Remote Spine Utilization Nurse Consultant
CVS Health Corporation
- Remote job
CVS Health Corporation invites an experienced Utilization Management Nurse Consultant to join the Spine Team in a remote, full-time capacity. You will review spine-related prior authorizations, apply evidence-based criteria, and collaborate with providers and Medical Directors to support appropriate care decisions. The role requires 3–5+ years of clinical nursing, an active RN license, and strong documentation and communication skills. Minimum ASN; BSN preferred. #J-18808-Ljbffr CVS Health Corporation
- CVS Health is seeking a Utilization Management Nurse Consultant for the Specialty Spine Team to work remotely. You will review spine-related authorization requests, apply medical necessity guidelines, and collaborate with providers and Medical Directors to ensure timely...Remote job
- CVS Health Corporation is seeking an experienced RN for Utilization Management in spine care. You will review spine-related authorization requests... ...determine coverage decisions. The role requires 3-5+ years of nursing experience, knowledge of UM processes, and strong...Remote job
- CVS Health Corporation seeks an experienced RN for the Utilization Management Spine Team in a remote role. You will review spine-related authorization requests, assess medical records, and support timely coverage determinations from home, using MCG guidelines and clinical...Remote job
- CVS Health is seeking an experienced Utilization Management Nurse Consultant on the Specialty Spine Team to support high-quality, evidence-based care for spine patients. This remote role requires strong clinical judgment, collaboration with providers and health plans,...Remote job
$29.1 - $62.32 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant, Specialty Spine Team (Remote) Schedule Monday-Friday, 8:00 AM-5:00 PM EST/CST, with rotating weekend and holiday coverage Are...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday- MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare services, communicating...Remote jobFull timeFreelanceWork at officeMonday to FridayWeekend work
$66.58k - $142.58k
...Appeals Nurse Consultant We're building a world of health around every individual — shaping... ...dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a... ...Appeals, Managed Care, or Utilization Review experience. Proficiency with...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayShift work$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant Clinical Precertification RN (Medicare- Complex Spine Team) 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...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shift- ...Registered Nurse (RN) Opportunity at Sentara Obici HospitalSuffolk... ...Nurse (RN) to join our Ortho/Spine/Bariatrics Unit!We have night... ..., evaluation, resource utilization, and environmental health) encompass... ...that are available as remote work, Sentara Health employs...Remote workTemporary workRelocation packageShift workNight shift
- CVS Health Corporation is seeking a Remote Utilization Management Nurse Consultant to support Medicare Home Care in Florida. The role focuses on precertification decisions, collaboration with care teams, and ensuring appropriate care transitions from hospital to home....Remote jobMonday to Friday
$26.01 - $56.14 per hour
About This Role The Concurrent Review UM Nurse Consultant role at CVS Health is ideal for experienced RNs with a background in utilization management or prior authorization. This position... ...Pay: $26.01 - $56.14/hour Location: Remote, LA Residency: Louisiana residency...Remote workFull time$26.01 - $56.14 per hour
About This Role The UM Nurse Consultant at CVS Health is a remote position ideal for experienced inpatient Registered Nurses looking to leverage their... ...and identify opportunities to improve healthcare utilization Communicate recommendations and clinical findings to...Remote workFull timeMonday to Friday$54.1k - $116.77k
...one community at a time. RN Concurrent Review | Remote Join our team as an RN Concurrent Review Nurse , where you’ll use your inpatient clinical expertise... ...care management referrals and improved healthcare utilization Support timely, effective care for members...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$54.1k - $116.77k
...of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you an experienced RN with utilization management or prior...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home$54.1k - $116.77k
...something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home- An established industry player seeks a Principal Consultant to lead utilities civil litigation efforts. This role involves providing expert guidance, managing client relationships, and overseeing complex legal cases. The ideal candidate will have extensive experience in...Remote job
- AiDASH in Palo Alto, CA seeks a Senior Solutions Consultant to bring the PreventionFirst Platform to electric utilities. You’ll translate complex business needs into stories that demonstrate ROI and guide strategic deals from discovery to close. You will work at the intersection...Remote job
$29 per hour
LVN Nurse Consultant - Remote Texas Compact License Required Responsibilities Conduct an average of 50-70 calls per day to patients and caregivers... ...Skills & Qualifications Experience in healthcare, utilization management, and case management Job Type & Location This is...Remote workHourly payContract workTemporary work$200k
Principal Consultant - Utilities Civil Litigation Job Title: Principal Consultant - Utilities Civil Litigation Location: Washington, DC, Marlborough, MA, or remote Company Description: Concentric Energy Advisors, Inc. ( ) (“Concentric”) is an employee-owned leading management...Remote workWork at officeFlexible hours- ...Regional Nurse Consultant (RNC)Sheridan Healthcare | Regional Corporate Clinical Role Shawnee Senior Living is proud to be part of the... ...Work-from-home flexibility for documentation, follow-up, and remote facility support. Planned regional travel with mileage reimbursement...Remote workFull timeWork from home
- ## Utility Project Support Specialist (Field Based)Applylocations: Rolling Meadows, Illinois... ...id: R00030418**ERM** is hiring remote **Utility Project Support Specialists**... ...largest global pure play sustainability consultancy, we partner with the world’s leading organizations...Remote workPart timeFixed term contractCasual workShift work
$1,813 - $1,908 per week
...Registered Nurse:Utilization Review,16:00:00-04:30:00 Location: Torrance, California Type: Travel Job 17789408 Salary: $1,8... ...Joint Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work$45 per hour
...Living is seeking an experienced Registered Nurse (RN) to support our assisted living and... ...Spooner, Wisconsin, as a contracted RN Consultant. This role focuses on clinical oversight,... ...Combination of on-site community visits and remote work based on community needs...Remote workHourly payPart time- ...Registered Nurse - Utilization Review Santa Rosa, CA, 95405, United States Job Description Remote UR RN Job Type: Travel Nurse Skills: Utilization Review Compensation: $ 2541/ Weekly / W-2 Pay Rate: 21/hr Weekly Pay: 840 Gross Weekly Pay: 254...Remote workHourly payWeekly payDay shift
- ...Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations... ...make critical patient-care decisions. This full-time, remote position offers a competitive salary and comprehensive...Remote workFull time
- Mass General Brigham Health Plan Holding Company, Inc. seeks a Nurse for utilization review to assess medical necessity and benefit coverage for ACO/HMO/EPO members. Remote with occasional on-site team meetings in Somerville, MA. Strong InterQual/Milliman experience and...Remote work
- Environmental Resources Management (ERM) is seeking a remote Utility Project Support Specialist to assist our client in the Danville, IL area. This remote, part-time role operates 20 hours per week with a 12-month term, extendable, and focuses on handling inquiries related...Remote jobPart time
- CVS Health Corporation is seeking an Utilization Management Nurse Consultant to assess and coordinate healthcare services for members. You will review information, apply guidelines, and collaborate with providers and teams to determine coverage decisions. The role supports...Remote jobWork from homeAfternoon shift
$27.5 per hour
...Job Title Pay Rate: $27.50 per hour Work Mode: Fully Remote Duration: September to February with possible extension Responsibilities... ...: Minimum of 3 years of experience in clinical nursing, working with an adult population. Must possess excellent verbal...Remote workHourly pay- ...Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join... ...regulations (LCD/NCD policies). This is a fully remote opportunity requiring discipline, accuracy, and effective...Remote work
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