Remote Utilization Management RN Consultant
CVS Health
Central City, CO
- Remote job
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. The position emphasizes improving patient outcomes through utilization management and adherence to policies while offering a stable full-time, remote work arrangement with potential for growth and benefits. #J-18808-Ljbffr CVS Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management RN Consultant in Central City, CO 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 member...Remote job
- ...is seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote precertification role. Preference is given to Virginia residents or candidates holding Virginia and Compact RN licenses. The position involves reviewing clinical information...Remote job
- CVS Health Corporation is seeking an experienced Utilization Management Nurse Consultant (RN) to support remote concurrent review. You will review authorization requests, determine medical necessity, and apply clinical criteria to inform denials or approvals while collaborating...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
- CVS Health is seeking an experienced RN for a fully remote Precertification Nurse role within Utilization Management. Virginia residents are preferred, with a compact RN license and at least 3 years of nursing experience. You will review requests, gather documentation,...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 a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote Utilization Management team. This full-time role focuses on ensuring appropriate care coverage and optimizing member outcomes within a 4‑day weekend schedule...Remote jobFull timeWeekend work
- 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 is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement... .../critical care, plus managed care exposure. Active RN license in home state is required; position includes...Remote workAfternoon shift
CVS Health
United States4 days ago - ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive... ...guidelines to support coverage determinations. A 3+ year RN background including Med/Surg and an active RN license...Remote workFull timeLocal areaMonday to FridayAfternoon shift
CVS Health
Coloma, MI7 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 $29.1 - $62.32 per hour
...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 | Monday-Friday Are you a Registered Nurse looking to leverage your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...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
United States2 days 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, AZ19 hours ago $26.01 - $56.14 per hour
...: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 qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration...Remote workAfternoon shift
Anacalifornia
United States4 days ago - ...CVS Health is hiring a Nurse Consultant for a 100% remote Utilization Management role. You will apply clinical judgment to review inpatient and outpatient services... ...documentation. The position requires an active RN license, 3+ years in behavioral health, and a...Remote workFlexible hours
Pennsylvania Psychological Association
Phoenix, AZ19 hours ago - ...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, SD1 day ago - ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage determinations for Medicare beneficiaries. This remote, full-time role follows a weekday schedule, leveraging your RN expertise to ensure appropriate care and outcomes...Remote workFull timeWeekday work
CVS Health
United States1 day ago $26.01 - $56.14 per hour
...family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | 24/7 Operations Are you an... ...positive health outcomes Serve as a clinical resource and consultant to internal and external stakeholders WHAT YOU...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shiftCVS Health
United States23 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, IN1 day ago - ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for remote, full-time weekend coverage. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care. Ideal candidates...Remote workFull timeWork at officeShift work
CVS Health
United States1 day ago - ...CVS Health Corporation in Springfield, IL is hiring a Utilization Management Nurse Consultant to assess and coordinate care, applying clinical criteria... ...and evening hours. Requirements include 2+ years of RN clinical experience in adult acute/critical care, active...Remote workShift workWeekend workAfternoon shift
CVS Health
United States3 days ago - ...CVS Health is hiring a Registered Nurse for Utilization Management in California. This full-time role supports a 24/7 operation... ...+ years of acute/critical care nursing, an active RN license, and strong communication. A remote work setup within the state is required, with...Remote workFull timeWeekend workAfternoon shift
California Nursing Students Association
United States4 days ago $32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shiftOak St. Health
United States19 hours ago$26.01 - $62.32 per hour
...RN Utilization Management Nurse Consultant (Medicare – Joint Procedures) We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...Remote workHourly payFull timeTemporary workWork at officeWork from homeWeekday workOak St. Health
United States19 hours ago- 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... ...thorough documentation. The position requires active RN licensure, 3+ years of acute behavioral health or substance...Remote job
- CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and... ...experience, UR/Managed Care experience, and an active RN license. The role involves coordinating care and...Remote job
- CVS Health is seeking a Nurse Consultant for Utilization Management to review inpatient and outpatient services,... ...escalate cases as needed. This 100% remote role requires strong clinical judgment... ...environments. Applicants must hold an RN license, have 1+ year behavioral...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management RN Consultant. Be the first to apply!
Related searches
- public health registered nurse Central City, CO
- nicu registered nurse Central City, CO
- rn urgent care Central City, CO
- rn skilled nursing facility Central City, CO
- labor delivery registered nurse Central City, CO
- pcu rn Central City, CO
- united nations registered nurse rn Central City, CO
- call center rn Central City, CO
- registered nurse Central City, CO
- school rn Central City, CO