Remote Utilization Management Nurse Consultant
CVS Health Corporation
- Remote job
CVS Health Corporation is seeking a Utilization Management Nurse Consultant for a fully remote, 100% work-from-home role in the CST zone. The position supports utilization and benefit management with a 40-hour work week, Monday–Friday, and occasional after-hours coverage as outlined. Required RN license with 2+ years of acute hospital experience; ADN is acceptable with BSN preferred. Strong clinical assessment, communication, and organizational skills are essential. #J-18808-Ljbffr CVS Health Corporation
$29.1 - $62.32 per hour
...Join Our Utilization Management 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 by passionate colleagues who care deeply, innovate with purpose...Remote workFull timeShift workAfternoon shift$29.1 - $62.32 per hour
...care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule: Monday, Tuesday, Thursday, Friday and Saturday...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$26.01 - $56.14 per hour
...Utilization Management Position We're building a world of health around every individual — shaping... ...Services and benefit utilization. Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care setting...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift$26.01 - $68.55 per hour
...one person, one family and one community at a time. Fully remote with requirement to work the following schedule: Monday-Friday 8:00am-4:30pm EST. Position Summary As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayWeekend work- CVS Health is seeking a Registered Nurse for Utilization Management on a work-from-home schedule with weekend coverage. You will assess, plan, implement, coordinate, monitor, and evaluate options to facilitate healthcare services and member benefits. Responsibilities include...Remote jobWork from home
- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely, safe, and appropriate care...Remote jobFull timeWork from home
- ...Health Corporation is seeking an experienced Registered Nurse for Utilization Management. The role examines and coordinates care options, applying... ...a 24/7 environment with weekends, holidays and evenings. Remote work is supported for colleagues who live in-state, with...Remote jobLive inHome officeWeekend workAfternoon shift
$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$26.01 - $68.55 per hour
Utilization Management Nurse - Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization Management team and play a key role in ensuring members...Remote workHourly payFull timeTemporary workLocal areaWeekday work- CVS Health is seeking a Utilization Management Clinical Consultant to work remotely from home, primarily serving Louisiana. The role focuses on examining medical necessity, applying clinical guidelines, and guiding providers in utilization management processes. The position...Remote jobWork from home
$29.1 - $62.32 per hour
...determined in collaboration with management to ensure adequate weekend coverage. Position Summary Utilize your clinical experience and... ...and benefit utilization. Consult and lend expertise to other internal... ...Qualifications Registered Nurse Education: Diploma RN acceptable...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeShift workWeekend work- ...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
$32.01 - $68.55 per hour
...Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends... ...Services and benefit utilization. Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care setting...Hourly payFull timeTemporary workWork at officeLocal areaAfternoon shift- Blue Cypress Consulting is seeking a Senior Utility Management Services (UMS) Consultant to support current projects and facilitate the expansion of our utility... ...of this job. This is a hybrid position (in office/remote). We offer a telecommute option to work once a week...Remote workFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
$66.58k - $142.58k
...alignment with relevant project plans. • Manages and coordinates specific workplans for... ..., and/or facilitating research utilization to improve clinical care and outcomes.... ...technical writing skills • Registered Nurse (RN) required. Adept at problem solving...Remote workHourly payFull timeTemporary workWork experience placementLocal areaWork from homeMonday to Friday- ...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
$80 - $120 per hour
...Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting opportunity for United States-based healthcare... ...Active clinical licensure, with a Registered Nurse license required for nursing leadership...Remote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hoursNight shift- CVS Health seeks a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making. This remote role requires an active RN license, NICU nursing experience, and familiarity...Remote jobWork from home
$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work- ...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in... ...and a member’s benefit coverage while working remotely. Primary Responsibilities • Performs...Remote workContract workWork at office
- ...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
- ...skilled and experienced Registered Nurse with specialties in Medical/... ...skilled nursing care, case management, and hospice care to... ...Certifications: Experience in Utilization Review or case management... ...to work independently in remote settings. Must be able to...Remote workFlexible hours
$70k - $75k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build... ...Job Description The Utilization Management Registered Nurseis responsible... ...education consistent with current nursing practice standards and the...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$71.1k - $97.8k
...caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the coordination... ...role includes a required holiday rotation. This is a remote position. This role is responsible for overseeing...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend workWeekday work- ...Registered Nurse Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of... ...Observation (OBS). Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote work
- Optum is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and preauthorization requests. The role requires documentation of... ...criteria, and coordinating with Medical Directors. Remote options are available for eligible candidates. The position...Remote job
- ...Forest City NC locations; Remote Option Projected Hiring... ...proactive intervention and care management consultation and support to promote high... ...The Care Management Nurse Consultant is responsible for... ...and inappropriate service utilization Assists in quality of care...Remote workWork at office
$80k - $95k
...Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly... ...this role is $80K-$95K. Work location: This is a fully remote role based in the United States. Sponsorship: This position...Remote work- ...Utilization Management Specialist Shift: Monday through Friday 8:00 AM to 4:30 PM, with every fifth... ...~ Must be computer literate and have remote working experience. Compliance... ...City Fort Myers State FL TLC Nursing Associates, Inc. is an equal-opportunity...Remote workContract workWork experience placementLocal areaMonday to FridayShift workWeekend work
- UnitedHealth Group is seeking a remote Utilization Management Nurse located in the Pacific or Mountain Time Zones. The role focuses on prior authorization review across skilled facilities and rehabilitation settings, ensuring efficient, appropriate care decisions. Requires...Remote job
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