Remote UM Nurse Consultant - Medicare Precertification (RN)
CVS Health
CVS Health is seeking a Utilization Management Nurse Consultant – Clinical Precertification RN (Medicare) for a remote, full-time role. The position supports utilization management and prior authorization decisions, collaborating with providers and care teams to ensure appropriate care and outcomes.
The ideal candidate holds an RN license, 3+ years of nursing experience (including 1 year in Medical‑Surgical), and proficiency in MS Office.
#J-18808-Ljbffr- ...CVS Health in Rhode Island is seeking a Medicare Precertification Utilization Management Nurse Consultant to join a 24/7 operation. The role uses clinical expertise... ...and evening hours. This role requires 3+ years of RN experience, active licensure, 1+ year Med/Surg, and...Remote workMonday to FridayAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, plan, coordinate, and evaluate care options for members within a 24/7 Utilization Management operation. The role emphasizes collaboration with providers to facilitate appropriate...Remote work
- ...CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role with a Monday–Friday schedule. You’ll review precertifications, apply criteria, and coordinate care to ensure members receive appropriate...Remote workFull timeWork at officeMonday to Friday
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant via remote work in the United States. The role requires RN licensure and 3+ years of nursing experience, with Med/Surg exposure and proficiency in Microsoft Office. You will assess...Remote workWork at officeAfternoon shift
- ...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant remote in the United States. The role requires ~3+ years of RN experience, active RN license, and 1+ year Med... ...shifts as needed for a 24/7 UM operation. You will assess, coordinate...Remote workWork at officeMonday to FridayAfternoon shift
- CVS Health Corporation is seeking a precertification nurse for a remote role, ideally with Virginia licensure or willingness to obtain compact licensure. The role involves reviewing clinical information from providers to authorize procedures and coordinate Medical Director...Remote jobWeekday work
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for a remote full-time role with weekend coverage. You will review clinical information to support coverage determinations, apply guidelines, and collaborate with care teams to...Remote jobFull timeWork at officeWeekend work
- CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote, full‑time team. The role focuses on ensuring appropriate care and coordinating with providers to optimize member outcomes, with a weekend‑heavy...Remote jobFull timeWork at officeShift workWeekend work
$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... ...Residency: Must reside in Louisiana or have Compact RN licensure What You'll Do Conduct concurrent reviews for...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... ...Pay: $26.01 - $56.14/hour Location: Remote, LA Residency: Louisiana residency preferred... ...: Active, unrestricted multi-state RN license in your state of residence, or the...Remote workFull time- ...CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with ~3+ years of clinical experience and active licensure in the state of residence. You will coordinate care, apply clinical criteria,...Remote workWork from homeAfternoon shift
- ...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant. The role involves assessing care options, applying clinical criteria, and coordinating... ...appropriate services are delivered. Requires RN licensure and 3+ years of nursing experience, with...Remote workFull timeWork from homeMonday to Friday
- ...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...Remote workHourly payFull timeWeekday work
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in the United States. The role runs Monday–Friday, 9:00am–5:30pm in the candidate’s time zone, with 24/7 utilization management scheduling including holidays and evenings. You...Remote workMonday to FridayAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with 3+ years of experience and active licensure in the state of residence. The position involves remote work with a Monday–Friday schedule, some evenings...Remote workMonday to FridayAfternoon shift
- ...seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification, assesses clinical information, and... ...teams. The position requires 3+ years of RN experience, an active RN license, and familiarity...Remote jobWork at officeAfternoon shift
$26.01 - $56.14 per hour
Concurrent Review Nurse (RN) 100% Remote | Monday-Friday, 8:00 AM-5:00 PM CST Occasional Weekend & Holiday On-Call Coverage We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeMonday to Friday$29.1 - $62.32 per hour
...one community at a time. Utilization Management Nurse Consultant – Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a... ...experience Experience using MedCompass or similar UM platforms Ambulatory surgery or outpatient clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$26.01 - $56.14 per hour
...utilization management (UM) reviews and... ...including Skilled Nursing Facilities (SNF), Inpatient... ...care. The UM Nurse Consultant evaluates medical... ...Registered Nurse (RN) license in the... ...Experience in Medicaid, Medicare, or Commercial... ...Experience working in a remote environment....Remote workHourly payFull timeTemporary workLocal area$66.58k - $142.58k
...Appeals Nurse Consultant We're building a world of health around every individual... ...Nurse Consultant to join our remote team. In this role, you will... ...This position may support UM (includes expedited), MPO, Coding... ...have active and unrestricted RN licensure in state of...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayShift work- ...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...Remote workFull timeAfternoon shift
- ...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...Remote workFull timeWork at office
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full‑time role requires RN licensure in the state of residence and 3+ years of RN experience... ...that includes holidays and evenings, and remote work within the U.S. The role focuses on...Remote workFull timeWork at officeAfternoon shift
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. You will assess and coordinate care, determine... .... The role requires 3+ years of RN experience, an active RN license, and Med/Surg exposure. Remote work from home with flexible...Remote jobWork at officeWork from homeFlexible hours
- 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 jobWork at officeWeekend work
- CVS Health is seeking a remote Utilization Management Nurse Consultant to review cases, determine coverage, and coordinate care. You’ll bring RN licensure, 3+ years of experience, including Med/Surg, and work a Monday-Friday schedule in your time zone. This role emphasizes...Remote jobWork at officeMonday to Friday
- CVS Health is seeking an Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) for a remote, full-time role. The position supports treatment... ...years of RN experience (1 in Medical-Surgical), and UM/Care Management experience. Strong Microsoft...Remote jobFull timeWork at office
- ...Utilization Management (UM) Nurse, you are the primary... ...administrative compliance. Unlike remote roles, this position... ...a Registered Nurse (RN) responsible for... ...Physician Consultation: Meet in person with attending... ...condition-code 44 or Medicare observation notices (MOON...Remote workFull timeImmediate startShift work
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, coordinate, and determine appropriate healthcare services for members... ...practices. The position requires an active RN license, 3+ years of nursing experience, and comfortable...Remote workWork at office
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgement... ...with BSN preferred, and RN licensure must be active in the... ...MedCompass experience is valued; remote work is available to qualified...Remote workAfternoon shift
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