Remote Utilization Management Nurse Consultant
CVS Health Corporation
- Remote job
CVS Health Corporation, within American Health Holding, Inc. (AHH) division of CVS Health, is seeking a Nurse Consultant for Utilization Management. You’ll apply clinical judgment to review inpatient and outpatient services, authorize care, and collaborate with providers in a fast-paced, computer-based environment. This full-time, 100% remote role requires an active RN license, 3+ years in acute behavioral health or substance use, and a 3-week mandatory training. #J-18808-Ljbffr CVS Health Corporation
- ...CVS Health is seeking a Utilization Management Nurse Consultant to assess, plan, and coordinate healthcare services for members. This role involves 24/7 coverage with weekend/evening hours and requires strong clinical judgment and cross-functional collaboration. Critical...Remote workWork from homeWeekend workAfternoon shift
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and collaborate with providers to support members with complex needs. Qualifications include ADN required,...Remote work
- ...CVS Health is seeking an RN Utilization Management Nurse Consultant for a 100% remote role. The incumbent coordinates, documents and promotes utilization/benefit management to ensure appropriate care and timely discharge planning, in a workload that supports patient outcomes...Remote workFull timeWork from home
- ...CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals who thrive in a fast-paced environment and are looking to make a clinical impact without direct patient care....Remote work
- ...CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information... ...preference. You will operate in a high-volume, computer-based setting and support utilization management from home. #J-18808-LjbffrRemote workFull time
- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (RN) to review authorization requests across medical specialties and determine medical necessity using evidence-based guidelines. The role emphasizes collaboration with providers and care teams to...Remote work
- ...CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed. Training is mandatory for...Remote workMonday to Friday
$26.01 - $56.14 per hour
...something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- ...CVS Health Corporation is seeking a Utilization Management Nurse Consultant in the United States to apply clinical judgment and coordinate care across the continuum for members. This role supports a 24/7 operation with weekend and evening hours and requires strong communication...Remote workWeekend workAfternoon shift
$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday$32.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApply: Remote: IL - Work from home: Work At Home-Ohio: Work At Home-Texas: Work At Home-Georgia: Work At Home-West... ...weekends, holidays, and evening hours.* **UM Nurse Consultant**Fully Remote- WFHPerm Schedule- Monday-Friday 8a-5...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shift$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 hours$29.1 - $62.32 per hour
...simplify health care one person, one family and one community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize clinical skills to coordinate, document and...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday- ...CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, collaborate with providers to authorize care, and elevate cases when needed...Remote work
- CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. This remote role reviews inpatient and outpatient services using clinical judgment and evidence-based criteria, collaborates with providers, authorizes care, and elevates cases...Remote job
- CVS Health Corporation in Columbus, OH is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor and evaluate options for appropriate healthcare services. This 24/7 role includes weekends, holidays and evening hours, with a standard...Remote jobMonday to FridayAfternoon shift
$26.01 - $56.14 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | Central Time Zone Preferred Are you an experienced Registered Nurse looking to expand your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$29.1 - $62.32 per hour
...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 100%...Remote jobHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work$60.53k - $129.63k
...care one person, one family and one community at a time. Remote UM Nurse Consultant RN Precertification Nurse (Telework) Work from... ...are seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote Precertification Nurse role. Preference...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$54.1k - $116.77k
...one person, one family and one community at a time. Utilization Management (UM) Nurse Consultant 100% Work‑From‑Home | Full-Time | Open to CST residents... ...) Nurse Consultant to join our team. This is a fully remote role available to candidates in any U.S. state in the...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend work$29.1 - $62.32 per hour
...time. Position Summary Utilizes clinical skills to... ...the utilization/benefit management program. Requires an RN... ...optimization. Consults with and provides expertise... ...coaching and guidance to nursing staff and other... ...Consultant role is 100% remote and the candidate can...Remote workHourly payFull timeTemporary workWork experience placementLive inWork at officeLocal areaMonday to FridayShift workAfternoon shift- ...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 Health CorporationRemote job
- CVS Health is seeking a Nurse Consultant for a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorize care, and escalate cases as needed, while coordinating with providers and internal teams...Remote job
- CVS Health is seeking a Nurse Consultant in Utilisation Management for a 100% remote role in the United States. You will review inpatient and outpatient services, authorise care, and coordinate with providers, while maintaining documentation and supporting URAC guidelines...Remote job
- CVS Health is seeking an RN Utilization Management Nurse Consultant. This 100% remote role coordinates utilization/benefit management and ensures medical necessity while promoting safe, cost-effective patient care. The ideal candidate holds an active RN license, 2+ years...Remote job
- CVS Health Corporation is seeking an experienced RN for a remote precertification role. You will evaluate clinical information, apply guidelines, and determine authorization for procedures while maintaining a high standard of accuracy and patient privacy. The position...Remote jobWork at office
- ...forward. As a healthcare IT consulting and staffing firm, we help health... ...26 - 12/31/2026 Location: Remote We are seeking experienced Epic Tapestry Utilization Management (UM) Workflow Configuration... ...of Prior Authorization nurses, reviewers, and care management...Remote work
- ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice, and we are looking for a Senior Utility Management Services (UMS) Consultant to help lead that growth from the... ...This is a hybrid position (in office/remote). We offer a telecommute option to work...Remote workFull timeFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work at officeWeekend work
$54.1k - $116.77k
...family and one community at a time. Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Sunday - Thursday Schedule Are... ...licensed Behavioral Health clinicians Registered Nurse with psychiatric specialty experience and unrestricted...Remote workHourly payFull timeTemporary workLocal area
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