Remote Medicare Utilization RN Consultant
CVS Health
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. This full‑time role requires RN licensure in the state of residence and 3+ years of RN experience, including Med/Surg, with proficiency in Microsoft Office.
The position supports a 40-hour work week, with a schedule that includes holidays and evenings, and remote work within the U.S. The role focuses on assessing care options, applying clinical criteria, and coordinating with providers to ensure
#J-18808-LjbffrVacancy posted 3 hours ago
Similar jobs that could be interesting for youBased on the Remote Medicare Utilization RN Consultant in Honolulu, HI vacancy
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to assess, plan, coordinate, and evaluate care options for members within a 24/7 Utilization Management operation. The role emphasizes collaboration with providers to facilitate appropriate...Remote work
- ...is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review clinical... ...treatment for members. The role requires an active RN license in your state, 3+ years RN experience, 1...Remote 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 is seeking a Medicare Precertification Utilization Management Nurse Consultant via remote work in the United States. The role requires RN licensure and 3+ years of nursing experience, with Med/Surg exposure and proficiency in Microsoft Office. You will assess...Remote workWork at officeAfternoon shift
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. You will assess and coordinate care, determine... .... The role requires 3+ years of RN experience, an active RN license, and Med/Surg exposure. Remote work from home with flexible...Remote jobWork at officeWork from homeFlexible hours
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review clinical information to support coverage determinations and collaborate with providers to coordinate care,...Remote jobWork at officeWeekend work
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) for a remote full-time role with weekend coverage. You will review clinical information to support coverage determinations, apply guidelines, and collaborate with care teams to...Remote jobFull timeWork at officeWeekend work
- ...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 workWork at office
- ...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 workAfternoon shift
- ...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 workFull timeWork at officeAfternoon shift
- ...CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with ~3+ years of clinical experience and active licensure in the state of residence. You will coordinate care, apply clinical criteria,...Remote workWork from homeAfternoon shift
- ...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant. The role involves assessing care options, applying clinical criteria, and coordinating... ...appropriate services are delivered. Requires RN licensure and 3+ years of nursing experience, with...Remote workFull timeWork from homeMonday to Friday
- ...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...Remote workHourly payFull timeWeekday work
- ...CVS Health is seeking an RN Utilization Management Nurse Consultant. This full-time role is remote within the state, with a 40-hour work week, primarily Mon-Fri, and includes evening/holiday coverage as needed in a 24/7 operation. You will assess and coordinate care...Remote workFull timeAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in the United States. The role runs Monday–Friday, 9:00am–5:30pm in the candidate’s time zone, with 24/7 utilization management scheduling including holidays and evenings. You...Remote workMonday to FridayAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role requires an RN with 3+ years of experience and active licensure in the state of residence. The position involves remote work with a Monday–Friday schedule, some evenings...Remote workMonday to FridayAfternoon shift
- ...CVS Health in Rhode Island is seeking a Medicare Precertification Utilization Management Nurse Consultant to join a 24/7 operation. The role uses clinical expertise... ...and evening hours. This role requires 3+ years of RN experience, active licensure, 1+ year Med/Surg, and...Remote workMonday to FridayAfternoon shift
- ...CVS Health is hiring a Medicare Precertification Utilization Management Nurse Consultant remote in the United States. The role requires ~3+ years of RN experience, active RN license, and 1+ year Med/Surg, plus proficiency with Microsoft Office (Outlook, Teams, Excel)....Remote workWork at officeMonday to FridayAfternoon shift
- CVS Health is seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification, assesses clinical information... .... The position requires 3+ years of RN experience, an active RN license, and familiarity...Remote jobWork at officeAfternoon 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 Utilization Management Nurse Consultant – Clinical Precertification RN (Medicare) for a remote, full-time role. The position supports utilization management and prior authorization decisions, collaborating with providers and care teams to ensure...Remote workFull time
- ...CVS Health is hiring a full-time RN for healthcare services and utilization management. The role emphasizes assessing and coordinating care, applying clinical... ...care, and availability for weekends and evenings. A remote work setup is available within eligible time zones and...Remote workFull timeWeekend workAfternoon 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
- ...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 workWork from home
- ...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 workWork from homeMonday to FridayAfternoon shift
- ...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 workWork at officeWork from homeAfternoon shift
- ...AlphaGov delivers public-sector consulting for cities, counties, school systems, special districts, utilities, and related agencies. Our work spans classification and compensation... ...project-based collaborators. Engagements are remote-first with occasional client travel. When you...Remote workContract workBank staff
- ...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 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
- ...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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicare Utilization RN Consultant. Be the first to apply!

