Remote Utilization Management Nurse Consultant
Voices for Voices
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 outpatient services, authorize care, and escalate cases as needed, while coordinating with providers and internal teams. The role requires an active RN license, 3+ years in acute behavioral health/substance abuse, and completion of a mandatory 3-week training with full participation. This position is remote with statewide responsibilities. #J-18808-Ljbffr
Vacancy posted 1 day ago
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- ...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
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United States3 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and collaborate with providers to support members with complex needs. Qualifications include ADN required,...Remote work
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United States20 hours ago - ...CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorizing care, and escalating cases when needed....Remote work
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United States1 day ago $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 shiftCVS Health
Topeka, KS1 day ago- ...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, authorize care, and collaborate with providers while maintaining precise documentation. The position...Remote workFlexible hours
Pennsylvania Psychological Association
Phoenix, AZ1 day ago $29.1 - $62.32 per hour
...simplify health care one person, one family and one community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize clinical skills to coordinate, document and...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayCVS Health
Richmond, VA1 day ago- ...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
CVS Health
Little Rock, AR3 days ago - ...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
4062 Aetna Resources, LLC
United States1 day ago $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 FridayCVS Health
United States2 days ago$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 shiftCVS Health
Topeka, KS2 days ago$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayCVS Corporation
United States2 days ago- ...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 inpatient and outpatient services, collaborate with providers to authorize care, and elevate cases when needed...Remote work
Preferra Insurance
Phoenix, AZ20 hours ago - ...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
Louisiana12 hours ago $29.1 - $62.32 per hour
...Health, is a URAC-accredited medical management organization founded in 1993. We... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment... ...information from providers. Remote Work Expectations This is a 10...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend workVoices for Voices
Phoenix, AZ10 hours ago$60.53k - $129.63k
...care one person, one family and one community at a time. Remote UM Nurse Consultant RN Precertification Nurse (Telework) Work from... ...are seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote Precertification Nurse role. Preference...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$54.1k - $116.77k
...one person, one family and one community at a time. Utilization Management (UM) Nurse Consultant 100% Work‑From‑Home | Full-Time | Open to CST residents... ...) Nurse Consultant to join our team. This is a fully remote role available to candidates in any U.S. state in the...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
Blue Cypress Consulting, LLC
Washington DC2 days ago - ...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 work
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United, PA3 days ago - ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work at officeWeekend work
Integrated Resources
Downers Grove, IL2 days ago $60.52k - $129.62k
...alignment with relevant project plans. Manages and coordinates specific workplans for... ...publications, and/or facilitating research utilization to improve clinical care and outcomes.... ...technical writing skills ~ Registered Nurse (RN) required ~ Adept at problem...Remote workHourly payFull timeTemporary workWork experience placementMonday to FridayOak St. Health
United States4 days ago$54.1k - $116.77k
...family and one community at a time. Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Sunday - Thursday Schedule Are... ...licensed Behavioral Health clinicians Registered Nurse with psychiatric specialty experience and unrestricted...Remote workHourly payFull timeTemporary workLocal area$60.15 - $85.81 per day
...Utilization Management NurseThe Utilization Management Nurse supports the case management department by providing a variety of utilization management functions... ...rotating weekend coverageHybrid Position – Primarily remote/work-from-home, with an expectation to be on-site...Remote workFull timeWork experience placementWork from homeShift workCredenza Health
Madera, CA8 hours ago$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation... ...center or triage experience Additional Information Remote to work the eastern or central time zone Work at Home...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeHumana
Tallahassee, FL2 days ago- ...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
Cambia Health Solutions
United States1 day ago - ...skilled and experienced Registered Nurse with specialties in Medical/... ...skilled nursing care, case management, and hospice care to... ...Certifications: Experience in Utilization Review or case management... ...to work independently in remote settings. Must be able to...Remote workFlexible hours
vTech Solution
Santa Rosa, CA3 days ago - ...Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations... ...make critical patient-care decisions. This full-time, remote position offers a competitive salary and comprehensive...Remote workFull time
IntelliResume
Brooklyn, NY4 days ago - ...Registered Nurse – Utilization Review (Remote) Position Overview: This is a fully remote Utilization Review RN role supporting multiple service... ...Qualifications: Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote work
3B Healthcare, Inc.
Torrance, CA2 days ago $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 workkozmetickesluzby.vecnakraska.sk - Jobboard
United States3 days ago$29 per hour
...Actalent seeks an LVN Nurse Consultant for a fully remote, contract-to-hire role based in Dallas, TX. Schedule is M-F with daytime CST hours... ...experience in telephonic communication and utilization/case management. Benefits are described in the posting. #J-18808-...Remote workHourly payContract workActalent
Dallas, TX10 hours ago$1,813 - $1,908 per week
...Registered Nurse:Utilization Review,16:00:00-04:30:00 Location: Torrance, California... ...Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review*... ...National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/...Remote workB2B Staffing Services
Torrance, CA2 days ago
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