Remote UM Nurse Consultant - Spine
CVS Health Corporation
- 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 policies. Collaborate with providers, Medical Directors, and plan teams to ensure medically necessary care while meeting quality and productivity standards. #J-18808-Ljbffr CVS Health Corporation
- ...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 communication and documentation...Remote job
$29.1 - $62.32 per hour
...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... ...specialty spine care? Join our Utilization Management (UM) Spine Team and play a critical role in ensuring...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday- 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 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, and...Remote job
- ...CVS Health Corporation seeks a Remote UM Nurse Consultant RN Precertification Nurse (Telework) to review clinical information, coordinate with providers, and authorize services under evidence-based criteria. The role is full-time, remote, with preference for Virginia...Remote workFull time
- 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...Remote jobFull 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 clinical expertise in a non-bedside role. This role involves conducting concurrent reviews and collaborating with healthcare...Remote workFull timeMonday 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... ...review. Highlights Pay: $26.01 - $56.14/hour Location: Remote, LA Residency: Louisiana residency preferred Schedule: Full-...Remote workFull time$54.1k - $116.77k
...helping to simplify health care one person, one family and 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 to help ensure members receive appropriate,...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$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) 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
...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 background in acute...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home$66.58k - $142.58k
...Appeals Nurse Consultant We're building a world of health around every individual — shaping a... ...dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a... ...required. This position may support UM (includes expedited), MPO, Coding, or Behavioral...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayShift work- CVS Health Corporation is seeking a Utilization Management Nurse Consultant for Medicare Home Care. This remote, full-time role supports Florida members and partners with care teams to ensure appropriate care. You will review cases, make coverage determinations, and coordinate...Remote jobFull timeAfternoon shift
- ...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
$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$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- ...Regional Nurse Consultant RN StoneGate Senior Living in Tulsa, OK is hiring a Regional Nurse Consultant RN for our Tulsa, OK region. A rewarding career is waiting for you at a great facility that specializes in long-term and rehabilitative care! If you are an experienced...Remote workWork at officeWork from homeFlexible hours
- ...Absolute Elder Care is seeking a Remote Nurse Consultant to provide compassionate and expert guidance to seniors and their families. This full-time, remote position includes conducting health care assessments, creating individualized care plans, and using telehealth technology...Remote workFull timeFlexible hours
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Florida-based role focused on Medicare members. The position emphasizes clinical review, collaboration with home care teams, and evidence-based determinations to optimize care and efficiency....Remote workFull timeWeekday work
$85k
...Regional Nurse Consultant (RN) - Assisted Living Americare Senior Living is seeking an experienced Regional Nurse Consultant (RN) to support our Assisted Living communities across the Missouri Region. In this role, you'll serve as a clinical advisor, mentor...Remote workHome officeMonday to FridayNight shift$44 - $60 per hour
...2850 skilled and compassionate doctors physician assistants and nurse practitioners equipped with the latest technologies treatments and... .... Location: Voorhees - 100 Bowman Drive Remote Type: On-Site Employment Type: Employee Employment Classification...Remote workHourly payDaily paidFull timeContract workTemporary workPart timeLocal areaFlexible hoursShift workDay shift3 days per week$4,079 per week
...state inherently dynamic. Your day-to-day activities could span remote villages in the Arctic tundra bustling port towns along the... ...job class please go to the following link and search for Nurse Consultant 1 : Qualifications Competency-Based Minimum Qualifications...Remote workFull timeContract workPart timeWork experience placementFlexible hours- ...Registered Nurse (RN) Opportunity at Sentara Obici HospitalSuffolk, VAMultiple shifts availableOverview... ...Registered Nurse (RN) to join our Ortho/Spine/Bariatrics Unit!We have night shift... ....For positions that are available as remote work, Sentara Health employs associates...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
- Integra Partners Holdings, Inc. is seeking a full-time remote LPN Utilization Management Nurse to perform pre-service and post-service utilization reviews... ...outcomes, and support appeals. It requires strong UM experience in managed care and familiarity with InterQual...Remote jobFull time
$91k - $113k
...Solution, LLC is looking for a passionate and dedicated Virtual Nurse Consultant to join our growing team full time in Conyers, GA. This is an... ...Reliable high-speed internet connection and a suitable remote work environment Compassionate, detail-oriented, and patient...Remote workFull timeFlexible hours$45 per hour
...Living is seeking an experienced Registered Nurse (RN) to support our assisted living and... ...Medford, 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- 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
$62.04k - $102.37k
...Health Service Regulation Job Classification Title Nurse Consultant I (NS) Position Number Grade MH16 About Us The... ...Through Federal Funds This Position Is Eligible For A Fully Remote Work Option Physical Requirements: Ability to sit/stand...Remote workFull timeContract workWork experience placementWork at officeLocal areaNight shiftAfternoon shift- ...MDS, RUGS, Medicare, Medicaid, and OBRA documentation. Review nursing notes to ensure clarity, accuracy, and alignment with resident... ...? Competitive pay and travel opportunities. Hybrid schedule (remote and on-site). Supportive, collaborative team environment. A role...Remote workFull timeContract work
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