Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Medicare Utilization Nurse Consultant

CVS Health

Phoenix, AZ
  • Remote job

CVS Health is seeking an RN Utilization Management Nurse Consultant. This full-time role is remote within the state, with a 40-hour work week, primarily Mon-Fri, and includes evening/holiday coverage as needed in a 24/7 operation. You will assess and coordinate care, render determinations using clinical criteria, and collaborate with providers to optimize benefits and services for members. #J-18808-Ljbffr CVS Health

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Medicare Utilization Nurse Consultant in Phoenix, AZ vacancy
  • CVS Health is looking for a Utilization Management Nurse Consultant (Clinical Precertification RN) to evaluate cases and ensure appropriate care for Medicare members. This remote, full-time role follows a weekday schedule with a base hourly pay range. You will review cases... 
    Remote job
    Hourly pay
    Full time
    Weekday work

    CVS Health

    Milton, MA
    2 days ago
  • CVS Health is seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification, assesses clinical information, and renders coverage determinations in collaboration with care teams. The position... 
    Remote job
    Work at office
    Afternoon shift

    CVS Health

    New York, NY
    2 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. You will assess and coordinate care, determine coverage and communicate with...  ..., an active RN license, and Med/Surg exposure. Remote work from home with flexible scheduling and HIPAA... 
    Remote job
    Work at office
    Work from home
    Flexible hours

    CVS Health

    Sacramento, CA
    2 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care,... 
    Remote job
    Work at office
    Weekend work

    CVS Health

    Phoenix, AZ
    2 days ago
  • CVS Health is hiring an RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) for remote, full-time work. You will review Medicare precertification data, apply criteria, and coordinate care plans to ensure appropriate treatment and utilization. The role... 
    Remote job
    Full time
    Work at office

    CVS Health

    King, WI
    14 hours ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, coordinate, and determine appropriate healthcare services for members. The role emphasizes collaboration with providers to facilitate care and referrals, leveraging clinical... 
    Remote job
    Work at office

    CVS Health

    Kansas City, MO
    2 days ago
  • CVS Health is seeking a Nurse Consultant for a remote role focused on inpatient clinical reviews. The position emphasizes collaboration with hospitals and care teams to ensure appropriate levels of care and efficient discharge planning from a non-bedside capacity. Ideal... 
    Remote job

    CVS Health Corporation

    Louisiana, MO
    1 day ago
  •  ...CVS Health in West Virginia is seeking a Medicare Precertification Utilization Management Nurse Consultant to support a 24/7 operation and remote work from home. The role requires strong nursing credentials, Med/Surg exposure, and utilization management experience.... 
    Remote work
    Work from home

    CVS Health

    Charleston, WV
    1 day ago
  • CVS Health is hiring a Medicare Clinical Predetermination Nurse in the United States. The role requires RN licensure, Med/Surg experience, and strong...  ...ET or CT with holiday rotations. The position supports utilization management in a 24/7 operation, with opportunities to... 
    Monday to Friday

    CVS Health

    New York, NY
    1 day ago
  • $66.7k - $110.05k

     ...Public Health Job Classification Title Nurse Consultant II (NS) Position Number 60040883...  ...within clinical program environments. ~ Utilized advanced clinical judgment to interpret...  ...This Position Is Eligible For A Fully Remote Work Option Physical Requirements:... 
    Remote work
    Full time
    Work experience placement
    Private practice
    Work at office
    Local area
    Night shift

    State of North Carolina

    Remote
    2 days ago
  •  ...AlphaGov delivers public-sector consulting for cities, counties, school systems, special districts, utilities, and related agencies. Our work spans classification and compensation...  ...project-based collaborators. Engagements are remote-first with occasional client travel. When you... 
    Remote work
    Contract work
    Bank staff

    AlphaX

    Remote
    3 days ago
  • $66.58k - $142.58k

     ...Appeals Nurse Consultant We're building a world of health around every individual — shaping...  ...dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a...  ...Appeals, Managed Care, or Utilization Review experience. Proficiency with... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Shift work

    Avery Healthcare Group Ltd.

    United States
    5 days ago
  •  ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage determinations for Medicare beneficiaries. This remote, full-time role follows a weekday schedule, leveraging your RN expertise to ensure appropriate care and outcomes... 
    Remote work
    Full time
    Weekday work

    CVS Health

    Heber City, UT
    1 day 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 work
    Full time
    Weekday work

    CVS Health

    Bismarck, ND
    20 hours ago
  • $71.1k - $97.8k

     ...part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to...  .... Experience working in a fully remote, metrics-focused role Experience...  ...setting Experience as an RN for a Medicare Certified Home Health agency Health... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Home office

    Humana

    Ohio
    9 days ago
  • $71.1k - $97.8k

     ...part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to...  .... Experience working in a fully remote, metrics-focused role Experience...  ...setting Experience as an RN for a Medicare Certified Home Health agency Health... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Home office

    Humana, Inc.

    Montpelier, VT
    2 days ago
  •  ...Health is seeking an experienced Registered Nurse for the Medicare Utilisation Management Nurse Consultant role (Remote, Full-Time). You will help ensure members receive...  ...care quality while supporting care integration and utilization management. #J-18808-Ljbffr CVS Health
    Remote job
    Full time

    CVS Health

    Annapolis, MD
    14 hours ago
  • $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...  ...and identify opportunities to improve healthcare utilization Communicate recommendations and clinical findings to... 
    Remote work
    Full time
    Monday to Friday

    CVS Health Corporation

    Louisiana, MO
    1 day ago
  • CVS Health is seeking an Utilization Management Nurse Consultant for Medicare precertification, remotely accepting applications nationwide. The role emphasizes clinical judgment and collaboration to ensure appropriate care timing and treatment, aligning with Medicare guidelines... 
    Remote job
    Work at office

    CVS Health

    Oklahoma City, OK
    2 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in Indiana. The role uses clinical expertise to assess and coordinate care, determining coverage decisions and communicating with providers to ensure appropriate services. Strong MS... 
    Remote job
    Afternoon shift

    CVS Health

    Muncie, IN
    2 days ago
  • CVS Health is seeking a licensed RN for Utilization Management Nurse Consultant (Medicare) to work remotely in a full-time, Monday-Friday schedule. You will review cases, determine coverage using criteria, and collaborate with care teams to guide treatment planning. This... 
    Remote job
    Full time
    Monday to Friday

    CVS Health

    Tallahassee, FL
    1 day ago
  • An established industry player seeks a Principal Consultant to lead utilities civil litigation efforts. This role involves providing expert guidance, managing client relationships, and overseeing complex legal cases. The ideal candidate will have extensive experience in... 
    Remote job

    Concentric Energy Advisors

    Marlborough, MA
    14 hours ago
  • $26.01 - $62.32 per hour

    Medicare Precertification Utilization Management Nurse Consultant (RN) Remote | Full-Time | Weekends Are you a detail-oriented RN passionate about improving healthcare outcomes? Join our Utilization Management team and play a key role in ensuring members receive the right... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Shift work
    Weekend work
    Afternoon shift

    CVS Health

    Alton, IL
    2 days ago
  •  ...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 work
    Full time
    Work from home

    Shawnee Senior Living, LLC

    Herrin, IL
    3 days ago
  •  ...CVS Health is seeking an experienced Registered Nurse to support utilization management from a remote home-based setting across the United States. The role involves assessing patient needs, planning and coordinating care, and collaborating with providers to render coverage... 
    Remote work
    Work from home
    Weekend work

    4062 Aetna Resources, LLC

    Columbia, SC
    4 days ago
  • $128k - $191k

    Job Title Principal Consultant - Utility Revenue Requirements Specialist Location Marlborough, MA or Washington, DC; open to remote employees Company Description Concentric Energy Advisors, Inc. ( (“Concentric”) is an employee‑owned management consulting and financial... 
    Remote work
    Work at office
    Flexible hours

    Concentric Energy Advisors

    Marlborough, MA
    3 days ago
  • $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 work
    Full time
    Flexible hours

    APremium Healthcare Solution, LLC

    Remote
    16 days ago
  • $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 work
    Hourly pay
    Part time

    VitaCare Living Rice Lake I & Rice Lake II

    Spooner, WI
    3 days ago
  • $95k - $105k

     ...Experienced MDS RN Nurse Consultant Are you an experienced MDS nurse who's ready for more flexibility...  ...role that offers a mix of on-site and remote work? If so, this position is for you!...  ...electronic submission of MDS, RUGS, Medicare, Medicaid, and OBRA documentation.... 
    Remote work
    Full time
    Contract work
    Flexible hours
    Night shift

    AHI - Advanced Health Institute

    Minneapolis, MN
    14 hours ago
  •  ...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

    CVS Health

    Clifton, TX
    14 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medicare Utilization Nurse Consultant. Be the first to apply!