Remote Freelance Nurse Consultant - Utilization/Precertification
MaziCTools
- Remote job
MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare services, communicating with providers, and ensuring quality healthcare delivery. The ideal candidate should have proficiency in Microsoft Office and the ability to multitask in a fast-paced environment. The position operates Monday to Friday from 8 am to 5 pm CST, with potential weekend and holiday rotations. #J-18808-Ljbffr MaziCTools
- 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 precertification, assesses clinical information, and renders coverage determinations in collaboration with care teams. The position...Remote jobWork at officeAfternoon shift
- CVS Health is hiring an Utilization Management Nurse Consultant to enhance patient outcomes through clinical assessment in a remote environment. The role emphasizes collaboration with care teams, applying guidelines, and coordinating treatment plans to ensure appropriate...Remote job
- CVS Health Corporation invites an experienced Utilization Management Nurse Consultant to join the Spine Team in a remote, full-time capacity. You will review spine-related prior authorizations, apply evidence-based criteria, and collaborate with providers and Medical Directors...Remote jobFull time
- CVS Health Corporation is seeking a precertification nurse for a remote role, ideally with Virginia licensure or willingness to obtain compact licensure. The role involves reviewing clinical information from providers to authorize procedures and coordinate Medical Director...Remote jobWeekday work
- 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 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, determine coverage, and collaborate with providers to ensure appropriate care. The role requires 3+ years...Remote jobFull timeWork at officeMonday to FridayAfternoon shift
- CVS Health is seeking a Nurse Consultant for a remote role focused on inpatient clinical reviews. The position emphasizes collaboration with hospitals and care teams to ensure appropriate levels of care and efficient discharge planning from a non-bedside capacity. Ideal...Remote job
- CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote, full‑time team. The role focuses on ensuring appropriate care and coordinating with providers to optimize member outcomes, with a weekend‑heavy...Remote jobFull timeWork at officeShift workWeekend work
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations and care coordination. This remote, full-time role features a weekend schedule after training and requires strong clinical judgment and proficiency...Remote jobFull timeWork at officeWeekend work
- ...Position: Remote Nurse Consultant Company Overview: Absolute Elder Care is a leading provider of in-home care services for seniors. Our... ...practices in senior care to continuously improve our services Utilize telehealth technology to conduct virtual consultations with...Remote workFull timeMonday to FridayFlexible hours
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote ~ Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven... ...timely reviews of healthcare services, including precertification and concurrent reviews, using approved medical necessity...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$26.01 - $56.14 per hour
...something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home$66.58k - $142.58k
...Position Summary CVS Aetna is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a critical role in... ...Preferred Qualifications Appeals, Managed Care, or Utilization Review experience. Proficiency with computer skills...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayShift work- ...CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN) to work remotely on a full-time Weekday schedule. You will review cases, determine coverage, and collaborate with care teams to ensure appropriate treatment, while applying clinical...Remote workFull timeWeekday work
$29.1 - $62.32 per hour
...bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a Registered Nurse looking to leverage your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health... ...Provides casemanagement and/or consultation for complex cases.• Assists departmental... ...medical records/documentation, precertification, reimbursement and claim denials...Remote work
$1,766.5 per month
...Offering Nursing Profession... ...Specialty Utilization Review Job ID... ...Department operating fully remote - Provide exceptional... ...case management and consultation for complex cases -... ...records/documentation - Precertification - Reimbursement and...Remote workWeekly payWork experience placementShift work$1,751 per month
...Offering Nursing Profession... ...Job Title Utilization Management Registered... ...technologies simultaneously. Remote work experience.... ...case management and consultation for complex cases.... ...records, documentation, precertification, reimbursement, and claim...Remote workWeekly payWork experience placementShift work- ...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 workFull timeWork at officeShift work
$26.01 - $62.32 per hour
...RN Utilization Management Nurse Consultant (Medicare – Joint Procedures) We're building a world of health around every individual — shaping a... ...Review and assess clinical information for Medicare precertification (joint procedures) Apply evidence-based criteria and...Remote workHourly payFull timeTemporary workWork at officeWork from homeWeekday work- ...Womble Bond Dickinson (US) LLP seeks a Nurse Consultant to join our team. The Nurse Consultant... ...case outcomes. This role is performed utilizing firm-approved technology tools, including... ...analysis. This position has been approved for remote work. RESPONSIBILITIES: Perform...Remote workWork at office
$45 - $55 per hour
...Date: ASAP Duration: 6 months Location: Remote Pay Rate: $45 to $55 per hour About... ...industry polls, and interactive posts Utilize Sprout Social to consistently review data... ...Preferred Qualifications Experience in freelance or agency environments supporting multiple...FreelanceRemote workHourly payContract workTemporary workImmediate start- 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 is seeking a Utilization Management Nurse Consultant for the Specialty Spine Team to work remotely. You will review spine-related authorization requests, apply medical necessity guidelines, and collaborate with providers and Medical Directors to ensure timely...Remote job
- CVS Health Corporation is seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote precertification role. Preference is given to Virginia residents or candidates holding Virginia and Compact RN licenses. The position involves reviewing...Remote job
- CVS Health is seeking an experienced RN for a fully remote Precertification Nurse role within Utilization Management. Virginia residents are preferred, with a compact RN license and at least 3 years of nursing experience. You will review requests, gather documentation,...Remote job
- CVS Health is seeking an Utilization Management Nurse Consultant for Medicare precertification, remotely accepting applications nationwide. The role emphasizes clinical judgment and collaboration to ensure appropriate care timing and treatment, aligning with Medicare guidelines...Remote jobWork at office
$75k - $82k
...and skilled multi-taskers who can utilize a range of communications tools... ...other occasions. Managing freelance photographers, videographers, and other consultants as needed. When needed, planning... .... The union currently offers a remote work policy with regular mandatory...FreelanceRemote workFull timeContract workWork at officeLocal areaNight shift1 day per week
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