Remote Utilization Management Nurse Consultant (RN)
CVS Health
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 that support quality care and member outcomes. The role requires 3+ years nursing experience, 2+ years in utilization management or related fields, and active multi-state RN licensure. #J-18808-Ljbffr
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote Utilization Management team. This full-time role focuses on ensuring appropriate care coverage and optimizing member outcomes within a 4‑day weekend schedule...Remote workFull timeWeekend work
- ...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-Ljbffr...Remote workFull time
- ...CVS Health is seeking an experienced RN for a fully remote Precertification Nurse role within Utilization Management. Virginia residents are preferred, with a compact RN license and at least 3 years of nursing experience. You will review requests, gather documentation...Remote work
- ...Corporation is seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote precertification role. Preference is given to Virginia... ...or candidates holding Virginia and Compact RN licenses. The position involves reviewing clinical...Remote job
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement... .../critical care, plus managed care exposure. Active RN license in home state is required; position includes...Remote workAfternoon shift
- ...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... ...recommendations. The ideal candidate has an active RN license, 2+ years in adult acute/critical care, and...Remote workWork from homeWeekend work
- ...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 Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based... ...when needed. The position requires an active RN license, 3+ years in behavioral health or substance abuse...Remote work
- ...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
- ...CVS Health is seeking a qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration...Remote workAfternoon 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... ...Associate's degree in nursing (RN) required, BSN preferred...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...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... ...documentation. The position requires an active RN license, 3+ years in behavioral health, and a mandatory...Remote workFlexible hours
$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$32.01 - $68.55 per hour
...time. Position Summary Utilization Management is a 24/7 operation and work... ...and benefit utilization Consults and lends expertise to other... ...experience as a Registered Nurse in adult acute care/critical... ...current and unrestricted RN licensure in state of residence...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon 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 workWeekend workAfternoon shift
- ...CVS Health Corporation in Springfield, IL is hiring a Utilization Management Nurse Consultant to assess and coordinate care, applying clinical criteria... ...and evening hours. Requirements include 2+ years of RN clinical experience in adult acute/critical care, active...Remote workShift workWeekend workAfternoon 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 hiring a Registered Nurse for Utilization Management in California. This full-time role supports a 24/7 operation... ...years of acute/critical care nursing, an active RN license, and strong communication. A remote work setup within the state is required, with...Remote workFull timeWeekend workAfternoon shift
$26.01 - $62.32 per hour
...RN Utilization Management Nurse Consultant (Medicare – Joint Procedures) We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...Remote workHourly payFull timeTemporary workWork at officeWork from homeWeekday work- ...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... ...thorough documentation. The position requires active RN licensure, 3+ years of acute behavioral health or...Remote work
$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift- ...CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information... ...coordinate care and referrals. The position requires an active RN license and 2+ years of adult acute/critical care...Remote workWeekend workAfternoon shift
- ...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
$29.1 - $62.32 per hour
...one community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will... ...Qualifications Must have active current and unrestricted RN license in state of residence Minimum of 3...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday$32 - $69 per hour
...About This Role The Utilization Management Nurse Consultant at CVS Health is responsible for assessing, planning... ...Pay: $32 - $69/hour Location: Remote, CA Schedule: Full-time,... ...~ Active current and unrestricted RN licensure in state of residence required...Remote workFull timeAfternoon shift$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience... ...Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or... ...have active current and unrestricted RN licensure in state of residence Benefits...Remote workWork at officeWork from homeAfternoon shift- CVS Health is hiring an Utilization Management Nurse Consultant to support care coordination from home. The role requires RN licensure in the resident state and 2+ years in adult acute/critical care, with availability for a 24/7 schedule including evenings, weekends, and...Remote jobAfternoon shift
- CVS Health is seeking a Nurse Consultant for Utilization Management to review inpatient and outpatient services, apply... ...escalate cases as needed. This 100% remote role requires strong clinical... ...environments. Applicants must hold an RN license, have 1+ year behavioral health...Remote job
$26.01 - $62.32 per hour
...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/holidays...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- 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...Remote jobFull time
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