Remote Nurse Consultant — Inpatient Care & Utilization
CVS Health Corporation
- Remote job
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 candidates have 5+ years of inpatient nursing experience, and hold a LA RN license or Compact licensure. Associates degree is required, with a Bachelor's preferred, and ongoing licensure expansion may be required by state rules. #J-18808-Ljbffr CVS Health Corporation
- 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
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- CVS Health is seeking an experienced Utilization Management Nurse Consultant to work remotely in the United States. The role supports Medicare precertification,... ...renders coverage determinations in collaboration with care teams. The position requires 3+ years of RN...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
- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. The nurse will collaborate with the patient’s PCP, facility... ...to ensure appropriate, cost-effective levels of care while maintaining safety and quality. The role requires...Remote work
$26.01 - $56.14 per hour
...be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves... ..., one family and one community at a time. Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home- CVS Health Corporation is seeking a Concurrent Review Nurse (RN) for a 100% remote role. The position involves reviewing inpatient stays, collaborating with care teams, and ensuring appropriate care levels in a remote setting. Requires 5+ years inpatient nursing, strong...Remote job
- CVS Health is seeking an experienced radi-? nurse for a 100% remote Concurrent Review RN position. The role supports inpatient reviews, discharge planning, and care transitions across the continuum. Required is an active Louisiana RN license (or Compact), with 5+ years...Remote jobWeekend work
- CVS Health is seeking a Concurrent Review Nurse (RN) for a 100% remote role. In this inpatient-focused position, you will review admissions and ongoing stays to ensure appropriate, high-quality, cost-effective care across the patient journey. You will collaborate with...Remote job
- Amerit Consulting is seeking an experienced Utilization Management Nurse (RN) in California for a remote 6-month contract. The incumbent will support inpatient utilization review, medical necessity determinations, and facility claims compliance, auditing DRG classifications...Remote jobContract 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... ...and collaborate with providers to coordinate care, ensuring members receive appropriate care. Active...Remote jobWork at officeWeekend work
- 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... ..., and collaborate with providers to ensure appropriate care. The role requires 3+ years of RN experience including...Remote jobFull timeWork at officeMonday to FridayAfternoon shift
- 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...Remote jobFull timeFreelanceWork at officeMonday to FridayWeekend work
$26.01 - $56.14 per hour
About This Role The UM Nurse Consultant at CVS Health is a remote position ideal for experienced inpatient Registered Nurses looking to leverage... ...ensure high-quality patient care. Highlights Pay: $26.01 - $5... ...to improve healthcare utilization Communicate recommendations...Remote workFull timeMonday to Friday$26.01 - $56.14 per hour
Concurrent Review Nurse (RN) 100% Remote | Monday-Friday, 8:00 AM-5:00 PM CST... ...passionate colleagues who care deeply, innovate with purpose... .... Are you an experienced inpatient Registered Nurse looking to... ...with hospitals, physicians, utilization review departments, and care...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeMonday to Friday$26.01 - $56.14 per hour
...passionate colleagues who care deeply, innovate with purpose... ...a time. Concurrent Review Nurse (RN) 100% Remote | Monday-Friday, 8:00 AM-5:... ...Are you an experienced inpatient Registered Nurse looking to... ...with hospitals, physicians, utilization review departments, and care...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday$26.01 - $56.14 per hour
...surrounded by passionate colleagues who care deeply, innovate with purpose,... ...and one community at a time. Utilization Management Nurse Consultant (RN) - Remote | Prior Authorization | Utilization... ...Experience reviewing inpatient, outpatient, specialty, surgical,...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home- ...Position: Remote Nurse Consultant Company Overview: Absolute Elder Care is a leading provider of in-home care services for seniors. Our mission is to provide... ...senior care to continuously improve our services Utilize telehealth technology to conduct virtual...Remote workFull timeMonday to FridayFlexible hours
- ...CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical... ...and evidence-based criteria to review inpatient and outpatient services, authorizing care, and escalating cases when needed. The position...Remote work
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote ~ Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance... ...plans Intensity and duration of inpatient or outpatient services Quality of care concerns Interfacingroutinely with...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented... ...role, you'll perform both inpatient and outpatient utilization... ...supporting transitions of care and ensuring patients... ...policies). This is a fully remote opportunity requiring discipline...Remote work
- ...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
$66.58k - $142.58k
...surrounded by passionate colleagues who care deeply, innovate with purpose, hold... ...is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a... ...Appeals, Managed Care, or Utilization Review experience. Proficiency with...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayShift work- ...The Utilization Management (UM) Nurse is a licensed nursing professional responsible... ...team on coordinating patient care to ensure patients can... ...Responsible for the inpatient UM process, including initial... ...which may be in understaffed/remote areas, in the presence of...Remote workFull timeWork at office
- ...Dickinson (US) LLP seeks a Nurse Consultant to join our team. The Nurse... ...outcomes. This role is performed utilizing firm-approved technology... ...position has been approved for remote work. RESPONSIBILITIES:... ...inconsistencies, causation, standards of care, and damages; document...Remote workWork at office
- ...Utilization Management Nurse BHPS provides Utilization Management services to its... ...coverage while working remotely. Primary Responsibilities... ...timely review of services and care. Provides referrals to... ...sets ~ Experience with both inpatient and outpatient reviews...Remote workContract workWork at office
$101.72k - $198.36k
...Location: California - Ability to work remote, but selected candidate must reside in... ...or all of the following functions: utilization management, care management, behavioral health and other... ...and services (LTSS), behavioral health, nurse advice line, and/or other special...Remote workContract workWork experience placementWork at officeLocal area- CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote role. You will apply clinical judgment and... ...-based criteria to review inpatient and outpatient services, collaborate... ...collaborate with providers to authorize care, and elevate cases when needed...Remote job
- CVS Health is seeking a Nurse Consultant for Utilization Management to review inpatient and outpatient services, apply criteria, authorize care, and escalate cases as needed. This 100% remote role requires strong clinical judgment and organization for fast-paced environments...Remote job
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