Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Medicare Utilization Nurse Consultant

CVS Health

CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant. The role involves assessing care options, applying clinical criteria, and coordinating with providers to ensure appropriate services are delivered.

Requires RN licensure and 3+ years of nursing experience, with Med/Surg and MS Office skills preferred. The position is full-time with a schedule Monday–Friday; work-from-home options may apply within state requirements.

#J-18808-Ljbffr
Vacancy posted 2 hours ago
Similar jobs that could be interesting for youBased on the Remote Medicare Utilization Nurse Consultant in Lexington, KY vacancy
  •  ...CVS Health is looking for a Utilization Management Nurse Consultant (Clinical Precertification RN) to evaluate cases and ensure appropriate care for Medicare members. This remote, full-time role follows a weekday schedule with a base hourly pay range. You will review... 
    Remote work
    Hourly pay
    Full time
    Weekday work

    CVS Health

    Milton, MA
    2 hours ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in the United States. The role runs Monday–Friday, 9:00am–5:30pm in the candidate’s time zone, with 24/7 utilization management scheduling including holidays and evenings. You... 
    Remote work
    Monday to Friday
    Afternoon shift

    CVS Health

    Clayton, NM
    2 hours ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with 3+ years of experience and active licensure...  ...the state of residence. The position involves remote work with a Monday–Friday schedule, some evenings... 
    Remote work
    Monday to Friday
    Afternoon shift

    CVS Health

    Yuma, AZ
    2 hours ago
  •  ...CVS Health is seeking an RN Utilization Management Nurse Consultant. This full-time role is remote within the state, with a 40-hour work week, primarily Mon-Fri, and includes evening/holiday coverage as needed in a 24/7 operation. You will assess and coordinate care... 
    Remote work
    Full time
    Afternoon shift

    CVS Health

    Arizona
    2 hours ago
  •  ...CVS Health in Rhode Island is seeking a Medicare Precertification Utilization Management Nurse Consultant to join a 24/7 operation. The role uses clinical expertise to assess care options, render coverage determinations, and communicate with providers. Schedule is Monday... 
    Remote work
    Monday to Friday
    Afternoon shift

    CVS Health

    Bristol, RI
    2 hours ago
  •  ...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant remote in the United States. The role requires ~3+ years of RN experience, active RN license, and 1+ year Med/Surg, plus proficiency with Microsoft Office (Outlook, Teams, Excel).... 
    Remote work
    Work at office
    Monday to Friday
    Afternoon shift

    CVS Health

    Phoenix, AZ
    2 hours ago
  • CVS Health is seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification, assesses clinical information, and renders coverage determinations in collaboration with care teams. The position... 
    Remote job
    Work at office
    Afternoon shift

    CVS Health

    New York, NY
    3 days ago
  • CVS Health is seeking a remote Utilization Management Nurse Consultant to review cases, determine coverage, and coordinate care. You’ll bring RN licensure, 3+ years of experience, including Med/Surg, and work a Monday-Friday schedule in your time zone. This role emphasizes... 
    Remote job
    Work at office
    Monday to Friday

    CVS Health

    Salem, NH
    3 days ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, plan, coordinate, and evaluate care options for members within a 24/7 Utilization Management operation. The role emphasizes collaboration with providers to facilitate appropriate... 
    Remote work

    CVS Health

    Little Rock, AR
    2 hours ago
  •  ...CVS Health is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical information, apply criteria, and coordinate care with providers to ensure appropriate, timely... 
    Remote work

    CVS Health

    Manchester, NH
    2 hours ago
  •  ...CVS Health is hiring a full-time RN for healthcare services and utilization management. The role emphasizes assessing and coordinating...  .../critical care, and availability for weekends and evenings. A remote work setup is available within eligible time zones and home requirements... 
    Remote work
    Full time
    Weekend work
    Afternoon shift

    University of Minnesota School of Nursing

    Minnesota
    2 hours ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full‑time role requires RN licensure in the state of residence and...  ...schedule that includes holidays and evenings, and remote work within the U.S. The role focuses on assessing... 
    Remote work
    Full time
    Work at office
    Afternoon shift

    CVS Health

    Honolulu, HI
    2 hours ago
  •  ...CVS Health is hiring an RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) for remote, full-time work. You will review Medicare precertification data, apply criteria, and coordinate care plans to ensure appropriate treatment and utilization. The... 
    Remote work
    Full time
    Work at office

    CVS Health

    King, WI
    2 hours ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant via remote work in the United States. The role requires RN licensure and 3+ years of nursing experience, with Med/Surg exposure and proficiency in Microsoft Office. You will assess... 
    Remote work
    Work at office
    Afternoon shift

    CVS Health

    Springfield, IL
    2 hours ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. You will assess and coordinate care, determine coverage and communicate with...  ..., an active RN license, and Med/Surg exposure. Remote work from home with flexible scheduling and HIPAA... 
    Remote job
    Work at office
    Work from home
    Flexible hours

    CVS Health

    Sacramento, CA
    3 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for a remote full-time role with weekend coverage. You will review clinical information to support coverage determinations, apply guidelines, and collaborate with care teams to... 
    Remote job
    Full time
    Work at office
    Weekend work

    CVS Health

    Sacramento, CA
    1 day ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care,... 
    Remote job
    Work at office
    Weekend work

    CVS Health

    Phoenix, AZ
    3 days ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, coordinate, and determine appropriate healthcare services for members. The role emphasizes collaboration with providers to facilitate care and referrals, leveraging clinical... 
    Remote work
    Work at office

    CVS Health

    Kansas City, MO
    2 hours ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgement to determine appropriate care...  ...MS Office and MedCompass experience is valued; remote work is available to qualified #J-18808-Ljbffr
    Remote work
    Afternoon shift

    CVS Health

    Missouri
    2 hours ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role requires 3+ years of RN experience, active RN licensure, and strong...  ...appropriate care and benefits. This full-time remote position supports a 24/7 Utilization Management operation... 
    Remote work
    Full time
    Work at office
    Afternoon shift

    CVS Health

    Lansing, MI
    2 hours ago
  •  ...CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with ~3+ years of clinical experience and active licensure in the state of residence. You will coordinate care, apply clinical criteria, and... 
    Remote work
    Work from home
    Afternoon shift

    CVS Health

    Helena, MT
    2 hours ago
  •  ...CVS Health is seeking a Utilization Management Nurse Consultant – Clinical Precertification RN (Medicare) for a remote, full-time role. The position supports utilization management and prior authorization decisions, collaborating with providers and care teams to ensure... 
    Remote work
    Full time

    CVS Health

    Lorida, FL
    2 hours ago
  • CVS Health is seeking a Nurse Consultant for a remote role focused on inpatient clinical reviews. The position emphasizes collaboration with hospitals and care teams to ensure appropriate levels of care and efficient discharge planning from a non-bedside capacity. Ideal... 
    Remote job

    CVS Health Corporation

    Louisiana, MO
    2 days ago
  • CVS Health in the United States seeks a Medicare Clinical Predetermination Nurse to support utilization management for members, with a Monday-Friday schedule from 9:00am to 5:30pm EST or CST and occasional holiday rotation. The role requires assessing, planning, coordinating... 
    Monday to Friday

    CVS Health

    Austin, TX
    2 days ago
  • CVS Health is hiring a Medicare Clinical Predetermination Nurse in the United States. The role requires RN licensure, Med/Surg experience, and strong...  ...ET or CT with holiday rotations. The position supports utilization management in a 24/7 operation, with opportunities to... 
    Monday to Friday

    CVS Health

    New York, NY
    2 days ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in the Baltimore area. The role leverages RN clinical expertise to assess...  ...3+ years experience, and MS Office proficiency; remote work options with home setup requirements; strong... 
    Remote work
    Work from home

    CVS Health

    Baltimore, MD
    2 hours ago
  • CVS Health in West Virginia is seeking a Medicare Precertification Utilization Management Nurse Consultant to support a 24/7 operation and remote work from home. The role requires strong nursing credentials, Med/Surg exposure, and utilization management experience. You... 
    Remote job
    Work from home

    CVS Health

    Charleston, WV
    3 days ago
  • $66.7k - $110.05k

     ...Public Health Job Classification Title Nurse Consultant II (NS) Position Number 60040883...  ...within clinical program environments. ~ Utilized advanced clinical judgment to interpret...  ...This Position Is Eligible For A Fully Remote Work Option Physical Requirements:... 
    Remote work
    Full time
    Work experience placement
    Private practice
    Work at office
    Local area
    Night shift

    State of North Carolina

    Remote
    3 days ago
  • $66.58k - $142.58k

     ...Appeals Nurse Consultant We're building a world of health around every individual — shaping...  ...dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a...  ...Appeals, Managed Care, or Utilization Review experience. Proficiency with... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Shift work

    Avery Healthcare Group Ltd.

    United States
    1 day ago
  •  ...AlphaGov delivers public-sector consulting for cities, counties, school systems, special districts, utilities, and related agencies. Our work spans classification and compensation...  ...project-based collaborators. Engagements are remote-first with occasional client travel. When you... 
    Remote work
    Contract work
    Bank staff

    AlphaX

    Remote
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medicare Utilization Nurse Consultant. Be the first to apply!