeks. The position is fully remote, with the team coming onsite in Toronto... ...process. In addition, Medcan does not utilize third-party immigration consultants or...Remote workFull timeContract workWeekend workAfternoon shift$60.52k - $129.62k
...contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes. Provides training and... .../presentation and technical writing skills ~ Registered Nurse (RN) required. Adept at problem solving and decision-making...Remote workHourly payFull timeTemporary workWork experience placementMonday to Friday- ...Arkansas Blue Cross Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews of prior approvals, network exceptions, and inpatient/outpatient procedures. The role requires an active RN license and a Bachelor's degree is preferred, with at least...Remote workWork from home
$71.03k
...flexible work environments, including remote work opportunities. With career paths... ...Health Prior Authorization Utilization Review Consultant Division of Fee for Service Management... ...and initiation of appropriate action; nursing assessment Public relations skills, interacting...Remote workFull timePart timeInternshipWork from homeFlexible hours- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across the continuum of care. This role requires... ..., and effective communication. A BSN is preferred; remote work is supported within the state(s) of residence....Remote work
- CVS Health is seeking a Medicare Predetermination Utilization Management Nurse Consultant to support a 24/7 operation with holidays and evening hours. The role uses clinical expertise to assess and coordinate care, determine coverage, and promote high-quality healthcare...Full timeWork at officeShift workWeekend workAfternoon shift
$26.01 - $68.55 per hour
CVS Health is seeking a Medicare Predetermination Utilization Management Nurse Consultant. This full-time role requires RN licensure, 3+ years of nursing experience, and at least 1 year in Med/Surg. The position involves assessing and coordinating care, communicating with...Hourly payFull time- CVS Health is seeking a Medicare Predetermination Utilization Management Nurse Consultant to support member care decisions and coordinate utilization of services. You will gather clinical information, apply criteria, and render coverage recommendations while collaborating...Work at office
- CVS Health is seeking a Medicare Predetermination Utilization Management Nurse Consultant. The role applies clinical expertise to assess, plan, coordinate and evaluate options to facilitate appropriate healthcare services and benefits for members. You will gather clinical...
- CVS Health is seeking a Medicare Predetermination Utilization Management Nurse Consultant to assess and coordinate care options for members. The role focuses on applying clinical criteria and coordinating with providers to determine appropriate benefits. Required are 3+...Full timeWork at officeRotating shift
- CVS Health is seeking a Medicare Predetermination Utilization Management Nurse Consultant to assess and coordinate healthcare services for members, utilizing clinical judgment to support determinations along the continuum of care. The role emphasizes collaboration with...Work at office
- CVS Health is seeking a Medicare Predetermination Utilization Management Nurse Consultant to assess and coordinate care needs. You will render coverage determinations using clinical criteria and collaborate with providers to optimize benefits for members in a structured...
- ...Cambia Health is seeking an Utilization Management Nurse who can work remotely within the U.S. states of Oregon, Washington, Idaho or Utah. The role focuses on prospective, concurrent and retrospective reviews to ensure medical necessity and cost-effective care. The...Remote work
- ...Cambia Health is seeking an Utilization Management Nurse to work remotely within Oregon, Washington, Idaho or Utah. The role focuses on prospective, concurrent and retrospective reviews to ensure medical necessity and cost-effective care, applying expert clinical judgment...Remote work
- ...Cambia Health is hiring an Utilization Management Nurse to support care decisions remotely in OR/WA/ID/UT with opportunities for Idaho or Utah residents. The role emphasizes clinical review, evidence-based criteria, and collaboration with care teams. The position requires...Remote work
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