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Cvs Health Utilization Management Remote Jobs in Chicago, IL

CVS Health

Senior Analyst, Corporate Audit

Northbrook, IL · On-site +1

$46K - $112K/yr

... remote OR hybrid in the Woonsocket, RI or Northbrook, IL or Scottsdale, AZ Hartford, CT CVS Health ... Reporting to the Senior Manager of the Financial Controls Assurance Team, the Senior team will ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

... management experience preferred Work Shift Details: Days, Primarily remote; onsite orientation ... CONTINUUM OF CARE Benefits for You At Silver Cross Hospital, we care about your health and well ...

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All JobsCvs Health Utilization Management JobsCvs Health Utilization Management Remote JobsCvs Health Utilization Management Remote Jobs in Chicago, IL

Cvs Health Utilization Management Remote information

See Chicago, IL salary details

$22

$43

$71

How much do cvs health utilization management remote jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for cvs health utilization management remote in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 per hour, depending on experience, location, and employer.

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 Chicago, IL?

The most popular types of Cvs Health Utilization Management jobs in Chicago, IL are:

What are popular job titles related to Cvs Health Utilization Management Remote jobs in Chicago, IL?

For Cvs Health Utilization Management Remote jobs in Chicago, IL, the most frequently searched job titles are:

What job categories do people searching Cvs Health Utilization Management Remote jobs in Chicago, IL look for?

The top searched job categories for Cvs Health Utilization Management Remote jobs in Chicago, IL are:

Cvs Health Utilization Management Remote jobs near you
Infographic showing various Cvs Health Utilization Management Remote job openings in Chicago, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $90,598 per year, or $43.6 per hour.

Lead Utilization Management Nurse

First Match Services, Inc.

Oak Brook, IL • On-site, Remote

Full-time

Retirement, PTO

Re-posted 14 days ago

Job description

We have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings and shared-risk models. They deliver timely, turn-key solutions for healthcare providers, health plans and strategic partners.
In this position as the Lead Utilization Management Nurse you will provide expertise in Utilization Management while managing a small team of UM nurses to help ensure that every patient receives the right type of care, at the right time in the right setting, every day! You will also provide hands-on expertise to help implement company strategies and provide oversight of assigned IPA Utilization Management program.
Some other responsibilities include:
  • Conducting monthly client UM Committee meetings
  • Act as a resource for the UM Nurses (first point of contact for clinical clarification/education)
  • Participate in data analysis of utilization metrics
  • Prepare, participate and present summary utilization management reports to UM/QM Committee
  • Much More!

QUALIFICATIONS
  • Bachelor of Science degree (AND or BSD) in Nursing
  • At least 4-5 years of relevant professional experience, including medical management experience in health plans, provider, or MSO settings and quality chart reviews
  • Registered Nurse (RN) with a current and active nursing license to practice in the State of Illinois is required 
  • A minimum of three (3) years of responsible leadership experiences in management positions
  • Certified Case Manager (CCM) preferred
  • Knowledge/experience in Medicare/Medicaid and HEDIS criteria is highly desirable
  • Valid Driver's License and vehicle required
  • Ability to travel at least 30% for client meetings within the state required

ADDITIONAL DETAILS
  • On-site gym FREE to employees
  • On-site deli
  • Professional Development Opportunities
  • Great base salary with bonus potential
  • Full benefits, 401k and PTO allowance
  • Eligible for consideration of partial work from home status upon completion of probationary period as designated by the direct supervisor.