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

Remote RN Utilization Management Consultant - Medicare

CVS Health

CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) to work remotely in a full-time role. You will review, adjudicate and coordinate care for Medicare beneficiaries, leveraging evidence-based criteria to ensure appropriate care and efficient utilisation.

Ideal candidates will have an active RN license, 3+ years RN experience, at least 1 year in Med/Surg, and strong MS Office skills.

#J-18808-Ljbffr
Vacancy posted 1 hour ago
Similar jobs that could be interesting for youBased on the Remote RN Utilization Management Consultant - Medicare in Williamstown, NJ vacancy
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in the Baltimore area. The role leverages RN clinical expertise to assess care options, determine...  ...experience, and MS Office proficiency; remote work options with home setup... 
    Remote work
    Work from home

    CVS Health

    Baltimore, MD
    1 hour ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess and coordinate healthcare services for members. The role emphasizes...  ..., and effective utilization management. Strong RN background and licensure are required, with Med/... 
    Remote work
    Work at office
    Work from home
    Afternoon shift

    CVS Health

    Atlanta, GA
    1 hour ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role supports coordination of care, uses clinical criteria to render coverage...  ...members. The position requires ~3+ years as an RN with active licensure, Med/Surg experience, and... 
    Remote work
    Work from home
    Monday to Friday
    Afternoon shift

    CVS Health

    Little Elm, TX
    1 hour ago
  •  ...is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical...  ...utilization. The position requires 3+ years RN experience, an active RN license, an associate degree... 
    Remote work

    CVS Health

    Guin, AL
    1 hour ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess and authorize appropriate healthcare services for members, coordinating with providers to ensure effective care and optimal utilization of benefits. The role requires... 
    Remote work

    CVS Health

    Wyoming, MI
    1 hour ago
  •  ...CVS Health is recruiting a Medicare Precertification Utilization Management Nurse Consultant in a remote-capable role. The position requires collaboration to assess, plan, implement, and monitor care, using clinical criteria to determine coverage and coordinate with providers... 
    Remote work

    CVS Health

    Baton Rouge, LA
    1 hour ago
  •  ...CVS Health is seeking a Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) to support treatment decisions remotely. You will collaborate with providers and apply clinical judgment for the right care at the right time. An active RN license... 
    Remote work
    Work at office

    CVS Health

    Crystal Bay, NV
    1 hour ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role is full-time and based in a remote-capable environment within the United States, requiring active RN licensure, 3+ years of RN experience, and Med/Surg experience. Schedule... 
    Remote work
    Full time
    Monday to Friday
    Afternoon shift

    CVS Health

    Charlotte, NC
    1 hour ago
  •  ...CVS Health is seeking an Utilization Management Nurse Consultant – Clinical Precertification RN for Medicare. This fully remote, full-time role supports the UM team to ensure appropriate care decisions across plans and providers. You will review cases, collaborate... 
    Remote work
    Full time

    CVS Health

    Florida
    1 hour ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to join our team in a remote capacity. Schedule is Monday through Friday, 9:00am to 5:30pm in the candidate's time zone, with 24/7 utilization management coverage including holidays... 
    Remote job
    Monday to Friday
    Afternoon shift

    CVS Health

    Seattle, WA
    3 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations from a remote location. The role requires strong clinical judgment, collaboration with care teams, and a weekend-oriented schedule after training... 
    Remote job
    Full time
    Weekend work

    CVS Health

    Central City, CO
    3 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. Schedule is Monday-Friday, 9:00am-5:30pm in the candidate's time zone, with...  ...collaborating with providers. Ideal candidates hold ~3+ years RN experience, active RN license, and ~1+ years Med/... 
    Remote job
    Work at office
    Monday to Friday
    Afternoon shift

    CVS Health

    Annapolis, MD
    3 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations and care coordination. This remote, full-time role requires an active RN license and 3+ years of nursing experience, including Med/Surg. After... 
    Remote job
    Full time
    Work at office
    Shift work
    Weekend work
    Afternoon shift

    CVS Health

    Guin, AL
    3 days ago
  •  ...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 work
    Work at office

    CVS Health

    Kansas City, MO
    1 hour ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to work remotely on a full-time weekend schedule after training. This role focuses on ensuring members receive the right care at the right time by reviewing clinical information... 
    Remote job
    Full time
    Work at office
    Weekend work
    Day shift

    CVS Health

    Brooklyn, NY
    1 day ago
  •  ...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 work
    Afternoon shift

    CVS Health

    Missouri
    1 hour 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 Med/Surg and...  ...appropriate care and benefits. This full-time remote position supports a 24/7 Utilization... 
    Remote work
    Full time
    Work at office
    Afternoon shift

    CVS Health

    Lansing, MI
    1 hour ago
  •  ...CVS Health in the United States is seeking an experienced RN to join the Medicare Utilisation Management team in a remote, full-time role. You will leverage clinical judgment to ensure appropriate care through precertification reviews for joint procedures. This position... 
    Remote work
    Full time
    Work from home

    CVS Health

    Utah
    1 hour ago
  •  ...CVS Health is seeking a Registered Nurse for Utilization Management in a fully remote role. You will review clinical information, coordinate with care teams...  ...and care plans from home. Requires an active RN license and 2+ years in adult acute, critical care or medical... 
    Remote work

    CVS Health

    Pennsylvania
    1 hour ago
  •  ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full-time, remote role will involve assessing and coordinating care, applying clinical...  .... The position requires 3+ years as an RN, active licensure, 1+ year Med/Surg, and... 
    Remote work
    Full time
    Work at office

    CVS Health

    Arkansas City, KS
    1 hour ago
  •  ...CVS Health is seeking an Utilization Management Nurse Consultant to ensure Medicare members receive appropriate care. This is a remote, full-time role with a weekday schedule and a base hourly...  ...care teams. Ideal candidates hold an RN license, have 3+ years of RN experience... 
    Remote work
    Hourly pay
    Full time
    Weekday work

    CVS Health

    Iowa
    1 hour ago
  •  ...CVS Health is seeking an RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role. You will review clinical data, apply criteria, and coordinate plans to ensure members receive appropriate care in a timely manner. Ideal candidates... 
    Remote work
    Full time

    CVS Health

    New Hampshire
    1 hour ago
  •  ...CVS Health is seeking a Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) for a remote, full-time role. You will review cases, coordinate care, and apply clinical judgment to support decisions, serving as a resource across stakeholders.... 
    Remote work
    Full time
    Weekday work

    CVS Health

    North Dakota
    1 hour ago
  •  ...CVS Health is seeking a seasoned RN in a remote, full-time role as Utilisation Management Nurse Consultant for Medicare joint procedures. You will assess clinical information, apply criteria, and coordinate treatment plans across care teams. Ideal candidates hold an... 
    Remote work
    Full time
    Work at office
    Afternoon shift
    Weekday work

    CVS Health

    Kentucky
    1 hour ago
  •  ...CVS Health in the United States seeks an RN Utilisation Management Nurse Consultant to support Medicare joint procedures in a remote, full-time role. Remote work with some evenings...  ...care with providers, and help optimise utilization while upholding safety and quality. #J-... 
    Remote work
    Full time
    Afternoon shift

    CVS Health

    Hydaburg, AK
    1 hour ago
  • CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare - Joint Procedures) to join our remote, full-time team. Bring your clinical expertise to ensure members receive appropriate care at the right time, shaping high-quality Medicare coverage... 
    Remote job
    Full time

    CVS Health

    New York, NY
    1 day ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in Indiana. The role uses clinical expertise to assess and coordinate care,...  ...hours; Associates degree required, BSN preferred, and RN licensure must be active and unrestricted in #J-1... 
    Remote job
    Afternoon shift

    CVS Health

    Muncie, IN
    3 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for remote, full-time weekend coverage. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care. Ideal candidates... 
    Remote job
    Full time
    Work at office
    Shift work

    CVS Health

    Yuma, AZ
    3 days ago
  •  ...with providers to facilitate care and treatment. You will identify referral opportunities to integrate CVS Health products and programs and serve as a clinical resource to internal and external stakeholders in utilization/benefit management. #J-18808-Ljbffr CVS Health
    Remote job

    CVS Health

    Annapolis, MD
    1 day ago
  • CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations remotely. The role requires collaborating with providers and care teams to coordinate treatment plans and ensure appropriate member... 
    Remote job

    CVS Health

    Alton, IL
    3 days ago

Do you want to receive more vacancies?

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