Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN Utilization & Care Optimization Consultant

CVS Health

Columbus, OH
  • Remote job

CVS Health is looking for a driven Registered Nurse (RN) as a Utilization Management (UM) Nurse Consultant to provide care management and review clinical records for appropriateness of services. This remote position offers significant clinical impact, involving collaboration with care teams to ensure optimal patient outcomes. With a focus on improving care quality, you will apply your clinical judgment in a fast-paced environment. This full-time role provides a competitive salary, eligible for CVS Health bonuses and a comprehensive benefits package. #J-18808-Ljbffr CVS Health

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote RN Utilization & Care Optimization Consultant in Columbus, OH vacancy
  • $26.01 - $62.32 per hour

     ...Enhancement is seeking a full-time Utilization Management Nurse Consultant to support Medicare...  ...for complex spine cases. This remote position requires an active RN license and a minimum of 3 years...  ...responsibilities including evaluating care and coordinating services. Candidates... 
    Remote work
    Hourly pay
    Full time
    Work at office

    Hispanic Alliance for Career Enhancement

    Raleigh, NC
    1 day ago
  • $105k - $157.6k

     ...bold ideas and genuine care. We look for curious...  ...who bring sun-drenched optimism and drive. Whether you...  ...North America Solution Consulting team, you will have...  ...join our Manufacturing, Utilities & Transportation , industry...  ...: in-person time and remote. Our approach enables... 
    Remote work
    Work at office
    Work from home
    Home office
    Flexible hours

    HR Tech Job

    Wausau, WI
    1 day ago
  •  ...Who We Are At Entyre Care, our mission is to support caregivers...  ...an active Registered Nurse (RN) License in the state of...  ...position offering autonomy while utilizing your nursing assessment, care...  ...are energized by building and optimizing finance operations at speed-and... 
    Remote work
    Full time

    Entyre Care

    Norfolk, VA
    2 days ago
  •  ...Truman Medical Centers is seeking a Utilization Management RN for a part-time position working from home. The role involves partnering with interdisciplinary teams to optimize patient care and resources, ensuring compliance with regulatory standards. Applicants should... 
    Remote work
    Part time
    Work from home

    Truman Medical Centers

    New York, NY
    2 days ago
  • $38.91 - $60.31 per hour

     ...and does not offer a hybrid or remote option Minimum...  ...licensure as a Registered Nurse (RN). IBCLC or Certified Lactation...  ...International Board Certified Lactation Consultant (IBCLC) required within 2...  ...practice in direct patient care utilizing the nursing process Values... 
    Remote work
    Temporary work
    Relief
    Local area
    Flexible hours
    Shift work

    UCHealth

    Pueblo, CO
    14 hours ago
  • $49.34 - $76.59 per hour

     ...A leading healthcare organization is seeking a Utilization Review RN for a fully remote role in Oregon. Candidates must hold an Oregon Registered...  ...position manages medical management programs to optimize patient care. Competitive salary range for Portland is $49.34 -... 
    Remote work

    Providence Health & Service

    Portland, OR
    2 days ago
  • $26.01 - $56.14 per hour

     ...Career Enhancement seeks a qualified candidate for a full-time remote position in Behavioral Health specializing in ABA. This role...  ...applying evidence-based treatment and assessment while coordinating optimal care for members. Qualified applicants with sufficient clinical... 
    Remote work
    Hourly pay
    Full time

    Hispanic Alliance for Career Enhancement

    New York, NY
    5 days ago
  •  ...effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources...  ...& Location DAYS: Tuesday thru Saturday schedule. Remote, but you must live locally in AZ. #J-18808-Ljbffr... 
    Remote work
    Work at office

    Santa Barbara Cottage Hospital

    New York, NY
    5 days ago
  •  ...Job Description RN Lactation Consultant Job Code: RN1269 Part-time...  ...& Culpeper, we believe in caring for the whole person by getting...  ...diagnosis and therapeutic plan utilizing principles of prevention....  ...between campus buildings, remote facilities, and out of town... 
    Remote work
    Part time

    UVA Health Northern VA & Culpeper

    Manassas, VA
    5 days ago
  •  ...seeking an experienced Utilization Review Nurse to join our...  ...(Hybrid: In Office/Remote) Schedule: Monday to Friday...  ...to facilitate optimal patient outcomes. Review...  ...in case management and care coordination meetings. Qualifications Active RN license in the state of... 
    Remote work
    Work at office
    Monday to Friday
    Flexible hours

    6AM City

    New York, NY
    1 day ago
  • $39 - $40 per hour

     ...Registered Nurse (RN)Type: 6-Month Contract W2Location: Remote - but MUST reside...  ...We are seeking a Utilization Management RN to join...  ..., coordinating care, and ensuring members...  ...care options for optimal outcomesConduct utilization...  ...Consulting and ServicesReferrals... 
    Remote work
    Daily paid
    Contract work
    Monday to Friday
    Shift work
    Weekend work

    The Judge Group

    Chicago, IL
    6 days ago
  •  ...: Job Summary The Director of Utilization Management (UM) is responsible for leading...  ...in ensuring correct status assignment, optimizing reimbursement, minimizing denials,...  ...Work closely with case management, managed care, and patient financial services to streamline... 
    Remote work
    Shift work
    Day shift

    Northeast Georgia Health System Inc

    United States
    2 days ago
  •  ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to...  ...and cost-effective patient care. Working collaboratively...  ...providers and payers to support optimal patient outcomes and...  ...for facility based staff; optional for remote staff.
    Remote work
    Work at office

    Nexus Health Systems

    Houston, TX
    6 days ago
  • $35 - $45 per hour

     ...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance...  ...member contact and will include 80% travel. Remote role. Will require a driver’s license....  ...system, and need for services for care plan development. Monitor delivery of... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Immediate start
    Shift work
    3 days per week

    Mindlance Health

    Corpus Christi, TX
    13 days ago
  •  ...Registered Nurse (RN) – Case Manager & Utilization Review Nurse Wichita, United States...  ...healthcare services, and effective care coordination. The nurse...  ...;however, this isnota remote position. Applicant must be...  ...coordinating resources to support optimal member outcomes Facilitate... 
    Remote work
    Monday to Friday
    Flexible hours

    ProviDRs Care

    Wichita, KS
    1 day ago
  • $120k - $165k

     ...clinical quality and patient care optimization, and revenue strategy—...  ...outcomes while most effectively utilizing their clinical resources and...  ...quality indicators. The Managing Consultant in the CPI service line at...  ..., client facilities, and remote/home offices. The position requires... 
    Remote work
    Contract work
    Interim role
    Work at office
    Local area
    Home office

    Brg Corp

    New York, NY
    5 days ago
  • $35 - $45 per hour

     ...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance...  ...member contact and will include 80% travel. Remote role. Will require a driver’s license....  ...system, and need for services for care plan development. Monitor delivery of... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Immediate start
    Shift work
    3 days per week

    TravelNurseSource

    Corpus Christi, TX
    13 days ago
  • $71.1k - $97.8k

     ...healthcare organization is seeking a Utilization Management Registered Nurse to...  ...and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess over a year...  ...nursing experience. The position is remote with a salary range of $71,100 -... 
    Remote work

    Humana

    Phoenix, AZ
    1 day ago
  •  ...Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home....  ...cases, educating patients on appropriate care and managing health care costs for the dependents... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Monday to Friday

    Spectrum Healthcare Resources

    Phoenix, AZ
    2 days ago
  •  ...Services) is hiring a Peer-to-Peer Utilization Review Nurse who will manage...  ..., ensuring accurate level-of-care determinations, and supporting...  ...discussions. A BSN and RN license are required, along with...  ...experience. The position offers a remote work model with a 32-hour work... 
    Remote work

    Mass General Brigham (Enterprise Services)

    Somerville, MA
    5 days ago
  •  ...Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven...  .... This role offers hybrid or fully remote arrangements, with major...  ...transforming healthcare from sickness care to wellness guidance. #J-18808-Ljbffr... 
    Remote work

    P3 Health Partners

    Henderson, NV
    1 day ago
  •  ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will... 
    Remote work

    Freelanceshop

    New York, NY
    3 days ago
  •  ...healthcare organization is searching for Clinical Utilization Review Nurses (RN) based in Alabama. This full-time, remote position involves assessing the medical...  ...guidelines, and ensuring compliance with quality care. The organization values work-life balance and provides... 
    Remote work
    Full time

    Comagine Health

    El Paso, TX
    1 day ago
  • $71.1k - $97.8k

     ...healthcare organization is seeking a Utilization Management Registered Nurse to...  ...documentation of medical services. This remote position requires a valid RN license and clinical experience. Responsibilities...  ...and ensuring appropriate care delivery. The role offers a pay... 
    Remote work

    Humana

    Wyoming, OH
    1 day ago
  • $71.1k - $97.8k

     ...A leading health care organization is seeking a Utilization Management Registered Nurse to help coordinate medical...  ...critical clinical nursing skills within a remote work environment, making care...  ...stakeholders. This role requires an RN license and over one year of clinical... 
    Remote work

    Humana

    Kansas City, MO
    1 day ago
  •  ...The Peer-to-Peer (P2P) Utilization Review Nurse is an integral member of...  ...focuses on concurrent level-of-care denials and supports physician...  ...(CONI) processes through RN-to-RN collaboration with payers...  ...Schedule and Work Model ~ Remote / Work from Home. ~32 hours... 
    Remote work
    Work from home

    Mass General Brigham (Enterprise Services)

    Somerville, MA
    5 days ago
  •  ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate... 
    Remote work

    BJC HealthCare

    Saint Louis, MO
    2 days ago
  • $71.1k - $97.8k

     ...organization in the United States seeks a Utilization Management Registered Nurse to...  ...and benefit determinations. This remote position requires a Compact RN license and over one year of clinical...  ...experience in a hospital or acute care setting. The role involves using... 
    Remote work

    Humana

    Providence, RI
    1 day ago
  • $71.1k - $97.8k

     ...the United States is seeking a Utilization Management Registered Nurse to...  ...and ensure appropriate care levels for members. This role...  ...Candidates should possess a Compact RN license and at least one year...  ...experience. The position offers a remote work option and includes a... 
    Remote work

    Humana

    Charleston, WV
    1 day ago
  •  ...Memorial Hospital, Inc. is seeking a full-time RN UR Specialist in Albany, GA. Responsibilities...  ...notifications and certifications for Utilization Review, ensuring compliance with regulations while supporting patient care. Candidates should possess an Associate Degree... 
    Remote work
    Full time

    Phoebe Putney Memorial Hospital

    Albany, GA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Utilization & Care Optimization Consultant. Be the first to apply!