ZipRecruiter

Log In

2

Cvs Health Utilization Management Remote Jobs in Texas

CVS Health

Case Manager Registered Nurse

Fort Worth, TX · Remote

$54K - $129K/yr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Case Manager RN (100% Remote - Nationwide) FullTime | Work from Anywhere Nationwide | No Travel ...

CareVitality Inc

Care Manager - Remote

Houston, TX · Remote

$60K - $77K/yr

Title: Care Manager - Remote- Texas /Arkansas preferred Reports to: CEO/President Status ... health or utilization management, is preferred. Language Skills: * Must have excellent ...

CVS Health

Credentialing Specialist

Dallas, TX · On-site +1

$17 - $28.46/hr

At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... The Credentialing Specialist is responsible for overseeing and managing the administrative and ...

CVS Health

Sr. Credentialing Specialist

Dallas, TX · On-site +1

$18.50 - $35.29/hr

Requisition CVS Business Unit: Signify Health Location / Logistics: This role is open to remote ... This position provides guidance to staff and customers, helps manage workflow improvement projects ...

Oscar Health

Utilization Review Nurse

Dallas, TX · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... managed care plan This is an authentic Oscar Health job opportunity. Learn more about how you can ...

Oscar Health

Sr. Quality of Care Review Nurse

Dallas, TX · Remote

$83K - $109K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Health plan utilization management experience or case management experience. * Experience in health ...

previous page

Showing results 41-60

All JobsCvs Health Utilization Management JobsCvs Health Utilization Management Remote JobsCvs Health Utilization Management Remote Jobs in Texas

Cvs Health Utilization Management Remote information

What is the difference between Cvs Health Utilization Management Remote vs Cvs Health Medical Reviewer?

AspectCvs Health Utilization Management RemoteCvs Health Medical Reviewer
CredentialsRN, LPN, or other healthcare licensesRN, MD, or DO licenses
Work EnvironmentRemote, home-basedRemote or onsite, depending on role
Employer & Industry UsageUtilization management for insurance approvalsMedical review for claims and authorizations

Both roles involve healthcare assessments, often requiring similar licenses. Utilization Management Remote focuses on reviewing medical necessity for insurance purposes, while Medical Reviewers may handle detailed case evaluations. Both are remote-friendly and integral to healthcare insurance processes, but differ slightly in scope and responsibilities.

What are the most commonly searched types of Cvs Health Utilization Management jobs in Texas? The most popular types of Cvs Health Utilization Management jobs in Texas are:
What are popular job titles related to Cvs Health Utilization Management Remote jobs in Texas? For Cvs Health Utilization Management Remote jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Cvs Health Utilization Management Remote jobs in Texas look for? The top searched job categories for Cvs Health Utilization Management Remote jobs in Texas are:
What cities in Texas are hiring for Cvs Health Utilization Management Remote jobs? Cities in Texas with the most Cvs Health Utilization Management Remote job openings:
Cvs Health Utilization Management Remote jobs near you
Infographic showing various Cvs Health Utilization Management Remote job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Case Manager Registered Nurse

CVS Health

Fort Worth, TX • Remote

$54K - $129K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,332 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Case Manager RN (100% Remote - Nationwide)

FullTime | Work from Anywhere Nationwide | No Travel Required

We're seeking a compassionate and resultsdriven Case Manager RN to support members through personalized, highquality care coordination. In this fully remote role, you'll use clinical expertise, datadriven insights, and strong advocacy to help members achieve optimal, costeffective health outcomes.

What You'll Do

  • Conduct comprehensive clinical assessments and identify care coordination needs
  • Develop, implement, and monitor individualized case management plans
  • Support inpatient review and discharge planning as appropriate
  • Advocate for members to maximize benefits and access appropriate services
  • Engage members through coaching, education, and motivational interviewing
  • Identify and escalate qualityofcare concerns
  • Deliver exceptional customer experience while collaborating with care teams and Medical Directors

Schedule

  • Monday-Friday, 9:00 AM-5:30 PM (your local time zone)
  • Occasional rotating late shift as needed (11:30 AM-8:00 PM EST)

Required Qualifications

  • Active, unrestricted RN license in your state of residence
  • Willingness to obtain additional state licenses (company paid)
  • 3+ years of acute care RN experience (MedSurg or Critical Care preferred)
  • Strong clinical judgment, decisionmaking, and organizational skills

Preferred Qualifications

  • Compact or multistate RN license
  • Certified Case Manager (CCM)
  • Telephonic case management or telephonic clinical experience

Education

  • Associate Degree in Nursing (required)
  • BSN (preferred)

Why Join Us?

  • 100% remote-live in any state
  • No travel required
  • Meaningful work improving member health and outcomes
  • Supportive, collaborative team environment

Apply today to bring your RN expertise to a flexible, impactful case management role.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $129,615.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/08/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

What CVS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply