Remote Utilization Management Nurse Consultant
CVS Health
CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to EST residents across the U.S. You will apply clinical expertise to ensure members receive safe, appropriate and cost-effective care. Schedule: Monday–Friday, 8:00 AM–5:00 PM EST, with some weekend/holiday coverage. RN license active, 2+ years acute hospital experience required; ADN required, BSN preferred. #J-18808-Ljbffr
Vacancy posted 4 days ago
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New York, NY1 day ago - ...Alliance for Career Enhancement is seeking an experienced Utilization Management Nurse - Precertification RN whose primary focus is ensuring appropriate... ...-quality care through the precertification process. This remote, full-time role emphasizes evidence-based decision-making...Remote workFull time
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Topeka, KS5 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a full-time remote role. You will coordinate, document, and communicate the utilization/benefit management program and ensure appropriate care in the right setting within turn-around times. You’ll review...Remote workFull time
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Montgomery, AL4 days ago - ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% remote role open to EST residents. You will coordinate, document, and communicate UM processes, ensuring timely and appropriate care while complying with state and federal requirements...Remote work
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Raleigh, NC4 days ago - ...CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to CST-zone residents. You will apply clinical expertise to ensure safe, effective, and appropriate care, coordinating utilization and benefits while meeting state...Remote workFull time
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Topeka, KS4 days ago $26.01 - $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 | Weekday ScheduleAre you a Registered Nurse ready to make an impact beyond the...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday workCVS Health
Laramie, WY4 days ago- ...CVS Health is seeking an Utilization Management Nurse Consultant (Clinical Precertification RN) for Medicare, remotely. This full-time role asks for an active RN license and several years of experience to evaluate care and determine coverage using evidence-based guidelines...Remote workFull timeAfternoon shiftWeekday work
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Wausau, WI5 days ago $29.1 - $62.32 per hour
...UM Nurse Consultant We're building a world of health around every individual — shaping... ...family and one community at a time. Utilization Management is a 24/7 operation and work schedule... ...holidays, and evening hours. Fully Remote- WFH Schedule: Monday-Friday 10:30...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shiftOak St. Health
United States1 day ago- ...CVS Health in the United States is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role available to candidates in EST or CST zones. You will apply clinical expertise to ensure members receive safe, effective care at the right time...Remote workFull time
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Doral, FL3 days ago $32.01 - $68.55 per hour
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Albany, NY2 days ago$29.1 - $62.32 per hour
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United States1 day ago$26.01 - $68.55 per hour
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Boston, MA5 days ago$29.1 - $62.32 per hour
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Laramie, WY5 days ago$26.01 - $56.14 per hour
...CVS Health Utilization Management Position We're building a world of health... ...Schedule: 3-11 or 11-8 Location: Remote (Central Time)... ...and benefit utilization. Consults and lends expertise to other... ...experience as a Registered Nurse in adult acute care/critical...Remote workHourly payFull timeTemporary workWork at officeAfternoon shiftOak St. Health
United States1 day ago$26.01 - $56.14 per hour
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United States2 days ago$32.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApplyremote type: Remotelocations: IL - Work from hometime type: Full timeposted on: Posted Todaytime... ...community at a time.**Utilization Management Nurse Consultant (RN)****Remote | Full-Time***Utilization Management is a 24/7...Remote workHourly payFull timeTemporary workLocal areaAfternoon shiftCVS Health
Springfield, IL4 days ago- CVS Health seeks a Utilization Management Nurse Consultant to support a 24/7 operation. In this role you will assess, plan, implement, coordinate, monitor and evaluate healthcare options for members, using clinical guidelines to render coverage determinations. You will...Remote job
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- ...Remote, RI Contract Job Description: Responsible for the review and evaluation of clinical information and documentation... ...with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred. Skills: MUST...Remote workContract work
US Tech Solutions
Providence, RI2 days ago - ...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
Careers Integrated Resources Inc
Downers Grove, IL4 days ago $26.01 - $74.78 per hour
...do it all with heart, each and every day. Position Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hoursHispanic Alliance for Career Enhancement
New York, NY16 hours ago- ...ProMedica is seeking a Utilization Management RN for a remote, part-time role in Ohio with a 20-hour work week. You will review admissions and transfers... ...quality. Qualifications include a NLN-accredited nursing program, at least 3 years acute care nursing, and an active...Remote workPart timeWork from home
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New York, NY5 days ago - ...Humana is seeking a Manager, Utilization Management Nursing to lead coordination and interpretation of medical services and benefit determinations in a remote, home‑based role. You will apply advanced nursing knowledge, guide teams, and collaborate across departments...Remote workWork from home
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Frankfort, KY2 days ago - ...Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees...Remote workWork from homeMonday to Friday
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Honolulu, HI4 days ago - ...CVS Health is seeking an experienced Registered Nurse for a remote Utilization Management role. You will review information, coordinate care, and collaborate with providers to ensure appropriate treatment and high-quality care across the continuum. The role operates 24...Remote workWork from homeWeekend workAfternoon shift
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Cottingham & Butler
Davenport, IA21 days ago
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