Remote Utilization Management Nurse Consultant (RN)
CVS Health
CVS Health is seeking a Utilization Management Nurse Consultant (Remote) to support Florida Medicare home-care requests. You will review cases, determine coverage, and coordinate with providers to ensure timely, appropriate care.
The role emphasizes clinical judgment, care coordination, and quality outcomes in a remote, full-time setting. The position requires an active RN license, 2+ years of experience (including 1+ year in Med/Surg), strong assessment skills, and proficiency with Microsoft
#J-18808-Ljbffr- CVS Health is seeking a Utilization Management Nurse Consultant (UMNC) for a fully remote role. The incumbent will coordinate, document and communicate all aspects of the utilization/benefit management program to ensure appropriate care, timing and location while adhering...Remote job
$29.1 - $62.32 per hour
...CVS Health Remote Clinical Position We're building... ...collaboration with management to ensure adequate... ...Position Summary: Utilize your clinical... ...benefit utilization. Consult and lend expertise to... ...Qualifications: Registered Nurse Education: Diploma RN acceptable;...Remote workFull timeWork at officeWork from homeShift workWeekend work- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across... ...of care. This role requires RN licensure, 2+ years in acute/critical... ...communication. A BSN is preferred; remote work is supported within the state(s...Remote work
- ...CVS Health is seeking a qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration...Remote workAfternoon shift
$26.01 - $74.78 per hour
...Registered Nurse (RN) - Utilization Management We're building a world of health around every individual... ...one community at a time. Location: Remote (Preference for candidates in CST or... ...Services and benefit utilization Consults and lends expertise to other internal...Remote workHourly payFull timeTemporary workWork at officeWork from homeWeekend workAfternoon shift- ...CVS Health is hiring a Registered Nurse for Utilization Management in California. This full-time role supports a 24/7 operation... ...years of acute/critical care nursing, an active RN license, and strong communication. A remote work setup within the state is required, with...Remote workFull timeWeekend workAfternoon shift
- ...CVS Health is seeking a Registered Nurse for Utilization Management. This 24/7 role involves evaluating care options, gathering clinical information... ...coordinate care and referrals. The position requires an active RN license and 2+ years of adult acute/critical care...Remote workWeekend workAfternoon shift
- ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant in Indiana. The role uses clinical expertise to assess and coordinate... ...hours; Associates degree required, BSN preferred, and RN licensure must be active and unrestricted in #J-18808-...Remote workAfternoon shift
$26.01 - $56.14 per hour
...:00pm EST Location: 100% Remote (U.S. only) About Us American... ...URAC-accredited medical management organization founded in 1... ...medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical... ...Qualifications Active, unrestricted RN license in your state of...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work$26.01 - $62.32 per hour
...bigger - helping to simplify health care one person, 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 in your time zone, with occasional evenings/...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $62.32 per hour
...– 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 | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive... ...guidelines to support coverage determinations. A 3+ year RN background including Med/Surg and an active RN license...Remote workFull timeLocal areaMonday to FridayAfternoon shift
- ...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, current unrestricted RN licensure, and ability to work weekends/evenings as part of a 24/7 operation. The...Remote workWork at officeWeekend workAfternoon shift
$54.1k - $155.54k
...of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Registered Nurse (RN) - Remote Make a meaningful impact on patient care from wherever you work. We are seeking an experienced Registered...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$54.1k - $116.77k
...Monday-Friday 8:00am-5:00pm CST Position Summary The Utilization Management Nurse Consultant utilizes clinical experience and skills in a... ...setting. ~ Must have active current and unrestricted RN licensure in state of residence. ~ Utilization Management...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...CVS Health in Florida is seeking a Utilization Management Nurse Consultant. This full-time remote (work from home in Florida) role requires an active Florida RN license and at least 3 years of inpatient nursing experience. You will review medical necessity, coordinate...Remote workFull timeWork from homeWeekend workAfternoon shift
$60.53k - $129.63k
...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... ...Associate's degree in nursing (RN) required, BSN preferred...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...CVS Health is seeking an experienced Registered Nurse for a remote Utilization Management Nurse Consultant role focused on Medicare joint procedures. You will review... ...and utilization. The position requires 3+ years RN experience, an active RN license, an associate...Remote work
$29 - $62 per hour
...About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical experience... ...Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST... ...active current and unrestricted RN licensure in state of residence...Remote workWork at officeWork from homeAfternoon shift- ...CVS Health is seeking an experienced Medicare Precertification Utilization Management Nurse Consultant to join a 24/7 operation in a role requiring RN licensure and clinical collaboration. The position involves assessing care plans, applying clinical guidelines, communicating...Remote workWork at office
- ...CVS Health is seeking an Utilization Management Nurse Consultant for Medicare precertification, remotely accepting applications nationwide. The role emphasizes clinical judgment... ...Health standards. The position requires an RN license, 3+ years of nursing experience (1+...Remote workWork at office
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement... .../critical care, plus managed care exposure. Active RN license in home state is required; position includes...Remote workAfternoon shift
- ...CVS Health is hiring a Utilization Management Nurse Consultant for a remote EST role. The position requires an RN with 2+ years of adult acute/critical care experience and an active license. Work schedule includes evenings and weekends with a 40-hour week and comprehensive...Remote workAfternoon shift
- ...CVS Health is seeking a Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) to support treatment decisions remotely. You will collaborate with providers and apply clinical judgment for the right care at the right time. An active RN license...Remote workWork at office
- ...CVS Health is seeking a Registered Nurse for Utilization Management in a full-time role based in the United States. The position requires a current RN license, 2+ years in adult acute/critical care, and experience with utilization management processes. You will assess...Remote workFull timeAfternoon shift
- ...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 is seeking a UM Nurse Consultant in New Jersey to join a 24/7 Utilization Management operation. The role involves clinical assessment, planning and coordinating care, applying guidelines to determine coverage and collaborating with providers to optimize services...Remote job
- ...a partner organization, seeks an experienced Registered Nurse for a remote Utilization Management role. You will review cases, assess medical necessity, and... ...teams. The ideal candidate has 3+ years RN experience, ADN required with BSN preferred, and strong...Remote job
- CVS Health is seeking a Utilization Management Nurse Consultant (RN) to work remotely on prior authorization and utilization management. You will review requests, assess medical necessity, and apply clinical criteria to support decisions, collaborating with providers and...Remote job
- CVS Health is seeking a Registered Nurse for Utilization Management. You will assess and coordinate care, apply clinical criteria to determine coverage... ...an Associate degree with BSN preferred, and have 2+ years RN experience in adult acute/critical care, with the ability...Remote job
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