Remote Utilization Management Nurse Consultant
Hispanic Alliance for Career Enhancement
CVS Health is seeking a Utilization Management Nurse Consultant for a full-time remote role. You will coordinate, document, and communicate the utilization/benefit management program and ensure appropriate care in the right setting within turn-around times. You’ll review clinical records, apply criteria, and collaborate with providers to optimize care, with typical hours Mon-Fri, in the supported time zone, in a 24/7 operation. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant in Montgomery, AL vacancy
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports utilization management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities...Remote workWork from home
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New York, NY1 day ago - ...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...Remote work
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Florida, NY2 days 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
New York, NY22 hours ago - ...CVS Health in the United States is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role available to candidates in EST or CST zones. You will apply clinical expertise to ensure members receive safe, effective care at the right time...Remote workFull time
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Doral, FL2 days ago - ...Alliance for Career Enhancement is seeking an experienced Utilization Management Nurse - Precertification RN whose primary focus is ensuring appropriate... ...-quality care through the precertification process. This remote, full-time role emphasizes evidence-based decision-making...Remote workFull time
Hispanic Alliance for Career Enhancement
Topeka, KS4 days ago - ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% remote role open to EST residents. You will coordinate, document, and communicate UM processes, ensuring timely and appropriate care while complying with state and federal requirements...Remote work
Hispanic Alliance for Career Enhancement
Raleigh, NC3 days ago - ...CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to CST-zone residents. You will apply clinical expertise to ensure safe, effective, and appropriate care, coordinating utilization and benefits while meeting state...Remote workFull time
CVS Health
Topeka, KS3 days ago $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 workCVS Health
Ohio, IL3 days ago- ...CVS Health is seeking an Utilization Management Nurse Consultant (Clinical Precertification RN) for Medicare, remotely. This full-time role asks for an active RN license and several years of experience to evaluate care and determine coverage using evidence-based guidelines...Remote workFull timeAfternoon shiftWeekday work
Hispanic Alliance for Career Enhancement
Wausau, WI4 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- ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to EST residents across the U.S. You will apply clinical expertise to ensure members receive safe, appropriate and cost-effective care. Schedule: Monday...Remote workFull timeMonday to FridayWeekend work
CVS Health
Raleigh, NC3 days ago $29.1 - $62.32 per hour
...UM Nurse Consultant We're building a world of health around every individual — shaping... ...family and one community at a time. Utilization Management is a 24/7 operation and work schedule... ...holidays, and evening hours. Fully Remote- WFH Schedule: Monday-Friday 10:30...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shiftOak St. Health
United States22 hours ago$26.01 - $56.14 per hour
...Utilization Management Position We're building a world of health around every individual — shaping... ...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 officeWork from homeAfternoon shiftOak St. Health
United States1 day ago$29.1 - $62.32 per hour
...UM Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shiftOak St. Health
United States22 hours 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 workHispanic Alliance for Career Enhancement
Boston, MA4 days ago$32.01 - $68.55 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...Remote workHourly payFull timeTemporary workWork at officeAfternoon shiftOak St. Health
United States3 days ago$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 timeTemporary workMonday to FridayFlexible hoursShift workCVS Health
United States1 day ago$32.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApplyremote type: Remotelocations: IL - Work from hometime type: Full timeposted on: Posted Todaytime... ...community at a time.**Utilization Management Nurse Consultant (RN)****Remote | Full-Time***Utilization Management is a 24/7...Remote workHourly payFull timeTemporary workLocal areaAfternoon shiftCVS Health
Springfield, IL3 days ago- CVS Health seeks a Utilization Management Nurse Consultant to support a 24/7 operation. In this role you will assess, plan, implement, coordinate, monitor and evaluate healthcare options for members, using clinical guidelines to render coverage determinations. You will...Remote job
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- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full‑time role serving candidates in the EST or CST zones. You will coordinate, document, and communicate utilization and benefit management activities to ensure appropriate...Remote jobFull time
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- ...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 - ...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
Careers Integrated Resources Inc
Downers Grove, IL3 days ago $26.01 - $74.78 per hour
...do it all with heart, each and every day. Position Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hoursHispanic Alliance for Career Enhancement
New York, NY13 hours ago- ...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 - ...ProMedica is seeking a Utilization Management RN for a remote, part-time role in Ohio with a 20-hour work week. You will review admissions and transfers... ...quality. Qualifications include a NLN-accredited nursing program, at least 3 years acute care nursing, and an active...Remote workPart timeWork from home
Santa Barbara Cottage Hospital
New York, NY4 days ago - ...Humana is seeking a Manager, Utilization Management Nursing to lead coordination and interpretation of medical services and benefit determinations in a remote, home‑based role. You will apply advanced nursing knowledge, guide teams, and collaborate across departments...Remote workWork from home
Humana
Frankfort, KY1 day ago - ...CVS Health is seeking an experienced Registered Nurse for a remote Utilization Management role. You will review information, coordinate care, and collaborate with providers to ensure appropriate treatment and high-quality care across the continuum. The role operates 24...Remote workWork from homeWeekend workAfternoon shift
Palo Verde Community College District
California, MO2 days ago - ...Job Description Job Description 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 making a difference for patients...Remote workFull timeWork at office
Cottingham & Butler
Davenport, IA20 days ago
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