Remote RN Utilization & Care Coordination Consultant
CVS Health
CVS Health is seeking a Registered Nurse for Utilization Management to assess and coordinate care for members. You will review clinical information, apply guidelines, and render coverage determinations while communicating with providers to facilitate treatment. The role emphasizes HIPAA-compliant care, collaboration, and efficient use of resources. Requires an active RN license, ADN (BSN preferred), and 2+ years in adult acute/critical care. Remote work within the U.S. #J-18808-Ljbffr
Vacancy posted 3 hours ago
Similar jobs that could be interesting for youBased on the Remote RN Utilization & Care Coordination Consultant in Baltimore, MD vacancy
- ...Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review... ...determinations and collaborate with providers to coordinate care, ensuring members receive appropriate care....Remote jobWork at officeWeekend work
- ...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 seeks an experienced RN to assess, plan, implement and coordinate patient care and benefits for members, applying... ...providers and teams to optimize utilization and outcomes while maintaining... ...weekend/holiday hours in a full-time, remote-capable position within Alabama....Remote workFull timeWeekend work
- ...Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for a remote full-time role with weekend coverage. You will... ...determinations, apply guidelines, and collaborate with care teams to coordinate treatment plans. The ideal candidate holds an...Remote jobFull timeWork at officeWeekend work
- ...Health is recruiting for an RN Concurrent Review Nurse in a remote capacity, focusing on... ...ensure medically necessary care across the continuum. The... ...with providers, coordinate discharge planning, and participate... ...referrals to optimize utilization and outcomes. #J-18808-Ljbffr...Remote work
- ...CVS Health seeks a Medicare Precertification Utilization Management Nurse Consultant to assess and coordinate healthcare services for members. You will apply clinical... ...render coverage decisions along the continuum of care. The role requires skilled communication, strong...Remote work
- ...Humana Inc. seeks a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations... .../Home Solutions UM team focused on post-acute care services. You will review cases using...Remote work
- ...nurse to assess, plan, implement, coordinate, monitor, and evaluate options... ..., apply guidelines, and support utilization management within a fast-paced,... ...environment. The role requires an active RN license, 2+ years in adult acute or critical care, and availability for weekends,...Remote workWeekend workAfternoon shift
- ...Health is hiring an Utilization Management Nurse Consultant to enhance patient outcomes... ...assessment in a remote environment. The role... ...emphasizes collaboration with care teams, applying guidelines, and coordinating treatment plans to... ...management. The RN with 3+ years of...Remote job
- Humana is seeking a remote Utilization Management Behavioral Health Professional 2 in Indiana. The role requires an active RN license in Indiana, an ASN (BSN preferred)... ...+ year of clinical and managed care experience. You will coordinate with providers and members to ensure...Remote job
- ...CVS Health is seeking an experienced RN to assess, plan, and coordinate healthcare services for members. You will apply clinical criteria... ...coverage and collaborate with providers to facilitate care and benefit utilization. Ideal candidates hold an Associate Degree in...Remote workWeekend workAfternoon shift
- 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
- CVS Health is seeking a licensed RN to join our Utilization Management team in a remote, full-time role focused on Medicare precertification. You will review cases... ...collaborate with providers to ensure appropriate care. The role requires 3+ years of RN experience...Remote jobFull timeWork at officeMonday to FridayAfternoon shift
- CVS Health in Wisconsin is seeking a registered nurse to assess, plan, implement, coordinate, and evaluate care options for members. You will work with providers to determine coverage determinations and promote quality care within a collaborative, HIPAA-compliant framework...Remote jobFull time
- ...Health Corporation is seeking a Utilization Management Nurse Consultant for Medicare Home Care. This remote, full-time role supports... ...coverage determinations, and coordinate transitions from hospital to home... ...Required: active, unrestricted RN license in your state, 2+ years...Remote workFull timeAfternoon shift
- ...CVS Health is seeking an Utilization Management Nurse Consultant (RN) to review authorization requests across multiple medical specialties... ...criteria to support determinations. This remote role collaborates with providers and care teams to ensure timely, cost-effective care....Remote work
$47.37 per hour
Lancesoft is seeking a Care Review Clinician for a remote 3-month assignment. You will work with the Utilization Management team to review inpatient cases, authorize care, and ensure... ...regulations. The role requires an active RN/LPN/LVN license and 2-4 years of clinical...Remote jobHourly pay- ...Yoh, a Day & Zimmermann company, is seeking an Utilization Management Nurse Coordinator (RN) for a remote contract opportunity based in Fairfield/Redding, CA. Training is onsite for 3 weeks, then remote with regular weekday hours and one weekend per month. The role...Remote workContract workWeekend workWeekday work
- 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
- CVS Health is seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare... ...determinations in collaboration with care teams. The position requires 3+ years of RN experience, an active RN license, and familiarity...Remote jobWork at officeAfternoon shift
- AllMed is seeking a Clinical Quality Assurance Coordinator (RN) to lead quality utilization reviews and ensure medical necessity in accordance with evidence-based guidelines. The role is 100% remote, requiring a strong knowledge of HIPAA, URAC standards, and regulatory...Remote job
- ...Nurse to assess, plan, implement and coordinate healthcare services for members in a remote capacity. This role involves... ...communicating with providers to support care decisions. The ideal candidate has... ...care experience, an active RN license in their state, and availability...Remote workWeekend workAfternoon shift
$45 per hour
...Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s managed care health plan client based out of... ...ideas and big results through consulting, staffing, and enterprise solutions...Remote workContract workTemporary workMonday to FridayWeekend work- ...Software, Inc. is seeking a highly motivated Utilization Review RN to join our team. The RN will... ...length of stay, and level of care, including appeals initiated by providers... ...Responsibilities include authorizing services, coordinating discharge planning, and documenting...Remote workContract work
- ...Elevance Health is seeking a Wound Care Utilization Management RN to support pre-certification and authorization... ...Services. This role emphasizes remote work with essential in-person... ...sessions and a strong focus on care coordination and outcomes. You will review clinical...Remote work
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote ~ Full-time WHO IS GUIDEHEALTH? Guidehealthis a data... ...services Quality of care concerns Interfacingroutinely... ...reliable and user-friendly. Care Coordination & Quality Support Initiatingreferrals...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Position: Remote Nurse Consultant Company Overview: Absolute Elder Care is a leading provider of in-home care services for... ...physicians and therapists, to ensure coordinated and comprehensive care... ...continuously improve our services Utilize telehealth technology to...Remote workFull timeMonday to FridayFlexible hours
- ...USA Scope The Medical Review Coordinator will perform her/his duties in... ...record for review by the utilization review specialist. Review and... ...population and focusing on quality care and improved outcomes,... ...Utilization Review Coordinator LPN (Remote) Support Job Utilization...Remote jobFull timeTemporary workWork at office
- ...Humana is seeking an Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care. You will work remotely, reporting to the Manager of Utilization... ...include an active RN license in your state and 1...Remote work
- ...Health Corporation is seeking a Utilization Management Nurse Consultant (RN) for remote work supporting prior authorization... ...necessity, and collaborate with care teams to ensure timely, cost-... ...includes applying clinical criteria, coordinating with providers, and ensuring...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Utilization & Care Coordination Consultant. Be the first to apply!
Related searches
- public health registered nurse Baltimore, MD
- temporary rn Baltimore, MD
- cath-lab rn Baltimore, MD
- perioperative rn Baltimore, MD
- part time rn Baltimore, MD
- pacu rn Baltimore, MD
- travel registered nurse l&d Baltimore, MD
- nicu registered nurse Baltimore, MD
- telephonic rn Baltimore, MD
- rn urgent care Baltimore, MD


