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Full Time Cvs Health Utilization Management Jobs

Intus, Inc

Utilization Management Nurse

$80K - $95K/yr

IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. IntusCare empowers ...

LCMC Health

This role ensures appropriate use of healthcare services, regulatory compliance, and optimal ... In conjunction with the Corp VP, Case Management & Utilization, develop and implement a system-wide ...

SIHO Insurance Services, Inc.

Be Seen First

Utilization Management Nurse

Columbus, IN · On-site

This individual's primary role is to ensure that health care services are administered with quality ... management, utilization review, and medical necessity * Act and perform within the scope of ...

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All JobsFull Time Cvs Health Utilization Management Jobs

Full Time Cvs Health Utilization Management information

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$39K

$89.5K

$163K

How much do full time cvs health utilization management jobs pay per year?

As of Jul 6, 2026, the average yearly pay for full time cvs health utilization management in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is the difference between Full Time Cvs Health Utilization Management vs Utilization Review Nurse?

AspectFull Time Cvs Health Utilization ManagementUtilization Review Nurse
CertificationsRN license, possibly certifications like CCM or CUCRN license, certifications like CCM or CUC
Work EnvironmentCorporate healthcare setting, office-basedHospital, clinic, or insurance company
Employer & IndustryCVS Health, healthcare/insurance industryHospitals, insurance companies, healthcare providers
Job FocusManaging utilization for CVS members, coordinating careReviewing medical necessity, authorizing services

Both roles require RN licensure and similar certifications, working primarily in healthcare or insurance environments. Full Time CVS Health Utilization Management focuses on managing member care within CVS, while Utilization Review Nurses typically work in hospitals or insurance companies reviewing medical necessity. The roles overlap in certification and work setting but differ in employer and specific job focus.

More about Full Time Cvs Health Utilization Management jobs
What cities are hiring for Full Time Cvs Health Utilization Management jobs? Cities with the most Full Time Cvs Health Utilization Management job openings:
What are the most commonly searched types of Cvs Health Utilization Management jobs? The most popular types of Cvs Health Utilization Management jobs are:
What states have the most Full Time Cvs Health Utilization Management jobs? States with the most job openings for Full Time Cvs Health Utilization Management jobs include:
What job categories do people searching Full Time Cvs Health Utilization Management jobs look for? The top searched job categories for Full Time Cvs Health Utilization Management jobs are:
Full Time Cvs Health Utilization Management jobs near you
Infographic showing various Full Time Cvs Health Utilization Management job openings in the United States as of June 2026, with employment types broken down into 80% Part Time, and 20% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.

Utilization Management Assistant

CHI St Vincent Health

Little Rock, AR • On-site

$16.42 - $23.19/hr

Full-time

Posted 11 days ago

Job description


Job Summary and Responsibilities

The CommonSpirit Utilization Management Assistant receives, processes, facilitates and documents all payer communications. This position supports denial mitigation by sending documentation within the contracted time period, following up on accounts lacking authorization and communicating with internal stakeholders to ensure the accurate submission of clinical documentation to third party payers. The Utilization Management Assistant supports the Utilization Management Hub department by recognizing trends and opportunities for process improvement and reporting those to leadership. The Utilization Management Assistant performs these duties with a high degree of accuracy utilizing critical thinking skills and in compliance with hospital policies, standards of practice and Federal and State Regulations.

Job Requirements
  • Minimum one year experience in a hospital, physician’s office, or medical group performing duties related to admitting, business office, payer communications or
    managed care or an equivalent combination of education and experience
  • High school diploma or GED required

Preferred

  • An understanding of operations and functions of care coordination, utilization management, denials mitigation is preferred.
Where You'll Work

CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.

Qualifications:
  • Minimum one year experience in a hospital, physician’s office, or medical group performing duties related to admitting, business office, payer communications or
    managed care or an equivalent combination of education and experience
  • High school diploma or GED required

Preferred

  • An understanding of operations and functions of care coordination, utilization management, denials mitigation is preferred.
Employment Type: Full Time

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