Remote Utilization Management Nurse Consultant (RN)
CVS
CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information, collaborating with providers, and approving or referring authorization requests within defined guidelines. The position is full-time with a standard M-F schedule, remote work nationwide, and a Virginia residency preference. You will operate in a high-volume, computer-based setting and support utilization management from home. #J-18808-Ljbffr
- ...CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information... .... You will operate in a high-volume, computer-based setting and support utilization management from home. #J-18808-LjbffrRemote workFull time
- ...CVS Health is seeking a Utilization Management Nurse Consultant to assess, plan, and coordinate healthcare services for members. This role involves 24/7 coverage with weekend/evening hours and requires strong clinical judgment and cross-functional collaboration. Critical...Remote workWork from homeWeekend workAfternoon shift
- ...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
- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (RN) to review authorization requests across medical specialties and determine medical necessity using evidence-based guidelines. The role emphasizes collaboration with providers and care teams to...Remote 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 (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- ...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....Remote work
$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a... ...Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant... ...have active current and unrestricted RN license in state of residence Minimum...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday- ...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 workMonday to Friday
$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
...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 RN Utilization Management Nurse Consultant for a 100% remote role. The incumbent coordinates, documents and promotes utilization/benefit management to ensure appropriate care and timely discharge planning, in a workload that supports patient outcomes...Remote jobFull timeWork from home
- CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. This remote role reviews inpatient and outpatient services using clinical... ...computer-based work. The position requires an active RN license, 1+ year in behavioral health and prior...Remote job
- CVS Health is seeking an RN Utilization Management Nurse Consultant. This 100% remote role coordinates utilization/benefit management and ensures medical necessity while promoting safe, cost-effective patient care. The ideal candidate holds an active RN license, 2+ years...Remote job
- CVS Health Corporation in Columbus, OH is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor and evaluate options for appropriate healthcare services. This 24/7 role includes weekends, holidays and evening hours, with a standard...Remote jobMonday to FridayAfternoon shift
- CVS Health Corporation is seeking a Utilization Management Nurse Consultant in the United States to apply clinical judgment and coordinate care across the continuum for members. This role supports a 24/7 operation with weekend and evening hours and requires strong communication...Remote jobWeekend workAfternoon 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 - $56.14 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | Central Time Zone Preferred Are you an experienced Registered Nurse looking to expand your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$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$60.53k - $129.63k
...one person, one family and one community at a time. Remote UM Nurse Consultant RN Precertification Nurse (Telework) Work from anywhere... ...are seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote Precertification Nurse role....Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$54.1k - $116.77k
...family and one community at a time. Utilization Management (UM) Nurse Consultant 100% Work‑From‑Home | Full-Time |... ...to join our team. This is a fully remote role available to candidates in... ...Qualifications ~ Active, unrestricted RN license ~2+ years of acute...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend work- ...forward. As a healthcare IT consulting and staffing firm, we help health... ...26 - 12/31/2026 Location: Remote We are seeking experienced Epic Tapestry Utilization Management (UM) Workflow Configuration... ...of Prior Authorization nurses, reviewers, and care management...Remote 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 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
- ...Health Corporation is seeking a Telework RN for precertification review and... ...active RN license, 3+ years of clinical nursing experience, and ability to manage multiple systems in a fast-paced environment while supporting a remote work setup with HIPAA compliance. #J-...Remote job
- CVS Health Corporation is seeking an experienced RN for a remote precertification role. You will evaluate clinical information, apply guidelines, and determine authorization for procedures while maintaining a high standard of accuracy and patient privacy. The position supports...Remote jobWork at office
- CVS Health Corporation is seeking a Telework RN Precertification Specialist to apply clinical criteria, review information from providers... ...needed. The position requires active RN licensure, 3+ years of nursing experience, and the ability to work standard hours with on-call...Remote jobWeekend work
- ...Forest City NC locations; Remote Option Projected Hiring... ...proactive intervention and care management consultation and support to promote high... ...The Care Management Nurse Consultant is responsible for... ...and inappropriate service utilization Assists in quality of care...Remote workWork at office
$54.1k - $116.77k
...community at a time. Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Sunday -... ...Health professional or Psychiatric RN looking to make a meaningful impact... ...Behavioral Health clinicians Registered Nurse with psychiatric specialty...Remote workHourly payFull timeTemporary workLocal area- ...Humana is seeking a Utilization Management Nurse to leverage clinical nursing skills in coordinating, documenting, and communicating medical service... ...to ensure appropriate care. The position expects RN licensure with no disciplinary actions, a Bachelor’s degree...Remote work
- ...Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to join our Clinical Services team. This remote role supports members in Oregon, Washington, Idaho or Utah, conducting prospective, concurrent and retrospective reviews to ensure medical necessity...Remote work
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