Remote Utilization Management Nurse Consultant
CVS Health
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. Requires an active RN license, 3+ years RN experience (1+ in Med/Surg), and proficiency with Outlook/Teams/Excel. Weekday schedule; travel not required. Benefits are included with full-time employment. #J-18808-Ljbffr
Vacancy posted 5 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant in Bismarck, ND vacancy
$60.53k - $129.63k
...helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare Home Care) 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
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Clifton, TX4 days ago - ...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....Remote workWork from home
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Charleston, WV1 day ago $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$54.1k - $129.63k
...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$26.01 - $56.14 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse - Utilization Management (Remote) Make a difference in patient care while leveraging your clinical expertise in a dynamic, collaborative...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shiftCVS Health
Topeka, KS23 hours ago- ...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 workWork from homeWeekend work
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Columbia, SC3 days ago - ...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 workFull timeWeekday work
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Wilmot, SD23 hours ago $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 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....Remote work
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Phoenix, AZ23 hours ago - ...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 workFull timeWeekday work
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Heber City, UT23 hours ago - ...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...Remote workFlexible hours
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Phoenix, AZ23 hours ago - ...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
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Butlerville, IN23 hours ago - ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to remotely review authorizations and assess medical necessity across multiple specialties. You will collaborate with care teams to ensure compliant, evidence-based reviews and timely decisions...Remote work
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Oklahoma City, OK3 days ago - ...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 work
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Phoenix, AZ-43 - ...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...Remote work
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Alton, IL-43 - ...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...Remote workAfternoon shift
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Muncie, IN-43 - ...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 workWork at office
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Massachusetts-43 - ...CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information, and applying guidelines to support appropriate benefits for members. You will collaborate with providers and internal...Remote workWeekend workAfternoon shift
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Sacramento, CA23 hours ago - ...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....Remote workAfternoon shift
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Texas-43 - ...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
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Lake, MI23 hours ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote role supporting EST/CST time zones. The position requires 2+ years of RN experience, current unrestricted RN licensure, and ability to work weekends/evenings as part of a 24/7 operation. The...Remote workWork at officeWeekend workAfternoon shift
CVS Health
Austin, TX-43 $32 - $69 per hour
...About This Role The Utilization Management Nurse Consultant at CVS Health is responsible for assessing, planning, implementing, coordinating, monitoring... .... Highlights Pay: $32 - $69/hour Location: Remote, CA Schedule: Full-time, includes weekends,...Remote workFull timeAfternoon shiftCVS Health
California-43- 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
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$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 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
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