Remote Utilization Management Nurse Consultant
Hispanic Alliance for Career Enhancement
CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to coordinate, document, and communicate all aspects of the utilization and benefit management process. This 100% remote role supports members to receive appropriate care while meeting state and federal requirements. The position requires an active RN license, 2+ years in acute hospital care, strong assessment and decision‑making, and the ability to work independently with strong communication. #J-18808-Ljbffr
Vacancy posted 3 days ago
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CVS Health
New York, NY1 day ago - ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote position in the EST zone. The role focuses on coordinating, documenting, and communicating utilization and benefit management, ensuring appropriate level of care while...Remote work
Hispanic Alliance for Career Enhancement
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Santa Barbara Cottage Hospital
New York, NY5 days ago $32.01 - $68.55 per hour
..., 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 hoursThe Muse
Albany, NY1 day ago$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization ManagementWe're building a world of health around every individual... ...family and one community at a time.Remote | Afternoon/Evening Shifts Available... ...fast-paced, collaborative Utilization Management team? Join us in helping ensure...Remote workHourly payFull timeTemporary workWork at officeWork from homeWeekend workAfternoon shiftOak St. Health
Philadelphia, PA5 days ago$26.01 - $68.55 per hour
...Utilization Management Nurse - Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization Management team and play a key role in ensuring...Remote workHourly payFull timeTemporary workLocal areaWeekday workCVS Health
Denver, CO4 days ago$26.01 - $56.14 per hour
...CVS Health Utilization Management Position We're building a world of health... ...Schedule: 3-11 or 11-8 Location: Remote (Central Time)... ...and benefit utilization. Consults and lends expertise to other... ...experience as a Registered Nurse in adult acute care/critical...Remote workHourly payFull timeTemporary workWork at officeAfternoon shiftOak St. Health
United States5 days ago- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely, safe, and appropriate care...Remote jobFull timeWork from home
$32.01 - $68.55 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 | Utilization Management | Work from Home Are you an experienced RN looking to leverage your clinical...Remote workHourly payFull timeTemporary workLocal areaWork from homeAfternoon shiftCVS Health
California2 days ago- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a fully remote role available to MST/PST zone residents across the United States. You will coordinate, document, and communicate utilization and benefit management to ensure safe, effective...Remote job
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...care one person, one family and one community at a time. Utilization Management (UM) Nurse Consultant 100% Work‑From‑Home | Full-Time | Open to MST/PST... ...UM) Nurse Consultant to join our team. This is a fully remote role available to candidates in any U.S. state in the...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend work$26.01 - $56.14 per hour
...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 jobHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work- CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote role. You will apply clinical judgment to determine coverage, coordinate care, and collaborate with providers. The position schedules Tue-Sat 9:30am-6:00pm and may include evenings, weekends...Remote jobAfternoon shift
$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization ManagementJoin a dynamic healthcare team and make an impact on patient care from wherever you work.We are... ...experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will use your clinical...Hourly payFull timeTemporary workWork at officeWork from homeAfternoon shiftOak St. Health
New York, NY3 days ago$26.01 - $68.55 per hour
...Position Summary Utilizes clinical experience and skills in a collaborative... ...and benefit utilization. Consults and lends expertise to other... ...of the utilization/benefit management function. Typical office... ...of experience as a Registered Nurse in adult acute care/critical...Hourly payFull timeTemporary workWork at officeLocal areaAfternoon shiftHispanic Alliance for Career Enhancement
Hartford, CT4 days ago- ...Remote, RI Contract Job Description: Responsible for the review and evaluation of clinical information and documentation... ...with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred. Skills: MUST...Remote workContract work
US Tech Solutions
Providence, RI1 day ago - Blue Cypress Consulting is seeking a Senior Utility Management Services (UMS) Consultant to support current projects and facilitate the expansion of our utility... ...of this job. This is a hybrid position (in office/remote). We offer a telecommute option to work once a week...Remote workFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
$26.01 - $62.32 per hour
...simplify health care one person, one family and one community at a time. Position Summary Medicare Precertification Utilization Management Nurse Consultant position: Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend workAfternoon shift- ...Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees...Remote workWork from homeMonday to Friday
SHR (Spectrum Healthcare Resources)
Honolulu, HI3 days ago - ...Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with providers and departments...Remote work
Santa Barbara Cottage Hospital
New York, NY4 days ago - ...Alliance for Health in California is seeking a Registered Nurse for a temporary Utilization Management role. You will ensure prior authorizations comply with... ...paths may substitute for experience. Hybrid work and remote- interview options are offered. #J-18808-Ljbffr...Remote workTemporary work
Central California Alliance for Health
San Jose, CA8 hours ago - IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical... .... This position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-LjbffrRemote work
IntePros
New York, NY4 days ago - ...Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient... ...experience, and familiarity with managed care principles, with a remote work option and a competitive pay range. #J-18808-Ljbffr...Remote workFull time
Oak Street Health
Denver, CO3 days ago - ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
Bestica Healthcare
United States5 days ago
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