Remote Utilization Management Nurse Consultant (RN)
CVS Health Corporation
- Remote job
CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information, collaborating with providers, and approving or referring authorization requests within defined guidelines. The position is full-time with a standard M-F schedule, remote work nationwide, and a Virginia residency preference. You will operate in a high-volume, computer-based setting and support utilization management from home. #J-18808-Ljbffr CVS Health Corporation
- ...Corporation is seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote precertification role. Preference is given to Virginia... ...or candidates holding Virginia and Compact RN licenses. The position involves reviewing clinical...Remote job
- ...CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals who thrive in a fast-paced environment and are looking to make a clinical impact without direct patient care....Remote work
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and... ...experience, UR/Managed Care experience, and an active RN license. The role involves coordinating care and...Remote work
- ...CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based... ...when needed. The position requires an active RN license, 3+ years in behavioral health or substance abuse...Remote work
- ...CVS Health is hiring a Nurse Consultant for a 100% remote Utilization Management role. You will apply clinical judgment to review inpatient and outpatient services... ...documentation. The position requires an active RN license, 3+ years in behavioral health, and a mandatory...Remote workFlexible hours
$26.01 - $56.14 per hour
...something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- ...CVS Health Corporation is seeking a Utilization Management Nurse Consultant in the United States to apply clinical judgment and coordinate care across the continuum for members. This role supports a 24/7 operation with weekend and evening hours and requires strong communication...Remote workWeekend workAfternoon shift
$29.1 - $62.32 per hour
...community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize... ...-Must have active current and unrestricted RN license in state of residence -Minimum of 3 years...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant to apply clinical judgment and guidelines to determine appropriate benefits across the continuum of care. This full-time role supports a 24/7 operation, with scheduled weekends, holidays and evening...Remote workFull timeWeekend workAfternoon shift
$26.01 - $56.14 per hour
...of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) - Remote Must Reside in Oklahoma. Join a collaborative team dedicated to helping members receive the right care,...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a... ...Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant... ...have active current and unrestricted RN license in state of residence Minimum...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday$26.01 - $56.14 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | Central Time Zone Preferred Are you an experienced Registered Nurse looking to expand your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- ...CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote role. You will apply clinical judgment and evidence-based criteria to review... ...thorough documentation. The position requires active RN licensure, 3+ years of acute behavioral health or...Remote work
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring... ...planners, and support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-LjbffrRemote workFull time
- CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. This remote role reviews inpatient and outpatient services using clinical... ...computer-based work. The position requires an active RN license, 1+ year in behavioral health and prior...Remote job
- CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based... ...on-call elements. The position requires an active RN license and 3+ years in acute behavioral health/...Remote jobMonday to Friday
$29.1 - $62.32 per hour
...URAC-accredited medical management organization founded in... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply... ...information from providers. Remote Work Expectations... ...Associate's degree in nursing (RN) required, BSN preferred...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work$32.01 - $68.55 per hour
...with heart, 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$60.53k - $129.63k
...one person, one family and one community at a time. Remote UM Nurse Consultant RN Precertification Nurse (Telework) Work from anywhere... ...are seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote Precertification Nurse role....Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$54.1k - $116.77k
...family and one community at a time. Utilization Management (UM) Nurse Consultant 100% Work‑From‑Home | Full-Time |... ...to join our team. This is a fully remote role available to candidates in... ...Qualifications ~ Active, unrestricted RN license ~2+ years of acute...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend work- ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice, and we are looking for a Senior Utility Management Services (UMS) Consultant to help lead that growth from the... ...This is a hybrid position (in office/remote). We offer a telecommute option to work...Remote workFull timeFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
- ...CVS Health is seeking a Nurse Consultant for a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and... ...providers and internal teams. The role requires an active RN license, 3+ years in acute behavioral health/substance...Remote work
- ...forward. As a healthcare IT consulting and staffing firm, we help health... ...26 - 12/31/2026 Location: Remote We are seeking experienced Epic Tapestry Utilization Management (UM) Workflow Configuration... ...of Prior Authorization nurses, reviewers, and care management...Remote workPart time
- CVS Health is seeking a Nurse Consultant in Utilisation Management for a 100% remote role in the United States. You will review inpatient and outpatient services,... ...supporting URAC guidelines. The position requires an active RN license, 3+ years of behavioural health experience,...Remote job
$54.1k - $116.77k
...community at a time. Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Sunday -... ...Health professional or Psychiatric RN looking to make a meaningful impact... ...Behavioral Health clinicians Registered Nurse with psychiatric specialty...Remote workHourly payFull timeTemporary workLocal area- CVS Health is seeking a licensed Behavior Analyst (LBA) and Board Certified Behavior Analyst (BCBA) for a 100% remote Utilization Management consultant role. The position supports Florida residents, with standard Monday-Friday 8:00 AM-5:00 PM EST hours. The candidate will...Remote jobMonday to Friday
- ...Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to join our Clinical Services team. This remote role supports members in Oregon, Washington, Idaho or Utah, conducting prospective, concurrent and retrospective reviews to ensure medical necessity...Remote work
- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected... ...the utilization/benefit management program. Requires an RN (consideration for LCSW) with unrestricted active license...Work at officeWeekend 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- ...Humana is seeking a Utilization Management Nurse to leverage clinical nursing skills in coordinating, documenting, and communicating medical service... ...to ensure appropriate care. The position expects RN licensure with no disciplinary actions, a Bachelor’s degree...Remote work
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