Remote Utilization Management Nurse Consultant
CVS Health
CVS Health is seeking an experienced Registered Nurse for Utilization Management. The role involves assessing and coordinating healthcare services, applying clinical criteria, and communicating with providers to ensure appropriate care. The position supports a 24/7 operation with weekend and evening shifts, in a remote-friendly environment. The ideal candidate holds an Associate’s degree (BSN preferred) and an active, unrestricted RN license. #J-18808-Ljbffr
Vacancy posted 2 days ago
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- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across the continuum of care. This role requires... ..., and effective communication. A BSN is preferred; remote work is supported within the state(s) of residence....Remote work
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United States2 days ago - ...CVS Health is seeking an experienced Registered Nurse for Utilization Management. The role involves assessing and coordinating healthcare services... ...supports a 24/7 operation with weekend and evening shifts, in a remote-friendly environment. The ideal candidate holds an...Remote workWeekend workAfternoon shift
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Albany, NY2 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) for a remote, full-time role. You will review cases, coordinate care, and apply clinical judgment to support decisions, serving as a resource across stakeholders....Remote workFull timeWeekday work
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Bismarck, ND3 days ago - ...CVS Health is seeking a Registered Nurse for Utilization Management. This remote, full-time role requires 2+ years in adult acute/critical care, an active RN license, and readiness for a 24/7 schedule including weekends and holidays. You will assess, plan, implement...Remote workFull time
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Topeka, KS3 days ago $26.01 - $62.32 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time.RN Utilization Management Nurse Consultant (Medicare - Joint Procedures)Remote | Full-Time | Monday-Friday (9:00 am to 5:30 pm in your time zone, with occasional evenings/...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
Guin, AL2 days ago- ...CVS Health is seeking an experienced Registered Nurse to join the Utilization Management team in a remote role. You will review clinical information, apply evidence-based criteria, and collaborate with providers to ensure appropriate, high-quality care and benefits for...Remote work
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United States4 days ago - ...CVS Health is seeking a Registered Nurse for Utilization Management in a full-time role based in the United States. The position requires a current RN license, 2+ years in adult acute/critical care, and experience with utilization management processes. You will assess...Remote workFull timeAfternoon shift
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United States4 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement and evaluate services for members, with a strong focus on utilization management and care coordination....Remote workAfternoon shift
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Austin, TX4 days ago - ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring... ...planners, and support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-LjbffrRemote workFull time
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Oklahoma City, OK1 day ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote role supporting EST/CST time zones. The position requires 2+ years of RN experience, current unrestricted RN licensure, and ability to work weekends/evenings as part of a 24/7 operation. The...Remote workWork at officeWeekend workAfternoon shift
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United States4 days ago $26.01 - $56.14 per hour
...to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare- Complex Spine Team) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
Boise, ID2 days ago$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 - Utilization Management (Remote) Make a difference in patient care while leveraging your clinical expertise in a dynamic, collaborative...Remote workFull timeWork at officeLocal areaWork from homeAfternoon shiftCVS Health
Kansas City, MO4 days ago$29.1 - $62.32 per hour
...– 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 What You’ll Do Review clinical cases and make coverage...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftCVS Health
Concord, NH1 day ago$32.01 - $68.55 per hour
..., 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 hoursThe Muse
Albany, NY5 days ago$26.01 - $56.14 per hour
...time. Position Summary Utilization Management is a 24/7 operation and work... ...: 8am - 5pm Location: Remote (Central Time) Utilizes clinical... ...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 officeLocal areaAfternoon shiftCVS Health
Topeka, KS4 days ago$26.01 - $56.14 per hour
...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health... ..., is a URAC-accredited medical management organization founded in 1993. We provide... ...complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review,...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift workCVS Health
United States3 days ago$26.01 - $68.55 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ..., one family and one community at a time. Fully remote with requirement to work the following schedule:...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayWeekend workCVS Health
Colville, WA1 day ago$29.1 - $62.32 per hour
...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Management Nurse Consultant based in Canada. We are seeking an experienced Registered Nurse to join a remote Utilization Management team in a non-...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftJobgether
New York, NY2 days ago$60.53k - $129.63k
...community at a time. Position Summary Utilization Management is a 24/7 operation and work schedules... ...Services and benefit utilization Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$26.01 - $68.55 per hour
...determined in collaboration with management to ensure adequate weekend... .... Position Summary Utilize your clinical experience and... ...and benefit utilization. Consult and lend expertise to other internal... ...Registered Nurse Education: Diploma RN acceptable...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend workCVS Corporation
United States2 days ago$60.53k - $129.63k
...Health, is a URAC-accredited medical management organization founded in 1993. We... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment... ...information from providers. Remote Work Expectations This is a 10...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- CVS Health is seeking a qualified Registered Nurse for a remote Utilization Management role. You will assess and coordinate care, apply clinical criteria, and collaborate with providers to ensure appropriate services for members. Responsibilities include reviewing cases...Remote jobFull timeWork from home
- CVS Health is seeking a Registered Nurse for Utilization Management. You will assess and coordinate care, apply clinical criteria to determine coverage, and communicate with providers to support appropriate treatment. The role requires collaboration across teams and a...Remote job
- CVS Health is seeking a skilled Utilization Management RN to support our 24/7 operation. This role requires clinical assessment and coordination... ...candidate will have 2+ years of adult acute/critical care nursing, an active RN license, and experience with utilization...Remote job
$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience to assess, plan, implement, and... ...healthcare delivery. Highlights Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or CST Schedule: 24/7...Remote workWork at officeWork from homeAfternoon shift- CVS Health is seeking an Utilization Management Nurse Consultant who must reside in Florida. This remote, full-time role reviews clinical information to ensure appropriate care, applies medical necessity criteria, and coordinates utilization management with providers and...Remote jobFull time
- CVS Health is seeking an RN for a weekend, full-time, work-from-home role. The position requires Saturday and Sunday coverage with multiple scheduling options to meet operations. You will assess, plan, implement, coordinate, monitor, and evaluate healthcare services and...Remote jobFull timeWork from homeWeekend work
- Jobgether, on behalf of a partner organization, seeks an experienced Registered Nurse for a remote Utilization Management role. You will review cases, assess medical necessity, and support prior authorization decisions while collaborating with providers and interdisciplinary...Remote job
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