Remote RN: Quality & Utilization Consultant
CVS Health
CVS Health in the United States is seeking an experienced registered nurse to assess, plan, implement, coordinate, monitor, and evaluate options to ensure appropriate healthcare services and benefits for members. You will interact with providers, apply guidelines, and support utilization management within a fast-paced, quality-driven environment. The role requires an active RN license, 2+ years in adult acute or critical care, and availability for weekends, holidays, and evenings. #J-18808-Ljbffr
Vacancy posted 3 hours ago
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$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote ~ Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare... ..., Guidehealthempowers our partners to deliver high-quality healthcare focused on outcomes and value inside and...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective medical treatment. Key responsibilities...Remote workFull timeWork experience placement
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$63.1k - $94.65k
...next steps. Our partner is looking for a Utilization Review RN based in the United States. Join... ...operations. In this part-time, remote role, you will apply your clinical expertise... ...denials. You will also contribute to quality improvement initiatives, regulatory compliance...Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift- ...Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing admissions, validating documentation... ...judgment, communication and EMR proficiency, with a four-day work week and remote options for Montana residents. #J-18808-LjbffrRemote work
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