Remote Utilization Management Nurse Consultant - Behavioral Health
CVS Health
- Remote job
CVS Health is seeking a Nurse Consultant to join our Utilization Management team. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, collaborate with providers, authorize care, and elevate cases when needed. This role suits nurses who thrive in fast-paced environments and are comfortable with computer-based work. Remote work is 100% remote with a dedicated workspace; a mandatory 3-week training is required. #J-18808-Ljbffr CVS Health
$60.53k - $129.63k
...building a world of health around every... ...accredited medical management organization founded... ...Summary Join our Utilization Management team as a Nurse Consultant, where you'll... ...from providers. Remote Work Expectations... ...3+ years of acute behavioral health and/or substance...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work$29.1 - $62.32 per hour
We're building a world of health around every individual - shaping a more connected, convenient... ...person, one family and one community at a time. Behavior Analysis Utilization Management Clinical Consultant (LBA/BCBA) 100% Remote | Florida Residents Only | Monday-Friday, 8:...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across the continuum of care. This role requires RN licensure... ...and effective communication. A BSN is preferred; remote work is supported within the state(s) of residence...Remote work
- ...CVS Health in the United States is seeking an experienced Utilization Management Nurse Consultant (RN) to join our remote team. You will review prior authorization requests, evaluate medical necessity, and apply clinical criteria to support timely, cost-effective care...Remote work
$26.01 - $62.32 per hour
...We're building a world of health around every individual - shaping a more connected, convenient and... ...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...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...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
- ...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
- ...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...Remote workFull time
- ...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
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring high-quality,... ...support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-LjbffrRemote workFull time
- ...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
$26.01 - $56.14 per hour
...We’re building a world of health around every individual — shaping a more connected... ...family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare- Complex Spine Team) Remote | Full-Time | Weekday Schedule Are...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$29.1 - $62.32 per hour
...We’re building a world of health around every individual — shaping a more connected, convenient... ...family and one community at a time. Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday What You’ll...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$26.01 - $74.78 per hour
...We’re building a world of health around every individual — shaping a more... ...community at a time. Registered Nurse (RN) - Utilization Management Location: Remote (Preference for candidates in CST... ...and benefit utilization Consults and lends expertise to other internal...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeWeekend workAfternoon shift$32.01 - $68.55 per hour
...At CVS Health, we're building a world of health around every consumer... ...Position Summary This Utilization Manager position is with Aetna's Long... ...Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$26.01 - $56.14 per hour
...building a world of health around every individual... ...Position Summary Utilization Management is a 24/7 operation and... ...- 5pm Location: Remote (Central Time) Utilizes... ...utilization Consults and lends expertise to... ...experience as a Registered Nurse in adult acute care/...Remote workHourly payFull timeTemporary workWork at officeLocal areaAfternoon shift$26.01 - $56.14 per hour
...am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health Holding, Inc. (AHH), a... ...is a URAC-accredited medical management organization founded in 1993... ...complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work$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 health experience... ...family and one community at a time. Fully remote with requirement to work the following...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayWeekend work$26.01 - $74.78 per hour
...We're building a world of health around every individual - shaping a more connected, convenient and compassionate... ...person, one family and one community at a time. Utilization Management Registered Nurse (RN) - Remote Make a meaningful impact on patient care from...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$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 shift$54.1k - $155.54k
...re building a world of health around every... ...licenses as needed. Utilizes clinical skills to coordinate... ...the utilization/benefit management program. Applies... ...utilization of services. Consults and lends expertise to... ...Education AA Nursing Required BSN Preferred...Remote workHourly payFull timeTemporary workLocal areaWork from homeRotating shift$26.01 - $68.55 per hour
...CVS Health Job Opportunity We're building a world... ...in collaboration with management to ensure adequate weekend... ...Position Summary Utilize your clinical experience... ...benefit utilization. Consult and lend expertise to other... ...Registered Nurse Education: Diploma RN...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend work- 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 criteria across the... ..., and an Associate’s degree in nursing. Preference for candidates in Eastern...Remote job
- 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 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 focus...Remote job
- 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 an Utilization Management Nurse Consultant who must reside in Florida. This remote, full-time role reviews clinical information to ensure appropriate care, applies medical necessity criteria, and coordinates utilization management with providers and...Remote jobFull time
$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 evaluate healthcare... ...delivery. Highlights Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or CST Schedule:...Remote workWork at officeWork from homeAfternoon shift- 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
$78.4k - $107.8k
...Become a part of our caring community The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the... ...technical skills to troubleshoot and resolve within a remote environment. ~ Ability to work independently. Preferred...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday
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