Remote Utilization Management Nurse Consultant
4062 Aetna Resources, LLC
- Remote job
CVS Health is seeking a Nurse Consultant in Utilisation Management for a 100% remote role in the United States. You will review inpatient and outpatient services, authorise care, and coordinate with providers, while maintaining documentation and supporting URAC guidelines. The position requires an active RN license, 3+ years of behavioural health experience, and availability for on-call rotations. Training is a 3-week program with full participation. #J-18808-Ljbffr 4062 Aetna Resources, LLC
- ...CVS Health is seeking a Utilization Management Nurse Consultant to assess, plan, and coordinate healthcare services for members. This role involves 24/7 coverage with weekend/evening hours and requires strong clinical judgment and cross-functional collaboration. Critical...Remote workWork from homeWeekend workAfternoon shift
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and collaborate with providers to support members with complex needs. Qualifications include ADN required,...Remote work
- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (RN) to review authorization requests across medical specialties and determine medical necessity using evidence-based guidelines. The role emphasizes collaboration with providers and care teams to...Remote work
- ...CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information... ...preference. You will operate in a high-volume, computer-based setting and support utilization management from home. #J-18808-LjbffrRemote workFull time
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% remote role available to CST Zone residents in the United States. You will review medical necessity, coordinate care, and ensure timely, appropriate services while meeting state and...Remote workFull time
$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 (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$32.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApply: Remote: IL - Work from home: Work At Home-Ohio: Work At Home-Texas: Work At Home-Georgia: Work At Home-West... ...weekends, holidays, and evening hours.* **UM Nurse Consultant**Fully Remote- WFHPerm Schedule- Monday-Friday 8a-5...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shift$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday- CVS Health is seeking an RN Utilization Management Nurse Consultant for a 100% remote role. The incumbent coordinates, documents and promotes utilization/benefit management to ensure appropriate care and timely discharge planning, in a workload that supports patient outcomes...Remote jobFull timeWork from home
- CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals who thrive in a fast-paced environment and are looking to make a clinical impact without direct patient care. Highlights...Remote job
- CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. This remote role reviews inpatient and outpatient services using clinical judgment and evidence-based criteria, collaborates with providers, authorizes care, and elevates cases...Remote job
$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 purpose...Remote jobFull timeWork at officeWork from homeMonday to FridayAfternoon shift- CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed. Training is mandatory for all...Remote jobMonday to Friday
- CVS Health Corporation is seeking a Utilization Management Nurse Consultant in the United States to apply clinical judgment and coordinate care across the continuum for members. This role supports a 24/7 operation with weekend and evening hours and requires strong communication...Remote jobWeekend workAfternoon shift
- CVS Health Corporation in Columbus, OH is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor and evaluate options for appropriate healthcare services. This 24/7 role includes weekends, holidays and evening hours, with a standard...Remote jobMonday to FridayAfternoon shift
$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$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 (RN) - Utilization Management Remote | Work from Home | Central Time Zone Preferred Are you an experienced Registered Nurse looking to expand your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$29.1 - $62.32 per hour
...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 100%...Remote jobHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...referrals as needed. Ideal candidates have an active RN license, 3+ years of clinical nursing experience, and ability to manage multiple systems in a fast-paced environment while supporting a remote work setup with HIPAA compliance. #J-18808-Ljbffr CVS Health CorporationRemote job
- CVS Health Corporation is seeking an experienced RN for a remote precertification role. You will evaluate clinical information, apply guidelines, and determine authorization for procedures while maintaining a high standard of accuracy and patient privacy. The position...Remote jobWork at office
- CVS Health is seeking an RN Utilization Management Nurse Consultant. This 100% remote role coordinates utilization/benefit management and ensures medical necessity while promoting safe, cost-effective patient care. The ideal candidate holds an active RN license, 2+ years...Remote job
- ..., HIPAA-compliant handling, and coordinating with medical directors as needed. The position requires active RN licensure, 3+ years of nursing experience, and the ability to work standard hours with on-call on weekends or holidays. #J-18808-Ljbffr CVS Health CorporationRemote jobWeekend work
- ...forward. As a healthcare IT consulting and staffing firm, we help health... ...26 - 12/31/2026 Location: Remote We are seeking experienced Epic Tapestry Utilization Management (UM) Workflow Configuration... ...of Prior Authorization nurses, reviewers, and care management...Remote work
- ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice, and we are looking for a Senior Utility Management Services (UMS) Consultant to help lead that growth from the... ...This is a hybrid position (in office/remote). We offer a telecommute option to work...Remote workFull timeFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
- ...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
$60.52k - $129.62k
...alignment with relevant project plans. Manages and coordinates specific workplans for... ...publications, and/or facilitating research utilization to improve clinical care and outcomes.... ...technical writing skills ~ Registered Nurse (RN) required ~ Adept at problem...Remote workHourly payFull timeTemporary workWork experience placementMonday to Friday$60.15 - $85.81 per hour
...Job Summary: The Utilization Management Nurse supports the case management department by providing a variety of utilization management functions... ...weekend coverage ~ Hybrid Position - Primarily remote/work-from-home, with an expectation to be on-site at least...Remote workFull timeWork experience placementWork from homeShift work- ...Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations... ...make critical patient-care decisions. This full-time, remote position offers a competitive salary and comprehensive...Remote workFull time
- ...Humana is seeking a Utilization Management Nurse to leverage clinical nursing skills in coordinating, documenting, and communicating medical service determinations. The role requires independent interpretation and decision making within established guidelines, with collaboration...Remote work
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation... ...center or triage experience Additional Information Remote to work the eastern or central time zone Work at Home...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office
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