Remote UM Nurse Consultant - Medicare Precertification (RN)
CVS Health
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 appropriate care and outcomes.
The ideal candidate holds an RN license, 3+ years of nursing experience (including 1 year in Medical‑Surgical), and proficiency in MS Office.
#J-18808-Ljbffr- ...CVS Health is seeking an Utilization Management Nurse Consultant – Clinical Precertification RN (Medicare) for a remote, full-time role. You will collaborate with providers... ...(1+ year in Medical‑Surgical), and familiarity with UM platforms like MedCompass. #J-18808-LjbffrRemote workFull time
- ...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... ...and evening hours. This role requires 3+ years of RN experience, active licensure, 1+ year Med/Surg, and...Remote workMonday to FridayAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess and coordinate care for members from a home-based location. The role requires clinical expertise in Utilization Management and collaboration with providers to ensure appropriate...Remote workWork from home
$26.01 - $56.14 per hour
...About This Role The UM Nurse Consultant at CVS Health is a remote position ideal for experienced inpatient Registered Nurses looking to leverage their clinical... ...Residency: Must reside in Louisiana or have Compact RN licensure What You'll Do Conduct concurrent reviews for...Remote workFull timeMonday to Friday- ...CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role with a Monday–Friday schedule. You’ll review precertifications, apply criteria, and coordinate care to ensure members receive appropriate...Remote workFull timeWork at officeMonday to Friday
- 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... ...shifts as needed for a 24/7 UM operation. You will assess, coordinate...Remote jobWork at officeMonday to FridayAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess and coordinate care for members. The role requires a registered nurse with at least 3 years of experience and an active license in the resident state. The position operates...Remote workWork from home
- ...CVS Health is seeking a Utilization Management Nurse Consultant (Medical Review) to join our remote team. You will assess medical necessity, apply criteria, and... ...members. This 100% remote role requires an active RN license, 3+ years of clinical experience, and 1+ year...Remote work
- ...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant. The role supports a 24/7 operation with holidays and evenings, following a... ...the candidate's time zone. The job emphasizes RN clinical experience to assess and coordinate patient...Remote workMonday to FridayAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with 3+ years of experience and active licensure in the state of residence. The position involves remote work with a Monday–Friday schedule, some evenings...Remote workMonday to FridayAfternoon shift
- ...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,...Remote workWork from homeAfternoon shift
- ...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant. The role involves assessing care options, applying clinical criteria, and coordinating... ...appropriate services are delivered. Requires RN licensure and 3+ years of nursing experience, with...Remote workFull timeWork from homeMonday to Friday
$26.01 - $56.14 per hour
...community at a time.Utilization Management Nurse Consultant (RN) – Concurrent ReviewRemote | Acute... ...preferredExperience in Medicaid, Medicare, or Commercial Health Plan Utilization... ...Utilization Management regulationsPrior remote work experienceLouisiana residency preferredExperience...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home- ...CVS Health is seeking an Utilization Management Nurse Consultant (Clinical Precertification RN) for a remote, full-time weekday schedule. The RN will review clinical cases, determine coverage, and coordinate care using evidence-based guidelines.This is a 40-hour week...Remote workFull timeAfternoon shiftWeekday work
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves assessing and coordinating... ...initiate referrals. A strong RN background and Med/Surg... ...required. The position supports a remote, full-time schedule with strict...Remote workHourly payFull timeWork at officeHome office
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full-time, remote role supports members and requires an RN license with 3+ years of RN experience, plus Med/Surg background and strong MS Office skills. The role operates...Remote workFull timeMonday to FridayAfternoon shift
$54.1k - $116.77k
...family and one community at a time. Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you... ...BSN preferred Experience supporting Medicaid, Medicare, or Commercial Health Plan populations Prior Authorization...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home- 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 will...Remote jobMonday to FridayAfternoon shift
- 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 cases...Remote jobHourly payFull timeWeekday work
$29.1 - $62.32 per hour
...one community at a time. Utilization Management Nurse Consultant – Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a... ...experience Experience using MedCompass or similar UM platforms Ambulatory surgery or outpatient clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to support a 24/7 operation. The role requires RN licensure, 3+ years of RN experience, and 1+ year in Med/Surg, with utilization management responsibilities across clinical criteria...Remote workWork from homeFlexible hours
- ...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 workFull timeAfternoon shift
- ...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 workFull timeWork at office
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgment... ...health services. Required RN licensure in the resident state,... ...MS Office skills are essential. Remote work from home with strict HIPAA...Remote workWork from home
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgement... ...with BSN preferred, and RN licensure must be active in the... ...MedCompass experience is valued; remote work is available to qualified...Remote workAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, coordinate, and determine appropriate healthcare services for members... ...practices. The position requires an active RN license, 3+ years of nursing experience, and comfortable...Remote workWork at office
- 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 jobWork at officeMonday to Friday
$26.01 - $62.32 per hour
...one family and one community at a time. RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) Remote | Full-Time | Monday–Friday (9:00 am to 5:... ...assess clinical information for Medicare precertification (joint procedures) Apply evidence-based...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...Utilization Management (UM) Nurse, you are the primary... ...administrative compliance. Unlike remote roles, this position... ...a Registered Nurse (RN) responsible for... ...Physician Consultation: Meet in person with attending... ...condition-code 44 or Medicare observation notices (MOON...Remote workFull timeImmediate startShift work
$26.01 - $62.32 per hour
...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:... ...assess clinical information for Medicare precertification (joint procedures) Apply evidence-based...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work
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