Remote Utilization Management Nurse Consultant (RN)
4062 Aetna Resources, LLC
- Remote job
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote Utilization Management team. This full-time role focuses on ensuring appropriate care coverage and optimizing member outcomes within a 4‑day weekend schedule after training. You’ll review clinical data, apply guidelines, coordinate with providers, and serve as a clinical resource across care teams while adhering to HIPAA and safety standards. #J-18808-Ljbffr 4062 Aetna Resources, LLC
- ...Corporation is seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote precertification role. Preference is given to Virginia... ...or candidates holding Virginia and Compact RN licenses. The position involves reviewing clinical...Remote job
- CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information... ...in a high-volume, computer-based setting and support utilization management from home. #J-18808-Ljbffr CVS Health CorporationRemote jobFull time
- CVS Health is seeking an experienced RN for a fully remote Precertification Nurse role within Utilization Management. Virginia residents are preferred, with a compact RN license and at least 3 years of nursing experience. You will review requests, gather documentation,...Remote job
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and... ...experience, UR/Managed Care experience, and an active RN license. The role involves coordinating care and...Remote work
$29.1 - $62.32 per hour
...community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize... ...-Must have active current and unrestricted RN license in state of residence -Minimum of 3 years...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant to apply clinical judgment and guidelines to determine appropriate benefits across the continuum of care. This full-time role supports a 24/7 operation, with scheduled weekends, holidays and evening...Remote workFull timeWeekend workAfternoon shift
$32.01 - $68.55 per hour
...time. Position Summary Utilization Management is a 24/7 operation and work... ...and benefit utilization Consults and lends expertise to other... ...experience as a Registered Nurse in adult acute care/critical... ...current and unrestricted RN licensure in state of residence...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... ..., and evening hours.* **UM Nurse Consultant**Fully Remote- WFHPerm Schedule-... ...care RNActive and unrestricted RN licensure in state of residenceAble...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shift$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond the bedside? Join our team and use your clinical expertise to ensure members receive the...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shiftWeekday work$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 workWork at officeWork from homeAfternoon shift- 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... ...documentation. The position requires active RN licensure, 3+ years of acute behavioral health or...Remote job
- 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. The role focuses on applying clinical judgment and evidence-based... ...cases when needed. The position requires an active RN license, 3+ years in behavioral health or substance abuse...Remote 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... ...documentation. The position requires an active RN license, 3+ years in behavioral health, and a mandatory...Remote jobFlexible hours
- CVS Health Corporation is seeking an experienced Utilization Management Nurse Consultant (RN) to support remote concurrent review. You will review authorization requests, determine medical necessity, and apply clinical criteria to inform denials or approvals while collaborating...Remote job
- CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information,... ...coordinate care and referrals. The position requires an active RN license and 2+ years of adult acute/critical care...Remote jobWeekend workAfternoon shift
- 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...Remote jobFull time
- 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... ...on-call elements. The position requires an active RN license and 3+ years in acute behavioral health/...Remote jobMonday to Friday
- CVS Health Corporation in Springfield, IL is hiring a Utilization Management Nurse Consultant to assess and coordinate care, applying clinical criteria... ...holiday and evening hours. Requirements include 2+ years of RN clinical experience in adult acute/critical care, active...Remote jobShift workWeekend workAfternoon shift
- CVS Health Corporation is seeking an experienced Utilization Management Nurse Consultant to support remote, full-time operations. This role is open to CST residents with a 40-hour workweek and a schedule that fits hospital-like shifts while maintaining work‑life balance...Remote jobFull timeShift work
$26.01 - $62.32 per hour
About This Role The Utilization Management Nurse Consultant at CVS Health is a detail-oriented RN role focused on improving healthcare outcomes by ensuring members receive... ...assessment and collaboration within a remote work environment. Highlights Pay: $26.01 - $62...Remote workFull timeShift workWeekend work$32 - $69 per hour
About This Role The Utilization Management Nurse Consultant at CVS Health is responsible for assessing, planning... ...Highlights Pay: $32 - $69/hour Location: Remote, CA Schedule: Full-time, includes... ...Active current and unrestricted RN licensure in state of residence required...Remote workFull timeAfternoon 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 - $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/holidays...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$29.1 - $62.32 per hour
...URAC-accredited medical management organization founded in... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply... ...information from providers. Remote Work Expectations This... ...Associate's degree in nursing (RN) required, BSN preferred...Remote jobHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend 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
- CVS Health is seeking a Nurse Consultant for a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient... ...providers and internal teams. The role requires an active RN license, 3+ years in acute behavioral health/substance...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,... ...supporting URAC guidelines. The position requires an active RN license, 3+ years of behavioural health experience,...Remote job
$26.01 - $56.14 per hour
Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Sunday - Thursday Schedule We'... ...LPC) or Active, unrestricted Compact RN license with psychiatric specialty... ...Behavioral Health clinicians Registered Nurse with psychiatric specialty...Remote workHourly payFull timeTemporary workLocal area- CVS Health is seeking a licensed Behavior Analyst (LBA) and Board Certified Behavior Analyst (BCBA) for a 100% remote Utilization Management consultant role. The position supports Florida residents, with standard Monday-Friday 8:00 AM-5:00 PM EST hours. The candidate will...Remote jobMonday to Friday
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