Remote Utilization Management Nurse Consultant
CVS Health
- Remote job
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 Office skills and Med/Surg background are required. Work is in a 24/7 Utilization Management environment with holiday/evening hours; Associates degree required, BSN preferred, and RN licensure must be active and unrestricted in #J-18808-Ljbffr CVS Health
$54.1k - $116.77k
...one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | 24/7 Operations Are you an... ...health outcomes Serve as a clinical resource and consultant to internal and external stakeholders WHAT YOU BRING...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$60.53k - $129.63k
...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 Schedule Are you a Registered Nurse ready to make an impact...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...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
$60.53k - $129.63k
...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 | Monday-Friday Are you a Registered Nurse looking to leverage your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$54.1k - $116.77k
...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health... ..., 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 an Utilization Management Nurse Consultant to review clinical cases and make coverage decisions in a remote, full-time role. You will collaborate with providers and care teams, apply clinical judgment, and support utilization and benefit management...Remote workFull timeWork at office
- ...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 workFull timeWeekday work
- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive the right care at the right time. You will review cases, collaborate with providers, and use evidence-based guidelines...Remote workFull timeLocal areaMonday to FridayAfternoon shift
$26.01 - $62.32 per hour
...bigger - helping to simplify health care one person, one family and one community at a time. RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) Remote | Full-Time | Monday-Friday (9:00 am to 5:30 pm in your time zone, with occasional evenings/...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- 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. You...Remote jobWork from home
- 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 jobWork from homeWeekend work
- CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, collaborate with providers to authorize care, and elevate cases when needed...Remote job
- CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations remotely. The role requires collaborating with providers and care teams to coordinate treatment plans and ensure appropriate member...Remote job
- CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorizing care, and escalating cases when needed. The...Remote job
- CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN) to work remotely on a full-time Weekday schedule. You will review cases, determine coverage, and collaborate with care teams to ensure appropriate treatment, while applying clinical...Remote jobFull timeWeekday work
- 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 jobFull timeWeekday work
$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience to assess, plan, implement, and... ...healthcare delivery. Highlights Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or CST Schedule: 24/7...Remote workWork at officeWork from homeAfternoon shift- CVS Health is seeking a Registered Nurse to assess, plan, implement, coordinate and evaluate healthcare services for members.... ...decisions and referral opportunities while maintaining high-quality utilization management practices. The role requires an active RN license, 2+ years...Remote jobWeekend workAfternoon shift
- CVS Health is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for... ...acute/critical care and utilization management, offering remote work in California and a full-time schedule, including...Remote jobFull timeAfternoon shift
- CVS Health in the United States seeks a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role supports timely, medically necessary care through clinical review and collaboration with providers. The position emphasizes precision,...Remote job
- CVS Health is seeking an experienced Utilization Management RN to join our remote team. You will review authorization requests, assess medical necessity,... ...an active RN license (multi-state preferred), 3+ years of nursing, 2+ years in UM/Prior #J-18808-Ljbffr CVS HealthRemote job
- CVS Health is hiring a Nurse Consultant for a 100% remote Utilization Management role. You will apply clinical judgment to review inpatient and outpatient services, authorize care, and collaborate with providers while maintaining precise documentation. The position requires...Remote jobFlexible hours
- 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 jobWork at office
- CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring... ...and support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-Ljbffr CVS Health...Remote jobFull time
- CVS Health is seeking an experienced registered nurse to join our care coordination team in the EST region. You will assess, plan, implement... ...teams, identify referral opportunities, and promote efficient utilization and quality care. This full-time, onsite role requires strong...Remote jobFull time
- CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement and evaluate services for members, with a strong focus on utilization management and care coordination. Ideal...Remote jobAfternoon shift
- CVS Health is seeking an Utilization Management Nurse Consultant to ensure Medicare members receive appropriate care. This is a remote, full-time role with a weekday schedule and a base hourly pay range. You will review cases, collaborate with providers, and apply clinical...Remote jobHourly payFull timeWeekday work
- CVS Health is seeking an experienced Registered Nurse to join the Utilization Management team in a remote role. You will review clinical information, apply evidence-based criteria, and collaborate with providers to ensure appropriate, high-quality care and benefits for...Remote job
- 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 jobFull timeMonday to Friday
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to work remotely on a full-time weekend schedule. You will review clinical information to support coverage determinations, apply guidelines, and collaborate with care teams to...Remote jobFull timeWork at officeWeekend work
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