Remote Utilization Management Nurse Consultant
Hispanic Alliance for Career Enhancement
- Remote job
CVS Health is seeking a Utilization Management Nurse Consultant for a remote role prioritizing Massachusetts residents. You will coordinate the utilization/benefit management program and ensure timely, appropriate care and location-specific turn-around times. Key duties include reviewing medical necessity, coordinating with facilities and providers, and applying clinical criteria to determine coverage. An RN with licensure and BSN preferred fits well. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$29.1 - $62.32 per hour
...of something bigger - helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) - Remote (U.S.) Make an impact from home while helping members receive the right care at the right time. We are seeking...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Remote | Utilization Management | Work from Home Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive appropriate...Remote workHourly payFull timeTemporary workLocal areaWork from homeAfternoon shift- ...CVS Health Corporation is seeking a Utilization Management Nurse Consultant for a fully remote role. You will assess and coordinate care options, apply clinical criteria to determine coverage, and communicate with providers to ensure appropriate services for members....Remote workWork at office
$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will...Remote workFull timeAfternoon shift$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will...Remote workHourly payFull timeTemporary workAfternoon shift$32.01 - $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 health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with...Remote workFull timeAfternoon shift$26.01 - $56.14 per hour
...Utilization Management Nurse (RN) – 24/7 Operations Location: Remote (Preference for CST/MT time zones) Schedule: 8:00 am to 5:00 pm Includes evenings, weekends, and holidays Are you a detail-oriented RN with a passion for improving patient outcomes and healthcare...Remote workHourly payFull timeTemporary workLocal areaAfternoon shift$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... ...and one community at a time. This is a full time remote Utilization Management opportunity. As a Utilization...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayAfternoon shift$29.1 - $62.32 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Afternoon/Evening Shifts Available | 24/7 Operations Are you an experienced RN looking to bring your...Remote workHourly payFull timeTemporary workLocal areaAfternoon shift$26.01 - $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 | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday work- ...CVS Health is seeking an Utilization Management Nurse Consultant (Clinical Precertification RN) for Medicare, remotely. This full-time role asks for an active RN license and several years of experience to evaluate care and determine coverage using evidence-based guidelines...Remote workFull timeAfternoon shiftWeekday work
$26.01 - $56.14 per hour
...00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American... ..., 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 work- CVS Health is seeking a Utilization Management Nurse - Precertification RN to support remote precertification processes. The role requires an active RN license and 3+ years of clinical nursing experience, with strong decision-making using evidence-based criteria. You will...Remote job
- ...Alliance for Career Enhancement is seeking an experienced Utilization Management Nurse - Precertification RN whose primary focus is ensuring appropriate... ...-quality care through the precertification process. This remote, full-time role emphasizes evidence-based decision-making...Remote jobFull time
- CVS Health in the United States is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role available to candidates in EST or CST zones. You will apply clinical expertise to ensure members receive safe, effective care at the right time and...Remote jobFull time
- CVS Health is hiring a Utilization Management Nurse Consultant for a 100% remote role focused on the EST zone. You will review medical necessity, coordinate care, and apply clinical criteria to ensure safe, cost-effective benefits, while meeting regulatory timelines. Required...Remote job
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to coordinate, document, and communicate all aspects of the utilization and benefit management process. This 100% remote role supports members to receive appropriate care while meeting state...Remote job
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote position in the EST zone. The role focuses on coordinating, documenting, and communicating utilization and benefit management, ensuring appropriate level of care while meeting...Remote job
- CVS Health is seeking an experienced Utilization Management Nurse - Precertification RN to work remotely on a full-time, weekday schedule. You will review clinical information, apply criteria, and authorize services while collaborating with providers to support timely coverage...Remote jobFull timeWeekday work
- CVS Health is hiring a Utilization Management Nurse for precertification. This full-time, remote role involves reviewing clinical data, applying evidence-based criteria, and authorizing services within guidelines. You will work with providers and internal teams to ensure...Remote jobFull time
- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% remote role open to EST residents. You will coordinate, document, and communicate UM processes, ensuring timely and appropriate care while complying with state and federal requirements...Remote job
$32.01 - $68.55 per hour
...Utilization Management Nurse Consultant (RN) Remote | Full-Time Utilization Management is a 24/7 operation. Work schedules may include weekends, holidays, and evening hours. Are you a Registered Nurse looking to leverage your clinical expertise in a collaborative...Remote workFull timeAfternoon shift- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, full‑time role open to CST zone residents. You’ll coordinate, document, and communicate all aspects of utilization and benefit management, ensuring safe, effective care and adherence...Remote jobFull time
- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to CST-zone residents. You will apply clinical expertise to ensure safe, effective, and appropriate care, coordinating utilization and benefits while meeting state...Remote jobFull time
- CVS Health is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role requires an active RN license, 3+ years clinical experience, and 1+ year in Utilization Review/Medical Management. You will apply criteria to determine...Remote job
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a fully remote, full-time position available to CST zone residents. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring timely, appropriate...Remote jobFull time
$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- ...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
- ...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
$46.79 - $72.52 per hour
***REMOTE*** Sr Risk Management Consultant (RN/Registered Nurse) - Sinai Hospital ~ Baltimore, MD ~SINAI HOSPITAL ~QUALITY LBH ~Full-time w/Weekend... ...state and federal regulatory requirements. Utilize the domains of Enterprise Risk Management throughout...Remote workFull timeTemporary workShift workWeekend workDay shift
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