Remote Utilization Management Nurse Consultant
CVS Health
CVS Health is seeking a Registered Nurse for Utilization Management. This remote, full-time role requires 2+ years in adult acute/critical care, an active RN license, and readiness for a 24/7 schedule including weekends and holidays. You will assess, plan, implement, and coordinate care options, gather clinical data, and apply guidelines to determine coverage. Strong communication with providers is essential for care facilitation and referrals. #J-18808-Ljbffr
Vacancy posted 22 hours ago
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- ...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
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Baton Rouge, LA4 days ago - ...CVS Health is seeking an experienced Registered Nurse to join the Utilization Management team in a remote role. You will review clinical information, apply evidence-based criteria, and collaborate with providers to ensure appropriate, high-quality care and benefits for...Remote work
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United States22 hours ago $26.01 - $62.32 per hour
...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/...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
Guin, AL4 days ago- ...CVS Health is seeking a Registered Nurse for Utilization Management in a full-time role based in the United States. The position requires a current RN license, 2+ years in adult acute/critical care, and experience with utilization management processes. You will assess...Remote workFull timeAfternoon shift
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United States1 day ago - ...CVS Health is seeking a Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) for a remote, full-time role. You will review cases, coordinate care, and apply clinical judgment to support decisions, serving as a resource across stakeholders....Remote workFull timeWeekday work
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Bismarck, ND22 hours ago - ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring... ...planners, and support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-LjbffrRemote workFull time
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Oklahoma City, OK3 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote role supporting EST/CST time zones. The position requires 2+ years of RN experience, current unrestricted RN licensure, and ability to work weekends/evenings as part of a 24/7 operation. The...Remote workWork at officeWeekend workAfternoon shift
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Austin, TX1 day ago $29.1 - $62.32 per hour
...Utilization Management Nurse Consultant### Utilization Management Nurse ConsultantApply: Remote: NH - Work from home: Work At Home-Arkansas: Work At Home-Idaho: Work At Home-Ireland: Work At Home-Georgia: Full time: Posted Today: End Date: November 27, 2026 (28 days left...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftCVS Health
New York, NY4 days ago$26.01 - $74.78 per hour
...family and one community at a time. Registered Nurse (RN) - Utilization Management Location: Remote (Preference for candidates in CST or EST time zones... ...of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeWeekend workAfternoon shiftCVS Health
Columbus, OH22 hours ago$32.01 - $68.55 per hour
..., 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 hoursThe Muse
Albany, NY2 days ago$29.1 - $62.32 per hour
...UM Nurse ConsultantUtilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours.Fully Remote- WFHSchedule: Monday-Friday 10:30AM- 7:30PMPosition Summary:UM Nurse Consultant Utilizes clinical experience and skills in a...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftCredenza Health
Salem, VA3 days ago$26.01 - $62.32 per hour
...– 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 areaWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
Bismarck, ND22 hours ago$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 workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift workCVS Health
United States2 days ago$26.01 - $74.78 per hour
...of something bigger - helping to simplify health care one person, one family and one community at a time. Utilization Management Registered Nurse (RN) - Remote Make a meaningful impact on patient care from wherever you work. We are seeking an experienced...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shiftCVS Health
Miami, FL22 hours ago$26.01 - $68.55 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ..., one family and one community at a time. Fully remote with requirement to work the following schedule:...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayWeekend workCVS Health
Colville, WA3 days ago$29.1 - $62.32 per hour
...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Management Nurse Consultant based in Canada. We are seeking an experienced Registered Nurse to join a remote Utilization Management team in a non-...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftJobgether
New York, NY4 days ago$26.01 - $68.55 per hour
...determined in collaboration with management to ensure adequate weekend... .... Position Summary Utilize your clinical experience and... ...and benefit utilization. Consult and lend expertise to other internal... ...Registered Nurse Education: Diploma RN acceptable...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend workCVS Corporation
United States4 hours ago$60.53k - $129.63k
...Health, is a URAC-accredited medical management organization founded in 1993. We... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment... ...information from providers. Remote Work Expectations This is a 10...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- CVS Health is seeking a qualified Registered Nurse for a remote Utilization Management role. You will assess and coordinate care, apply clinical criteria, and collaborate with providers to ensure appropriate services for members. Responsibilities include reviewing cases...Remote jobFull timeWork from home
- CVS Health is seeking a UM Nurse Consultant in New Jersey to join a 24/7 Utilization Management operation. The role involves clinical assessment, planning and coordinating care, applying guidelines to determine coverage and collaborating with providers to optimize services...Remote job
- CVS Health is seeking an experienced Utilization Management RN to support coverage determinations from a remote location in the United States. You will apply clinical... ...care experience, and an Associate’s degree in nursing. Preference for candidates in Eastern Time Zone...Remote job
- CVS Health is seeking a Registered Nurse for Utilization Management. You will assess and coordinate care, apply clinical criteria to determine coverage, and communicate with providers to support appropriate treatment. The role requires collaboration across teams and a...Remote job
$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience to assess, plan, implement, and... ...healthcare delivery. Highlights Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or CST Schedule: 24/7...Remote workWork at officeWork from homeAfternoon shift- CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement and evaluate services for members, with a strong focus on utilization management and care coordination. Ideal...Remote jobAfternoon shift
- CVS Health is seeking a Utilization Management Nurse Consultant (UMNC) for a fully remote role. The incumbent will coordinate, document and communicate all aspects of the utilization/benefit management program to ensure appropriate care, timing and location while adhering...Remote job
- CVS Health is seeking a Utilization Management Nurse Consultant for a 24/7 operation. You will assess, plan, and coordinate care to facilitate appropriate services and benefits for members. The role requires collaboration with providers and internal teams to optimize care...Remote job
$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 workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift workCVS Health
United States17 days ago- CVS Health is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical information for precertification, apply criteria, and collaborate with providers to coordinate...Remote job
- ...Director referrals as needed. Ideal candidates have an active RN license, 3+ years of clinical nursing experience, and ability to manage multiple systems in a fast-paced environment while supporting a remote work setup with HIPAA compliance. #J-18808-Ljbffr CVS HealthRemote job
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