Remote Utilization Nurse Consultant - Care Management
CVS Health
CVS Health in Rhode Island is seeking a Utilization Management Nurse Consultant (RN) to apply clinical expertise beyond the bedside. You will review cases, determine coverage, and coordinate care with providers to support appropriate treatment.
This full-time remote role requires an active RN license, 3+ years of RN experience (including 1+ year in Med/Surg), and strong clinical judgment. The position offers a comprehensive benefits package and a weekday schedule in your time zone.
#J-18808-LjbffrVacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Nurse Consultant - Care Management in United States vacancy
- ...CVS Health is seeking a UM Nurse Consultant to perform utilization management reviews for post-acute services and determine medical necessity. This remote role in Louisiana partners with providers, care managers, and medical directors to ensure timely, high-quality patient...Remote work
CVS Health
United States4 days ago - ...CVS Health is hiring for an Utilization Management Nurse Consultant (RN) for remote work. The role focuses on concurrent review and ensuring timely, cost-effective care through evidence-based decision-making. Candidates need active RN licensure, multi-state capability...Remote work
4004 Aetna Medicaid Administrators
United States20 hours ago - ...CVS Health is seeking an Utilization Management Nurse Consultant to ensure Medicare members receive appropriate care. This is a remote, full-time role with a weekday schedule and a base hourly pay range. You will review cases, collaborate with providers, and apply clinical...Remote workHourly payFull timeWeekday work
CVS Health
Sioux Center, IA1 day ago - ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive the right care at the right time. You will review cases, collaborate with providers, and use evidence-based guidelines...Remote workFull timeLocal areaMonday to FridayAfternoon shift
CVS Health
United States4 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement... ..., with a strong focus on utilization management and care coordination. Ideal candidates hold an associate...Remote workAfternoon shift
CVS Health
United States2 days ago $29.1 - $62.32 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 - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$26.01 - $56.14 per hour
...passionate colleagues who care deeply, innovate with... ...:00pm EST Location: 100% Remote (U.S. only) About Us American... ...URAC-accredited medical management organization founded in 1... ...complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift 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
CVS Health
Wilmot, SD3 days 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, AZ3 days ago - ...CVS Health is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor, and evaluate healthcare... ...skilled RN with experience in acute/critical care and utilization management, offering remote work in California and a full-time schedule,...Remote workFull timeAfternoon shift
CVS Health
Sacramento, CA3 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... ...services, collaborate with providers to authorize care, and elevate cases when needed while maintaining thorough...Remote work
Preferra Insurance
Phoenix, AZ3 days ago - ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to remotely review authorizations and assess medical necessity across multiple specialties. You will collaborate with care teams to ensure compliant, evidence-based reviews and timely decisions...Remote work
CVS Health
United States1 day ago - ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote Utilization Management team. This full-time role focuses on ensuring appropriate care coverage and optimizing member outcomes within a 4‑day weekend schedule...Remote workFull timeWeekend work
4062 Aetna Resources, LLC
United States4 days ago - ...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 work
CVS Health
New York, NY4 days ago - CVS Health is seeking an experienced Utilization Management RN to join our remote team. You will review authorization... ...criteria to determine appropriate care while maintaining compliance with... ...multi-state preferred), 3+ years of nursing, 2+ years in UM/Prior #J-18808-LjbffrRemote work
CVS Health
Bastrop, LA6 hours ago - ...CVS Health Corporation in Springfield, IL is hiring a Utilization Management Nurse Consultant to assess and coordinate care, applying clinical criteria to determine coverage and benefits for members. This is a 24/7 operation with weekend, holiday and evening hours....Remote workShift workWeekend workAfternoon shift
CVS Health
United States1 day ago - ...CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed. Training is mandatory for...Remote workMonday to Friday
Istss
Phoenix, AZ4 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote role supporting EST/CST time zones. The position requires 2+ years of RN experience... ..., documentation, and ensuring appropriate care and benefits for members. Ideal candidates have Med/Surg...Remote workWork at officeWeekend workAfternoon shift
CVS Health
Austin, TX4 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN) for Medicare on a remote, full-time basis. You will review clinical cases, determine coverage, coordinate care, and support decision-making for member outcomes. The role requires...Remote workFull timeMonday to FridayAfternoon shift
CVS Health
United States4 days ago - ...CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information, and applying guidelines to support appropriate benefits for members. You will collaborate with providers and internal...Remote workWeekend workAfternoon shift
CVS Health
United States4 days ago $29.1 - $62.32 per hour
...be surrounded by passionate colleagues who care deeply, innovate with purpose, hold... ..., one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare Home Care) Remote | Full-Time | Weekday Schedule Are you a Registered...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
United States3 days ago$26.01 - $62.32 per hour
...ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves... ...one family and one community at a time. RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) Remote | Full-Time | Monday-Friday (9:00 am to 5:30 pm...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
Clayton, MO1 day ago$26.01 - $62.32 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 Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
Boston, MA3 days ago$26.01 - $62.32 per hour
..., you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable... ...community at a time. Medicare Precertification Utilization Management Nurse Consultant (RN) Remote | Full-Time | Weekends Are you a detail‑oriented...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend workAfternoon shiftCVS Health
Fulton, MS3 days ago$26.01 - $56.14 per hour
...Utilization Management Nurse Consultant (RN) - RemoteMust Reside in Oklahoma. Join a collaborative team dedicated... ...helping members receive the right care, at the right time, in the right setting... ...requirements.Schedule100% Remote (Oklahoma based)Monday-Friday, generally...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayWeekend workCVS Corporation
Oklahoma City, OK3 days ago$32.01 - $68.55 per hour
...passionate about transforming health care. As the nation's leading... ...Position Summary This Utilization Manager position is with Aetna's Long... ...Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will...Remote workHourly payFull timeLocal area10 hours per weekFlexible hoursThe Muse
Albany, NY20 hours ago$29.1 - $62.32 per hour
...passionate colleagues who care deeply, innovate with... ...URAC-accredited medical management organization founded in... ...Position Summary Join our Utilization Management team as a Nurse Consultant, where you'll apply... ...information from providers. Remote Work Expectations...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend workVoices for Voices
Phoenix, AZ3 days ago- ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage determinations... ...for Medicare beneficiaries. This remote, full-time role follows a weekday... ...RN expertise to ensure appropriate care and outcomes. You will...Remote workFull timeWeekday work
CVS Health
Heber, UT20 hours ago - ...CVS Health is seeking a Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) for a remote, full-time role. You will review cases, coordinate care, and apply clinical judgment to support decisions, serving as a resource across stakeholders....Remote workFull timeWeekday work
CVS Health
North Dakota20 hours ago $32 - $69 per hour
...About This Role The Utilization Management Nurse Consultant at CVS Health is responsible for assessing, planning... ...Pay: $32 - $69/hour Location: Remote, CA Schedule: Full-time,... ...Communicate with providers to facilitate care and treatment. Identify members for...Remote workFull timeAfternoon shiftCVS Health
California20 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Nurse Consultant - Care Management. Be the first to apply!
Related searches
- data management consultant United States
- business support consultant United States
- human resources management consultant United States
- junior management consultant United States
- entry level management consultant United States
- management consultant United States
- business associates degree United States
- product lifecycle management consultant United States
- business operations associate United States
- contract management consultant United States