Remote RN UM Consultant - Medicare Joint Procedures
CVS Health
CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role with a Monday–Friday schedule. You’ll review precertifications, apply criteria, and coordinate care to ensure members receive appropriate treatment.
The position requires an active RN license, 3+ years of RN experience and 1+ year in Med/Surg, plus proficiency with Microsoft Office.
#J-18808-Ljbffr- ...CVS Health is seeking an experienced RN for an Utilisation Management Nurse Consultant role focused on Medicare joint procedures. This remote, full-time position emphasizes clinical expertise to ensure appropriate care while coordinating with providers and care teams....Remote workFull timeWork at officeWork from homeFlexible hours
- ...CVS Health is seeking an experienced RN to join our Utilization Management team in a remote, full-time role focused on Medicare joint procedures. You'll review clinical information, apply criteria, and coordinate care to ensure appropriate treatment and improve outcomes...Remote workHourly payFull timeWork at office
- ...CVS Health is seeking an experienced RN for a remote Utilisation Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical information, apply criteria, and coordinate care with providers to ensure appropriate treatment plans for members...Remote workAfternoon shiftWeekday work
- ...Corporation is seeking a Utilization Management Nurse Consultant for Medicare Home Care. This remote, full-time role supports Florida members and partners with... ...hours as needed. Required: active, unrestricted RN license in your state, 2+ years RN experience (1+ year...Remote workFull timeAfternoon shift
- ...CVS Health is hiring an RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) for remote, full-time work. You will review Medicare precertification data, apply criteria, and coordinate care plans to ensure appropriate treatment and utilization. The...Remote workFull timeWork at office
$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant, Specialty Spine Team (Remote) Schedule Monday-Friday, 8... ...Are you an experienced RN with a passion for clinical... ...Utilization Management (UM) Spine Team and play a critical... ...for spine-related procedures and services Apply evidence...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$65k - $88.6k
...criteria, policies, and procedures to provide the best and... ...Registered Nurse ( RN ) – Multi-State Compact... ...troubleshoot and resolve within a remote environment... ...Qualifications Behavioral Health UM experience, performing... ...life for people with Medicare and Medicaid, families,...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$26.01 - $56.14 per hour
...About This Role The UM Nurse Consultant at CVS Health is a remote position ideal for experienced inpatient Registered Nurses looking to leverage their clinical... ...Residency: Must reside in Louisiana or have Compact RN licensure What You'll Do Conduct concurrent reviews for...Remote workFull timeMonday to Friday$26.01 - $62.32 per hour
...bigger – helping to simplify health care one person, one family and one community at a time. RN Utilisation 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$26.01 - $56.14 per hour
About This Role The Concurrent Review UM Nurse Consultant role at CVS Health is ideal for experienced... ...Pay: $26.01 - $56.14/hour Location: Remote, LA Residency: Louisiana residency preferred... ...: Active, unrestricted multi-state RN license in your state of residence, or the...Remote workFull time- ...oversight of staff UM RNs to ensure coordination... ..., policies and procedures.It is expected that all RN Clinical Nurses are... ...compliance. Unlike remote roles, this position... ...Collaborationo Physician Consultation: Meet in person with... ...-code 44 or Medicare observation notices...Remote workFull timeImmediate startShift work
- ...CVS Health is seeking a licensed RN to join our Utilization Management team in a remote, full-time role focused on Medicare precertification. You will review cases, determine coverage, and collaborate with providers to ensure appropriate care. The role requires 3+...Remote workFull timeWork at officeMonday to FridayAfternoon shift
$26.01 - $56.14 per hour
...one community at a time. Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity... ...Qualifications BSN preferred Experience in Medicaid, Medicare, or Commercial Health Plan Utilization Management...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home- ...length of stay for requested treatments and/or procedures. Conducts reviews to determine prior... .... Adheres to utilization management (UM) policies and procedures. Required Qualifications... ...and experience. Registered Nurse (RN). License must be active and unrestricted...Remote workWork at office
$26.01 - $56.14 per hour
...and one community at a time. Utilization Management Nurse Consultant (RN) Remote | Concurrent Review | Utilization Management Are you an... ...BSN preferred Experience supporting Medicaid, Medicare, or Commercial Health Plan populations Utilization review...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home- ...CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote, full‑time team. The role focuses on ensuring appropriate care and coordinating with providers to optimize member outcomes, with a weekend‑heavy...Remote workFull timeWork at officeShift workWeekend work
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care,...Remote workWork at officeWeekend work
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for a remote full-time role with weekend coverage. You will review clinical information to support coverage determinations, apply guidelines, and collaborate with care teams...Remote workFull timeWork at officeWeekend work
- ...CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role. You will review clinical data for precertification... ...in Microsoft Office. Nice-to-have: UM or Medicare experience and a BSN. #J-18808-...Remote workFull timeWork at office
$30.37 - $59.21 per hour
...length of stay for requested treatments and/or procedures. - Conducts reviews to determine prior... .... - Adheres to utilization management (UM) policies and procedures. **Required Qualifications... ...and experience. - Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office- ...UNICEF seeks a Centrality of Protection Procedures Consultant in New York, USA (Remote) for a 3-month assignment. You will advance protection policy, draft procedures, and coordinate cross‑unit consultations to ensure rights of children are safeguarded across humanitarian...Remote work
$65k - $85k
...UM RN - Behavioral Health Job Locations: US-Remote ID: 2026-8743 Category: Utilization Management Position Type: Full... ...provider community related to policies, procedures, benefits, etc. Communicates with... ...services and benefit utilization Consults and lends expertise to other...Remote workPermanent employmentFull timeWork at officeLocal area- ...Utilization Management (UM) Nurse, you are the... ...administrative compliance. Unlike remote roles, this position... ...is a Registered Nurse (RN) responsible for... ...Collaborationo Physician Consultation: Meet in person with attending... ...condition-code 44 or Medicare observation notices (...Remote workFull timeImmediate startShift work
- ...oversight of staff UM RNs to ensure coordination... ..., policies and procedures. It is expected that all RN Clinical Nurses are... ...compliance. Unlike remote roles, this... ...Collaboration o Physician Consultation: Meet in person... ...condition-code 44 or Medicare observation notices...Remote workImmediate startShift work
- ...Description $10,000 Sign On Bonus Position Overview The RN Clinical Management Specialist is a qualified professional responsible... ...and families every day. HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-...Remote jobFull timeInterim roleWork at officeRelocation package
- ...JOB SUMMARY This is a full-time REMOTE position requiring weekend... ...clinical setting Preferred 3 years RN experience RN Case Management,... ...Care Management Experience in UM/CM/QA/Managed Care Experience... ...and Privacy Policies and Procedures as well as all data security guidelines...Remote workFull timeWork at officeFlexible hoursWeekend workWeekday work
$53 per hour
...Job Description Job Description REMOTE RN OPPORTUNITY – GRIEVANCE & APPEALS / UTILIZATION... ...NY RN license Direct outpatient UM experience. Strong outpatient Utilization... ...Grievance & Appeals experience Managed care, Medicare/Medicaid experience Strong clinical...Remote jobLong term contractWork from homeMonday to FridayShift workWeekday work- ...seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification, assesses clinical information... ...teams. The position requires 3+ years of RN experience, an active RN license, and...Remote workWork at officeAfternoon shift
- ...seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical information for... ...utilization. The position requires 3+ years RN experience, an active RN license, an...Remote work
- ...VitaCare Living in Spooner, WI is seeking an experienced Registered Nurse (RN) Consultant to provide clinical oversight for our assisted living and memory care communities. You will guide practice, ensure regulatory compliance, and support staff with education and quality...Remote work
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