Remote Utilization Management Nurse Consultant
CVS Health
- Remote job
CVS Health is seeking an RN Utilization Management Nurse Consultant specialized in Medical Review. This fully remote role (U.S. only) requires a valid RN license and clinical experience to ensure medically necessary care through thoughtful review and collaboration with providers. The position emphasizes precision, clear communication, and compassion in a desk-based environment. It offers a comprehensive benefits package and performance-based incentives. #J-18808-Ljbffr CVS Health
- ...CVS Health is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role requires an active RN license, 3+ years clinical experience, and 1+ year in Utilization Review/Medical Management. You will apply criteria to determine...Remote work
$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 hours$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 workWeekday work$26.01 - $62.32 per hour
...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 ScheduleAre you a Registered Nurse ready to make an impact beyond the...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday work$26.01 - $56.14 per hour
...CVS Health Utilization Management Position We're building a world of health around every individual... ...Services and benefit utilization Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care setting...Remote workHourly payFull timeTemporary workWork at officeLocal areaAfternoon shift$26.01 - $56.14 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...: Monday–Friday 8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health Holding, Inc...Remote workHourly payFull timeLocal areaMonday to FridayFlexible hoursShift work$29.1 - $62.32 per hour
...of something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) – Utilization Management (24/7 Operations) Step away from bedside care and make a system-wide impact. Join our Utilization Management team and...Hourly payFull timeTemporary workLocal areaAfternoon shift- ...years of clinical experience required. ~ Must have experience with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred. Skills: MUST HAVE MEDCOMPASS or ASSURECARE exp. MUST HAVE...Remote work
- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work at officeWeekend work
- ...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
$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work- ...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
- ...skilled and experienced Registered Nurse with specialties in Medical/... ...skilled nursing care, case management, and hospice care to... ...Certifications: Experience in Utilization Review or case management... ...to work independently in remote settings. Must be able to...Remote workFlexible hours
- ...Full Time Days 7am-4:30pm 40 Hours/Week Utilization management and pediatric nursing experience preferred Summary: The Utilization... ...is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote...Remote workFull time
- ...Utilization Management Nurse Des Moines, Iowa, United States Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys...Remote workFull timeWork at office
- ...Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to... ...precise and timely Utilization Review. In this role,... ...timeframes. Clinical Consultation & Collaboration Partner... ...aligned with Illinois nursing regulations and...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
$65 per hour
...Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered... ...policies. Job details $65.00 / hour Remote, California Profession: Registered Nurse Facility...Remote work$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required...Remote workContract workImmediate startMonday to Friday$70k - $75k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build... ...Job Description The Utilization Management Registered Nurseis responsible... ...education consistent with current nursing practice standards and the...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Registered Nurse Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of... ...Observation (OBS). Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote work
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination... ...or Interqual. Experience working in a fully remote, metrics-focused role Experience as an MDS Coordinator...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office$84.06k - $118.67k
...Your future role at a glance Location: Remote Facility: Ascension Network Service Department: Utilization Management Schedule: Days l Full Time Salary... .../ Registration: ~ Licensed Registered Nurse credentialed from the Texas Board of Nursing...Remote workFull timeLocal area- We’re seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you’ll... ...regulations (LCD/NCD policies) . This is a fully remote opportunity requiring discipline, accuracy, and effective...Remote work
- ...Description: This is a remote position but will need onsite... ...Collaborate with physicians, nursing staff, and interdisciplinary... ...ensure appropriate resource utilization and care planning Review admissions... ...utilization review, case management, or payer review experience preferred...Remote workFull timePart timeReliefWork at officeLocal areaShift workRotating shiftDay shift
$84.06k - $118.67k
...glance Location: Remote Facility: Ascension... ...Hospital Department: Utilization Review Schedule:... ...spiritual care and stress management resources Family... .... Manage and consult on high-acuity or complex... ...~ Licensed Registered Nurse credentialed from the...Remote workFull timeLocal area$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States Job Summary: The Concurrent Utilization Review (UR) Nurse is responsible... ...Work Environment: Corporate office preferred / remote may be considered Collaborative environment requiring frequent...Remote workHourly payWork at office$81.12k - $115.94k
...Location: Partially Remote, with onsite coverage required... ...Agnes Hospital Department: Utilization Management Schedule: Day-Shift |... ...expert case management and consultation, providing a roadmap for high... ...: ~ Registered Nurse credentialed from the Maryland...Remote workFull timeLocal areaMonday to FridayWeekend workDay shift$26.35 - $39.53 per hour
...for all. Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time... ...services provided to members under a managed care health plan. This role involves... .... Corporate office preferred / remote may be considered. Collaborative environment...Remote workHourly payWork at office$65 - $75 per hour
...CHANGE MANAGEMENT CONSULTANT Location: Remote (occasional onsite in Madison, WI or Cedar Rapids, IA) Start Date: 6/22/2026 Duration: 6+ months... ...PREFERRED EXPERIENCE Experience in energy or utilities industry Exposure to organizational...Remote workContract workLocal area- ...payor company is seeking a senior Organizational Change Management (OCM) Consultant to support a large-scale CMS Interoperability transformation... ...• Exposure to FHIR APIs, Prior Authorization workflows, Utilization Management, or related healthcare operations. • Prosci...Remote work
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