Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN - Utilization Management & Care Coordination

CVS Health

Springfield, IL
  • Remote job

CVS Health is seeking a Registered Nurse (RN) for Utilization Management. The role focuses on ensuring members receive appropriate care through evidence-based review and care coordination. The position targets candidates with strong clinical judgment and readiness to work in a 24/7 environment. Ideal candidates hold an active RN license and an associate degree in nursing. 2+ years of acute or critical care experience is preferred, with BSN as a plus. #J-18808-Ljbffr CVS Health

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote RN - Utilization Management & Care Coordination in Springfield, IL vacancy
  •  ...Humana Inc. is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and determinations for medical services and benefit...  ...Utilization Management team, focusing on post-acute care services including SNF, Home Health and DME.... 
    Remote work

    Humana

    United States
    2 days ago
  • $26.01 - $68.55 per hour

     ...Health is seeking a Registered Nurse (RN) for Utilization Management. You will review clinical...  ...determinations, apply guidelines, and coordinate care with providers to ensure appropriate care. This full-time role offers remote work from home in the United States,... 
    Remote job
    Hourly pay
    Full time
    Work from home

    CVS Health

    Austin, TX
    12 hours ago
  •  ...is seeking an experienced Registered Nurse (RN) to join our Utilization Management team, where you'll help ensure members receive the right care at the right time through evidence-based clinical review and care coordination. You will review information, apply guidelines... 
    Remote job

    CVS Health

    Lincoln, NE
    1 hour ago
  • CVS Health seeks a Registered Nurse (RN) for Utilization Management to ensure appropriate care through clinical review and coordination. You will review information, apply guidelines, and collaborate with providers to support optimal patient outcomes. Ideal candidates... 
    Remote job
    Flexible hours

    CVS Health

    Brooklyn, NY
    12 hours ago
  • CVS Health is seeking a Registered Nurse (RN) to join the Utilization Management team in a full-time, remote-capable role. You will review clinical information, apply guidelines, and coordinate care to ensure members receive the right care at the right time. The role requires... 
    Remote job
    Full time

    CVS Health

    Las Vegas, NV
    1 hour ago
  • Humana is seeking an Utilization Management Nurse 2 to coordinate, document, and communicate medical services and benefit determinations. The role requires...  ...-making, and strong telephonic communication in a remote setting. The candidate will interpret clinical data to... 
    Remote job

    Humana

    Phoenix, AZ
    4 days ago
  • CVS Health is hiring a Registered Nurse (RN) for Utilization Management. You will review clinical information to...  ...decisions, apply guidelines, and coordinate with healthcare teams to ensure patients receive appropriate care. The role requires strong communication... 
    Remote job
    Flexible hours

    CVS Health

    Kansas City, MO
    1 hour ago
  •  ...Health is seeking a Registered Nurse (RN) for Utilization Management to help ensure members receive appropriate care through evidence-based review and care coordination. You will review information,...  .... The role emphasizes flexible, remote work within the state and a 24/7... 
    Remote job
    Flexible hours

    CVS Health

    Bismarck, ND
    1 hour ago
  •  ...States seeks a Registered Nurse (RN) for Utilization Management to review coverage and guide care decisions across the continuum...  ...evidence-based review, care coordination, and collaboration with...  ...The position is full-time and remote, with requirements for a flexible... 
    Remote job
    Full time
    Work at office
    Flexible hours

    CVS Health

    Helena, MT
    1 hour ago
  • CVS Health is seeking a Registered Nurse (RN) for Utilization Management to help ensure members receive appropriate care through evidence-based clinical review and care coordination. This full-time role supports a 24/7 operation and requires an active RN license and at... 
    Remote job
    Full time

    CVS Health

    Indianapolis, IN
    1 hour ago
  •  ...experienced Registered Nurse (RN) to join our Utilization Management team. You will help...  ...members receive the right care at the right time through...  ...clinical review and care coordination. Active RN license and 2+...  ...weekends, and holidays, in a remote-capable environment... 
    Remote job
    Flexible hours
    Afternoon shift

    CVS Health

    Phoenix, AZ
    2 days ago
  • CVS Health is seeking a Registered Nurse (RN) for Utilization Management to ensure members receive the right care at the right time through evidence-based reviews and care coordination. The role emphasizes collaboration with healthcare teams, clinical guidelines, and proactive... 
    Remote job
    Flexible hours
    Afternoon shift

    CVS Health

    Madison, WI
    1 hour ago
  • CVS Health is seeking an experienced Registered Nurse (RN) to join our Utilization Management team. You will review clinical information, apply guidelines, and coordinate care to ensure members receive the right care at the right time. The role requires an active RN license... 
    Remote job
    Shift work

    CVS Health

    Sioux Falls, SD
    1 hour ago
  •  ...Health is seeking an experienced Registered Nurse (RN) to join our Utilization Management team, helping ensure members receive appropriate care at the right time through evidence-based clinical review and care coordination. The role involves reviewing clinical information... 
    Remote job
    Flexible hours

    CVS Health

    Salem, OR
    1 hour ago
  • CVS Health is seeking a Registered Nurse (RN) to join our Utilization Management team. You will help ensure members receive the right care at the right time through evidence-based clinical review and care coordination. In this role you’ll review clinical information, apply... 
    Remote job
    Weekend work
    Afternoon shift

    CVS Health

    Saint Paul, MN
    1 hour ago
  • Yoh is seeking a Utilization Management Nurse Coordinator (RN or LVN) for a 6+ month remote contract with a managed care client based in Northern California. Training occurs onsite in Fairfield or Redding for three weeks, then transitions to fully remote. The role reviews... 
    Remote job
    Contract work

    Yoh Services LLC

    Redding, CA
    1 day ago
  • CVS Health in the United States is seeking a Registered Nurse (RN) for its Utilization Management team. You will review clinical information to support coverage determinations and care recommendations, applying guidelines, policies, and professional judgment across the... 
    Remote job

    Morgantown, PA

    Phoenix, AZ
    2 days ago
  • Blue Zones Health is seeking an LVN for Utilization Management & Inpatient Case Management in a fully remote role. The ideal candidate will perform concurrent...  ..., monitor inpatient utilization, and coordinate transitions of care while collaborating with hospital teams and... 
    Remote job

    Blue Zones Health

    New York, NY
    4 days ago
  •  ...We are currently hiring for an LPN Utilization Management Coordinator I to join BlueCross BlueShield of South...  ...30am – 5:00pm and will be fully remote . The candidate may be required to report...  ...and collaborating with Managed Care Coordinators as appropriate. Educates... 
    Remote work
    Full time
    For contractors
    Work experience placement
    Currently hiring
    Work at office
    Local area
    Monday to Friday

    BlueCross BlueShield of South Carolina

    South Carolina
    2 days ago
  • $45 per hour

    Utilization Management Nurse Coordinator (RN or LVN) We are looking for a temp 6+ month, remote contract opportunity with Yoh’s managed care health plan client based out of Redding or Fairfield, CA. Anticipating to be temporary for at least 6 months with potential for... 
    Remote work
    Contract work
    Temporary work
    Monday to Friday
    Weekend work

    Yoh

    Redding, CA
    1 day ago
  •  ...Humana is seeking a Utilization Management Nurse 2 to apply clinical nursing skills in coordinating and documenting medical services and benefit...  ...Degree in nursing, an active compact RN license, and at least three years of geriatric care experience, with strong... 
    Remote work

    Humana

    Helena, MT
    4 days ago
  •  ...recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an...  ...include evaluating healthcare services and coordinating care for members. Join a dynamic team and make a meaningful... 
    Remote work
    Contract work

    The Judge Group

    Chicago, IL
    4 days ago
  •  ...seeking a Registered Nurse to join our Utilization Management team in a work-from-home weekend position. You will assess, plan, and coordinate care, applying clinical criteria to determine...  ...members. The role requires 3+ years RN experience, 1+ year in UM/Care Management... 
    Remote job
    Work from home
    Weekend work

    CVS Health

    Raleigh, NC
    4 days ago
  • Humana is seeking a Utilization Management Nurse 2 to support coordination, documentation, and communication of medical services and benefit determinations. The...  ...operates Monday-Friday, 8:00am-5:00pm ET, with remote/work-from-home options and occasional travel to Humana... 
    Remote job
    Work from home
    Monday to Friday

    Humana

    Austin, TX
    3 days ago
  • CVS Health is hiring an experienced Registered Nurse (RN) for Utilization Management to ensure appropriate care at the right time through evidence-based review and coordination. This role supports 24/7 operations and may require evenings, weekends, and holidays from a... 
    Remote job
    Work from home
    Weekend work
    Afternoon shift

    Native American Talent

    Phoenix, AZ
    2 days ago
  • $70k - $75k

    Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance...  ...services Quality of care concerns Interfacing routinely...  ...reliable and user-friendly. Care Coordination & Quality Support Initiating... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home

    Guide-Health

    United States
    1 day ago
  •  ...Health is seeking a Case Manager Registered Nurse to work from...  ...County, AZ. You will coordinate, document, and communicate utilization/benefits management, applying evidence-based care and medical necessity criteria...  ...experience, an active AZ RN license, and the ability to... 
    Remote job
    Work from home

    CVS Health

    New York, NY
    2 days ago
  • UnitedHealthcare is seeking an RN Clinical Care Coordinator to lead care management for members with complex medical...  ...quality of care and appropriate utilization. The role offers a field-based,...  ...experience are required. You will work remotely from home when not in the field.... 
    Remote job
    Work at office
    Work from home

    UHC

    Holyoke, MN
    1 hour ago
  • $71.1k - $97.8k

     ...Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who will assess and...  .... Highlights Location: Remote, IN Schedule: Full-time, Monday...  ...eligible for Medicare. Utilize various strategies to...  ...Licensed Registered Nurse (RN) in the state of Indiana without... 
    Remote work
    Full time
    Temporary work
    Work from home
    Relocation package
    Monday to Friday

    Humana

    Indiana, PA
    3 days ago
  • $70.2k - $120.4k

     ...personalized health care experiences and partner...  ...care, where coordinated, quality service is the...  ...member feels valued.The Utilization Review RN will review and document...  ...policies and utilization management and/or clinical...  ...requiredThis position is a Remote role. To be eligible... 
    Remote work
    Work experience placement

    Medica

    Minnetonka, MN
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN - Utilization Management & Care Coordination. Be the first to apply!