Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Management Nurse Consultant (RN)

CVS Health Corporation

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, and coordinate with providers in a fast-paced, telework environment. Excellent computer skills and an Associates degree in Nursing are required.

#J-18808-Ljbffr
Vacancy posted 6 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant (RN) in Richmond, VA vacancy
  •  ...Corporation is seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote precertification role. Preference is given to Virginia...  ...or candidates holding Virginia and Compact RN licenses. The position involves reviewing clinical... 
    Remote job

    CVS Health Corporation

    Richmond, VA
    1 day ago
  • CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information...  ...in a high-volume, computer-based setting and support utilization management from home. #J-18808-Ljbffr CVS Health Corporation
    Remote job
    Full time

    CVS Health Corporation

    New York, NY
    5 days 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 job
    Full time
    Weekend work

    4062 Aetna Resources, LLC

    Austin, TX
    1 day ago
  •  ...CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and...  ...experience, UR/Managed Care experience, and an active RN license. The role involves coordinating care and... 
    Remote work

    CVS Health

    United States
    5 days ago
  • $29.1 - $62.32 per hour

     ...community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize...  ...-Must have active current and unrestricted RN license in state of residence -Minimum of 3 years... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Monday to Friday

    CVS Health

    Richmond, VA
    1 day ago
  • $29.1 - $62.32 per hour

     ...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 work
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work

    CVS Health

    Phoenix, AZ
    4 days ago
  •  ...CVS Health is seeking an experienced Utilization Management Nurse Consultant to apply clinical judgment and guidelines to determine appropriate benefits across the continuum of care. This full-time role supports a 24/7 operation, with scheduled weekends, holidays and evening... 
    Remote work
    Full time
    Weekend work
    Afternoon shift

    4062 Aetna Resources, LLC

    United States
    1 day ago
  • $32.01 - $68.55 per hour

     ...CVS Health Utilization Management Position We're building a world of health...  ...and benefit utilization Consults and lends expertise to other...  ...experience as a Registered Nurse in adult acute care/critical...  ...active current and unrestricted RN licensure in state of... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Afternoon shift

    CVS Corporation

    United States
    2 days ago
  • $32.01 - $68.55 per hour

    ## Utilization Management Nurse ConsultantApply: Remote: IL - Work from home: Work At Home-Ohio: Work At Home-Texas: Work...  ..., and evening hours.* **UM Nurse Consultant**Fully Remote- WFHPerm Schedule-...  ...care RNActive and unrestricted RN licensure in state of residenceAble... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Work from home
    Monday to Friday
    Afternoon shift

    CVS Health

    Eastern, KY
    1 day 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...  ...thorough documentation. The position requires active RN licensure, 3+ years of acute behavioral health or... 
    Remote work

    Preferra Insurance

    Phoenix, AZ
    6 hours ago
  •  ...CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals who thrive in a fast-paced environment and are looking to make a clinical impact without direct patient care.... 
    Remote work

    CVS Health Corporation

    Virginia, MN
    6 hours ago
  • $29.1 - $62.32 per hour

     ...Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond the bedside? Join our team and use your clinical expertise to ensure members receive the... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Work from home
    Monday to Friday
    Afternoon shift
    Weekday work

    CVS Corporation

    United States
    1 day 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...  ...documentation. The position requires an active RN license, 3+ years in behavioral health, and a mandatory... 
    Remote work
    Flexible hours

    Pennsylvania Psychological Association

    Phoenix, AZ
    6 hours ago
  • $32.01 - $68.55 per hour

     ...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Work from home
    Afternoon shift

    Oak St. Health

    United States
    1 day 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...  .../critical care, plus managed care exposure. Active RN license in home state is required; position includes... 
    Remote work
    Afternoon shift

    CVS Health

    Texas
    6 hours 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...  ...on-call elements. The position requires an active RN license and 3+ years in acute behavioral health/... 
    Remote work
    Monday to Friday

    Istss

    Phoenix, AZ
    6 hours ago
  •  ...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 work
    Weekend work
    Afternoon shift

    CVS Health

    Sacramento, CA
    6 hours ago
  •  ...CVS Health Corporation in Springfield, IL is hiring a Utilization Management Nurse Consultant to assess and coordinate care, applying clinical criteria...  ...and evening hours. Requirements include 2+ years of RN clinical experience in adult acute/critical care, active... 
    Remote work
    Shift work
    Weekend work
    Afternoon shift

    CVS Health Corporation

    Springfield, IL
    6 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,...  ...~ Active current and unrestricted RN licensure in state of residence required... 
    Remote work
    Full time
    Afternoon shift

    CVS Health

    California
    6 hours ago
  • CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based...  ...cases when needed. The position requires an active RN license, 3+ years in behavioral health or substance abuse... 
    Remote job

    CVS Health Corporation

    Phoenix, AZ
    1 day ago
  • CVS Health is seeking a Nurse Consultant for Utilization Management to review inpatient and outpatient services, apply...  ...escalate cases as needed. This 100% remote role requires strong clinical...  ...environments. Applicants must hold an RN license, have 1+ year behavioral health... 
    Remote job

    CVS Health

    New York, NY
    1 day ago
  • CVS Health Corporation is seeking an experienced Utilization Management Nurse Consultant (RN) to support remote concurrent review. You will review authorization requests, determine medical necessity, and apply clinical criteria to inform denials or approvals while collaborating... 
    Remote job

    CVS Health Corporation

    Austin, TX
    4 days ago
  • CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to perform concurrent reviews for acute inpatient admissions, ensuring...  ...and support timely transitions of care. This full-time remote role is based in Louisiana. #J-18808-Ljbffr CVS... 
    Remote job
    Full time

    CVS Health Corporation

    Oklahoma City, OK
    5 days ago
  • CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to work remotely on a full-time weekend schedule. You will review clinical information to support coverage determinations, apply guidelines, and collaborate with care teams to... 
    Remote job
    Full time
    Work at office
    Weekend work

    CVS Health

    New York, NY
    1 day ago
  • CVS Health Corporation is seeking an experienced Utilization Management Nurse Consultant to support remote, full-time operations. This role is open to CST residents with a 40-hour workweek and a schedule that fits hospital-like shifts while maintaining work‑life balance... 
    Remote job
    Full time
    Shift work

    CVS Health Corporation

    Des Moines, IA
    3 days ago
  • $26.01 - $62.32 per hour

    About This Role The Utilization Management Nurse Consultant at CVS Health is a detail-oriented RN role focused on improving healthcare outcomes by ensuring members receive...  ...assessment and collaboration within a remote work environment. Highlights Pay: $26.01 - $62... 
    Remote work
    Full time
    Shift work
    Weekend work

    CVS Health

    Austin, TX
    2 days ago
  • $32.01 - $68.55 per hour

     ...with heart, each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days... 
    Remote work
    Hourly pay
    Full time
    Local area
    10 hours per week
    Flexible hours

    The Muse

    Albany, NY
    4 days ago
  • $29.1 - $62.32 per hour

    ## Utilization Management Nurse Consultant - Behavioral Health (Remote)Apply: Remote/Hybrid: AZ - Work from home: Full time: Posted Today: End Date: October 28, 2026...  ...experience **Education*** Associate's degree in nursing (RN) required, BSN preferred. **Anticipated Weekly... 
    Remote job
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Work from home
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work

    CVS Health

    Phoenix, AZ
    1 day ago
  • $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/holidays... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Afternoon shift
    Weekday work

    CVS Health

    Oklahoma City, OK
    1 day ago
  •  ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice, and we are looking for a Senior Utility Management Services (UMS) Consultant to help lead that growth from the...  ...This is a hybrid position (in office/remote). We offer a telecommute option to work... 
    Remote work
    Full time
    For contractors
    Work at office
    Local area
    Work from home
    Work visa
    1 day per week

    Blue Cypress Consulting, LLC

    Seattle, WA
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Management Nurse Consultant (RN). Be the first to apply!