Remote Utilization Management Nurse Consultant (RN)
CVS
CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports utilization management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities include reviewing medical necessity, coordinating with providers, and ensuring timely care while meeting state and federal requirements. Strong documentation and communication skills are essential. #J-18808-Ljbffr
Vacancy posted 13 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant (RN) in New York, NY vacancy
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Hispanic Alliance for Career Enhancement
Florida, NY1 day ago - ...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...Remote work
Hispanic Alliance for Career Enhancement
Seattle, WA3 days ago - ...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...Remote workFull timeWeekday work
Hispanic Alliance for Career Enhancement
Iowa, LA3 days ago - ...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...Remote workFull time
CVS Health
Doral, FL1 day ago - ...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... ...timelines. Minimum requirements include an active RN license and 2+ years of acute hospital experience....Remote work
Hispanic Alliance for Career Enhancement
New York, NY4 days ago - ...CVS Health is hiring a Utilization Management Nurse for precertification. This full-time, remote role involves reviewing clinical data, applying evidence-based criteria,... ...quality coverage decisions. The ideal candidate is an RN with 3+ years of clinical experience, holds an...Remote workFull time
Hispanic Alliance for Career Enhancement
Saint Paul, MN3 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote role prioritizing Massachusetts residents. You will coordinate the utilization/benefit... ...applying clinical criteria to determine coverage. An RN with licensure and BSN preferred fits well. #J-18808-...Remote work
Hispanic Alliance for Career Enhancement
Oklahoma City, OK13 hours ago $26.01 - $62.32 per hour
...bigger - 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 ScheduleAre you a Registered Nurse ready to make an impact beyond the...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday workCVS Health
New Hampshire, OH2 days ago- ...Alliance for Career Enhancement is seeking an experienced Utilization Management Nurse - Precertification RN whose primary focus is ensuring appropriate, high-quality care through the precertification process. This remote, full-time role emphasizes evidence-based decision-...Remote workFull time
Hispanic Alliance for Career Enhancement
Topeka, KS3 days ago $29.1 - $62.32 per hour
...UM Nurse Consultant We're building a world of health around every individual... ...community at a time. Utilization Management is a 24/7 operation and... ...evening hours. Fully Remote- WFH Schedule: Monday-Friday... ...Med Surg experience as an RN in the hospital setting -...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shiftOak St. Health
United States4 days ago- ...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... ...-effective care. The position requires an active RN license, 2+ years hospital experience, strong...Remote work
Hispanic Alliance for Career Enhancement
Raleigh, NC2 days ago $29.1 - $62.32 per hour
...UM Nurse Consultant We're building a world of health around every individual — shaping... ...family and one community at a time. Utilization Management is a 24/7 operation and work schedule... ...+ years of Med Surg experience as an RN in the hospital setting ~ Active and...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shiftOak St. Health
United States4 days ago- ...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
Hispanic Alliance for Career Enhancement
Wausau, WI3 days ago $32.01 - $68.55 per hour
..., 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 hoursThe Muse
Albany, NY13 hours ago$32.01 - $68.55 per hour
...CVS Health Utilization Management Position We're building a world of health... ...and benefit utilization. Consults and lends expertise to other... ...experience as a Registered Nurse in adult acute care/critical... ...active current and unrestricted RN licensure in state of...Remote workHourly payFull timeTemporary workWork at officeAfternoon shiftOak St. Health
United States2 days ago$26.01 - $56.14 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a... ...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American... ...Qualifications ~ Active, unrestricted RN license in your state of residence...Remote workHourly payFull timeTemporary workMonday to FridayFlexible hoursShift workCVS Health
United States13 hours ago$26.01 - $68.55 per hour
...Utilization Management Nurse - Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization Management team and play a key role in ensuring...Remote workHourly payFull timeTemporary workLocal areaWeekday workCVS Health
Topeka, KS3 days ago$32.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApplyremote type: Remotelocations: IL - Work from hometime type: Full timeposted on: Posted Todaytime... ...community at a time.**Utilization Management Nurse Consultant (RN)****Remote | Full-Time***Utilization Management is a 24/7...Remote workHourly payFull timeTemporary workLocal areaAfternoon shiftCVS Health
Springfield, IL2 days ago- 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
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- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to EST residents across the U.S. You will apply... ...-5:00 PM EST, with some weekend/holiday coverage. RN license active, 2+ years acute hospital experience...Remote jobFull timeMonday to FridayWeekend work
- ...California is seeking a Registered Nurse for a temporary Utilization Management role. You will ensure prior authorizations... .... Required are an active CA RN license and at least five years in... ...substitute for experience. Hybrid work and remote- interview options are offered. #J-...Remote workTemporary work
Central California Alliance for Health
San Jose, CA1 hour ago - ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected... ...the utilization/benefit management program. Requires an RN (consideration for LCSW) with unrestricted active license...Work at officeWeekend work
Careers Integrated Resources Inc
Downers Grove, IL2 days ago - ...CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, full-time role open to CST zone candidates. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring appropriate care levels within...Remote workFull time
4062 Aetna Resources, LLC
Topeka, KS4 days ago $59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend workkozmetickesluzby.vecnakraska.sk - Jobboard
Phoenix, AZ3 days ago- ...Remote, RI Contract Job Description: Responsible for the review and evaluation... ...~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred.... ...Prior Authorization. Education: ~ RN with current unrestricted state...Remote workContract work
US Tech Solutions
Providence, RI13 hours ago - ...an experienced Organizational Change Management Consultant to support a late-stage technology deployment... ...supporting field operations, utility operations, inspection teams, asset management... ...: August 2026 through March 2027 ~ Remote or hybrid arrangement may be...Remote workFull timeContract work
$70k - $75k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build... ...Job Description The Utilization Management Registered Nurseis responsible... ...education consistent with current nursing practice standards and the...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
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COMAGINE HEALTH
Sacramento, CA1 day ago - ...patient care across skilled nursing and long-term care settings... ...role with some flexibility for remote work based on business needs... ...~ Active, unrestricted RN license in the state of Massachusetts... ...~ Experience in utilization management, medical record review, or long...Remote workWeekend workWeekday work
Optum
Boston, MA1 day ago
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