Remote Utilization Management Nurse Consultant
Hispanic Alliance for Career Enhancement
Montgomery, AL
- Remote job
CVS Health is seeking a Utilization Management Nurse Consultant for a full-time remote role. You will coordinate, document, and communicate the utilization/benefit management program and ensure appropriate care in the right setting within turn-around times. You’ll review clinical records, apply criteria, and collaborate with providers to optimize care, with typical hours Mon-Fri, in the supported time zone, in a 24/7 operation. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant in Montgomery, AL vacancy
- ...CVS Health is seeking an Utilization Management Nurse Consultant (Clinical Precertification RN) for Medicare, remotely. This full-time role asks for an active RN license and several years of experience to evaluate care and determine coverage using evidence-based guidelines...Remote workFull timeAfternoon shiftWeekday work
Hispanic Alliance for Career Enhancement
Wausau, WI4 days ago $26.01 - $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 | Weekday ScheduleAre you a Registered Nurse ready to make an impact beyond the...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday workCVS Health
Laramie, WY3 days ago$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 areaMonday to FridayAfternoon shiftWeekday workCVS Health
Mountain Home, TX5 days ago$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team where your clinical expertise helps ensure members receive the right... ...include evenings (until 7pm), weekends, and holidays Remote/office-based environment with extensive computer and...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayAfternoon shiftCVS Health
United States4 days ago$26.01 - $56.14 per hour
...CVS Health Utilization Management Position We're building a world of health... ...Schedule: 3-11 or 11-8 Location: Remote (Central Time)... ...and benefit utilization. Consults and lends expertise to other... ...experience as a Registered Nurse in adult acute care/critical...Remote workHourly payFull timeTemporary workWork at officeAfternoon shiftOak St. Health
United States5 days ago- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports utilization management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities...Remote jobWork from home
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote position in the EST zone. The role focuses on coordinating, documenting, and communicating utilization and benefit management, ensuring appropriate level of care while meeting...Remote job
- CVS Health is seeking a Utilization Management Nurse - Precertification RN to support remote precertification processes. The role requires an active RN license and 3+ years of clinical nursing experience, with strong decision-making using evidence-based criteria. You will...Remote job
- ...Alliance for Career Enhancement is seeking an experienced Utilization Management Nurse - Precertification RN whose primary focus is ensuring appropriate... ...-quality care through the precertification process. This remote, full-time role emphasizes evidence-based decision-making...Remote jobFull time
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to coordinate, document, and communicate all aspects of the utilization and benefit management process. This 100% remote role supports members to receive appropriate care while meeting state...Remote job
- CVS Health is seeking an experienced Utilization Management Nurse - Precertification RN to work remotely on a full-time, weekday schedule. You will review clinical information, apply criteria, and authorize services while collaborating with providers to support timely coverage...Remote jobFull timeWeekday work
- CVS Health is hiring a Utilization Management Nurse Consultant for a 100% remote role focused on the EST zone. You will review medical necessity, coordinate care, and apply clinical criteria to ensure safe, cost-effective benefits, while meeting regulatory timelines. Required...Remote job
- CVS Health in the United States is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role available to candidates in EST or CST zones. You will apply clinical expertise to ensure members receive safe, effective care at the right time and...Remote jobFull time
- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, full‑time role open to CST zone residents. You’ll coordinate, document, and communicate all aspects of utilization and benefit management, ensuring safe, effective care and adherence...Remote jobFull time
- CVS Health is seeking a Utilization Management Nurse Consultant for a remote role prioritizing Massachusetts residents. You will coordinate the utilization/benefit management program and ensure timely, appropriate care and location-specific turn-around times. Key duties...Remote job
- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% remote role open to EST residents. You will coordinate, document, and communicate UM processes, ensuring timely and appropriate care while complying with state and federal requirements...Remote job
- CVS Health is hiring a Utilization Management Nurse for precertification. This full-time, remote role involves reviewing clinical data, applying evidence-based criteria, and authorizing services within guidelines. You will work with providers and internal teams to ensure...Remote jobFull time
- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to CST-zone residents. You will apply clinical expertise to ensure safe, effective, and appropriate care, coordinating utilization and benefits while meeting state...Remote jobFull time
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a fully remote, full-time position available to CST zone residents. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring timely, appropriate...Remote jobFull time
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role open to EST residents across the U.S. You will apply clinical expertise to ensure members receive safe, appropriate and cost-effective care. Schedule: Monday...Remote jobFull timeMonday to FridayWeekend work
$32.01 - $68.55 per hour
...Utilization Management Nurse Consultant (RN) Remote | Full-Time Utilization Management is a 24/7 operation. Work schedules may include weekends, holidays, and evening hours. Are you a Registered Nurse looking to leverage your clinical expertise in a collaborative...Remote workFull timeAfternoon shift$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 workHourly payFull timeLocal area10 hours per weekFlexible hours$32.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApplyremote type: Remotelocations: IL - Work from hometime type: Full timeposted on: Posted Todaytime... ...community at a time.**Utilization Management Nurse Consultant (RN)****Remote | Full-Time***Utilization Management is a 24/7...Remote workHourly payFull timeTemporary workLocal areaAfternoon shift- ...Remote, RI Contract Job Description: Responsible for the review and evaluation of clinical information and documentation... ...with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred. Skills: MUST...Remote workContract work
US Tech Solutions
Providence, RI1 day ago - ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work at officeWeekend work
Careers Integrated Resources Inc
Downers Grove, IL3 days 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...Hourly payFull timeTemporary workAfternoon shift$26.01 - $74.78 per hour
...do it all with heart, each and every day. Position Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours- ...Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective... ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
B2B Staffing Services
Torrance, CA5 days ago - ...Registered Nurse - Utilization Review About Company Bestica We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
Bestica Healthcare
United States5 days ago - ...an experienced Organizational Change Management Consultant to support a late-stage technology deployment... ...supporting field operations, utility operations, inspection teams, asset management... ...: August 2026 through March 2027 ~ Remote or hybrid arrangement may be...Remote workFull timeContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Nurse Consultant. Be the first to apply!
Related searches
- remote clinical Montgomery, AL
- junior front end developer remote Montgomery, AL
- remote team lead Montgomery, AL
- ai engineer remote Montgomery, AL
- remote auto claims adjuster Montgomery, AL
- salesforce remote Montgomery, AL
- entry level project manager remote Montgomery, AL
- remote epic analyst Montgomery, AL
- remote legal Montgomery, AL
- remote work from home Montgomery, AL