Remote Utilization Management Nurse Consultant
CVS Health Corporation
- Remote job
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 ensure appropriate care and compliance with policies. Qualifications include an active multi-state RN license, 3+ years nursing and 2+ years UM/CR experience, and proficiency with EMR and decision-support tools. #J-18808-Ljbffr CVS Health Corporation
$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 in Springfield, IL is hiring a Utilization Management Nurse Consultant to assess and coordinate care, applying clinical criteria to determine coverage and benefits for members. This is a 24/7 operation with weekend, holiday and evening hours....Remote workShift workWeekend workAfternoon shift
$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 communicate...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday- 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
- 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. Highlights...Remote job
- 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 job
- CVS Health Corporation 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...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 collaborate with providers to support members with complex needs. Qualifications include ADN required, BSN...Remote job
- CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to evaluate requests for authorization across medical specialties and... ...-based review and collaboration with care teams in a remote setting. The position requires active multi-state RN licensure...Remote job
- CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorizing care, and escalating cases when needed. The...Remote job
- 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 is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information... ...in a high-volume, computer-based setting and support utilization management from home. #J-18808-Ljbffr CVS Health CorporationRemote jobFull time
- 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, authorize care, and collaborate with providers while maintaining precise documentation. The position requires...Remote jobFlexible hours
- CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring... ...and support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-Ljbffr CVS Health...Remote jobFull time
$26.01 - $56.14 per hour
...of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) - Remote Must Reside in Oklahoma. Join a collaborative team dedicated to helping members receive the right care,...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday- CVS Health Corporation is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, CST-zone eligible, full-time position. You will coordinate, document, and communicate UM activities to ensure safe, appropriate care at the right time and setting. The role...Remote jobHourly payFull time
- 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 all...Remote jobMonday to Friday
- CVS Health Corporation is seeking an Utilization Management Nurse Consultant to apply clinical expertise in assessing and coordinating care, ensuring appropriate healthcare services for members. The role requires collaboration with providers and internal teams within a...Remote jobShift workWeekend workAfternoon 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 jobWeekend workAfternoon shift
$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$32.01 - $68.55 per hour
...with heart, 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$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- 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 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
- ...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
- ...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
- ...Research, Rehabilitation Therapy and Nursing. Job Description Location :... ...programs are comprised of network management, clinical coverage, and policies. · Utilizes clinical skills to coordinate,... ...Services and benefit utilization · Consults and lends expertise to other...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- CVS Health is seeking a licensed Behavior Analyst (LBA) and Board Certified Behavior Analyst (BCBA) for a 100% remote Utilization Management consultant role. The position supports Florida residents, with standard Monday-Friday 8:00 AM-5:00 PM EST hours. The candidate will...Remote jobMonday to Friday
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