Remote RN - Utilization Management Consultant
CVS Health
Seattle, WA
- 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 and evenings. The role utilizes clinical nursing experience to assess, plan, coordinate care, render coverage determinations, communicate with providers, and identify referral opportunities. #J-18808-Ljbffr CVS Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote RN - Utilization Management Consultant in Seattle, WA 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
Oklahoma City, OK3 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, IL-58 - ...with providers to facilitate care and treatment. You will identify referral opportunities to integrate CVS Health products and programs and serve as a clinical resource to internal and external stakeholders in utilization/benefit management. #J-18808-Ljbffr CVS HealthRemote 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...Remote job
- CVS Health is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor... ...members. This role requires a skilled RN with experience in acute/critical... ...and utilization management, offering remote work in California and a full-time schedule...Remote jobFull timeAfternoon shift
- ...Health is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will... ...appropriate care and utilization. The position requires 3+ years RN experience, an active RN license, an associate degree...Remote job
- 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 job
- CVS Health is seeking an experienced Registered Nurse for Utilization Management in a full-time, remote-capable role based in California. The position supports 24/7 operations including weekends and evenings, with a focus on coordinating care and benefits for members. Responsibilities...Remote jobFull timeAfternoon shift
- CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant to join a 24/7 operation in a role requiring RN licensure and clinical collaboration. The position involves assessing care plans, applying clinical guidelines, communicating...Remote jobWork at office
- 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
- ...seeking an experienced Registered Nurse for a full-time remote role in Ohio. The RN will assess, plan, implement, coordinate, monitor and... ...with providers to facilitate care while aligning with utilization management goals. The position requires an active RN license, 2+...Remote jobFull timeWeekend workAfternoon shift
- CVS Health in the United States seeks an RN Utilisation Management Nurse Consultant to support Medicare joint procedures in a remote, full-time role. Remote work with some evenings... ...care with providers, and help optimise utilization while upholding safety and quality. #J-1...Remote jobFull timeAfternoon 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
- CVS Health in Columbus, OH seeks a Registered Nurse for Utilization Management to assess, plan, implement and coordinate healthcare services for... ...care. Requires 2+ years in adult acute/critical care, an active RN license in the resident state, and flexibility for evenings,...Remote jobWeekend workAfternoon shift
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. Schedule is Monday-Friday, 9:00am-5:30pm in the candidate's time... ...with providers. Ideal candidates hold ~3+ years RN experience, active RN license, and ~1+ years Med/Surg and...Remote jobWork at officeMonday to FridayAfternoon shift
- 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 to assess, coordinate, and determine appropriate healthcare services... ...-compliant practices. The position requires an active RN license, 3+ years of nursing experience, and comfortable...Remote jobWork at office
- ...seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical... ...is required with BSN preferred, and RN licensure must be active in the home... ...and MedCompass experience is valued; remote work is available to qualified #J-1...Remote jobAfternoon shift
$60.53k - $129.63k
...helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare Home Care) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday 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, TX4 days ago - ...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 $60.53k - $129.63k
...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...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$54.1k - $129.63k
...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/holidays...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $56.14 per hour
...family and one community at a time. Registered Nurse - Utilization Management (Remote) Make a difference in patient care while leveraging your... ...environment. We are seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role,...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shiftCVS Health
Topeka, KS23 hours ago- ...Health is seeking an experienced Registered Nurse to support utilization management from a remote home-based setting across the United States. The role... ...coverage 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, SC3 days ago $54.1k - $116.77k
...: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 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, SD23 hours ago - ...CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based... ...cases when needed. The position requires an active RN license, 3+ years in behavioral health or substance...Remote work
CVS Health
Phoenix, AZ23 hours 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
Butlerville, IN23 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN - Utilization Management Consultant. Be the first to apply!
