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Optum Utilization Management Nurse Jobs (NOW HIRING)

Oak St. Health

Utilization Management Nurse Consultant

$32.01 - $68.55/hr

... N licensure in state of residence Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications - 2+ years of clinical ...

Medical University of South Carolina

... Nurse required. Prior leadership experience preferred. One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in ...

Adecco

Utilization Management Nurse RN

Minneapolis, MN · Remote

$37.50/hr

... Utilization Management Appeals Nurse for a fully remote opportunity. This position is ideal for an ... Adhere to Optum and OPAS policies, procedures, and department guidelines. * Maintain accurate ...

New

CVS Health

Utilization Management Nurse Consultant

$32.01 - $68.55/hr

Utilization Management Position We're building a world of health around every individual -- shaping ... Registered Nurse in adult acute care/critical care setting - Must have active current and ...

Oak St. Health

Utilization Management Nurse Consultant

$26.01 - $56.14/hr

... N licensure in state of residence Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications 2+ years of clinical ...

CVS Health

Utilization Management Nurse Consultant

$32.01 - $68.55/hr

... N licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications - 2+years of clinical ...

CVS Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

... N licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications - 2+ years of clinical ...

CVS Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

... utilization/benefit management function. Required Qualifications 3+ years of experience as an RN Active and unrestricted RN licensure in state of residence Able to work in multiple IT platforms ...

CVS Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule: Monday, Tuesday, Thursday, Friday and ...

CVS Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

... N licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications - 2+ years of clinical ...

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Optum Utilization Management Nurse information

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$39K

$89.5K

$163K

How much do optum utilization management nurse jobs pay per year?

As of Sep 12, 2026, the average yearly pay for optum utilization management nurse 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 are popular job titles related to Optum Utilization Management Nurse jobs?

For Optum Utilization Management Nurse jobs, the most frequently searched job titles are:

Utilization Management Nurse Consultant

Remote

Oak St. Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about Oak St. Healthexternal

$32.01 - $68.55/hr

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Oak Street Health rating

7.1

Company rating: 7.1 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

Job description

CVS Health Utilization Management Position

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 ourselves accountable 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.

Position Summary

Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.

  • Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
  • Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care
  • Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs
  • Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
  • Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
  • Typical office working environment with productivity and quality expectations.
  • Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
  • Sedentary work involving periods of sitting, talking, listening.
  • Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.
  • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
  • Effective communication skills, both verbal and written

Required Qualifications

- 2+ years of experience as a Registered Nurse in adult acute care/critical care setting

- Must have active current and unrestricted RN licensure in state of residence

Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours

Preferred Qualifications

- 2+ years of clinical experience required in med surg or specialty area

- Managed Care experience preferred, especially Utilization Management

Preference for those residing in EST zones

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$32.01 - $68.55

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.

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 full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being 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.

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

What Oak Street Health employees say

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About Oak Street Health

Sourced by ZipRecruiter

Oak Street Health is a rapidly growing company of primary care centers for adults on Medicare in medically-underserved communities where there is little to no quality healthcare. Oak Street's care is based on an entirely new model that is based on value for its patients, not on volume of services. The company is accountable for its patients' health, spending more than twice as long with its patients and taking on the risks and costs of their care.

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Chicago, IL, US

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