$29.10 - $62.32/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management experience Education: Associates Degree in Nursing required BSN preferred ...
$29.10 - $62.32/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management experience Education: Associates Degree in Nursing required BSN preferred ...
$26.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$26.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$26.01 - $56.14/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... N licensure in state of residence Utilization Management is a 24/7 operation and work schedules ...
$26.01 - $56.14/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... N licensure in state of residence Utilization Management is a 24/7 operation and work schedules ...
$26.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$26.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$26.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$26.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$32.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization management experience. Education: Associates degree in nursing required. BSN preferred.
$32.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization management experience. Education: Associates degree in nursing required. BSN preferred.
Utilization Management Nurse Des Moines, Iowa, United States Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you ...
Utilization Management Nurse Des Moines, Iowa, United States Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you ...
$29.10 - $62.32/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$29.10 - $62.32/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating ...
Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Quick apply
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating ...
Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Must be able to drive a vehicle and daytime/overnight travel as required. BENEFITS 401K (4% Match ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Must be able to drive a vehicle and daytime/overnight travel as required. BENEFITS 401K (4% Match ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Must be able to drive a vehicle and daytime/overnight travel as required. BENEFITS 401K (4% Match ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Must be able to drive a vehicle and daytime/overnight travel as required. BENEFITS 401K (4% Match ...
$26.01 - $74.78/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... N licensure in state of residence - Utilization Management is a 24/7 operation and work schedules ...
New
$26.01 - $74.78/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... N licensure in state of residence - Utilization Management is a 24/7 operation and work schedules ...
New
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Dubuque, IA · On-site
Utilization Management Nurse Cottingham & Butler/ SISCO 1 Positions ID: 4627707008 Posted On 07/01/2025 Refreshed On 07/15/2026 Job Overview Utilization Management Nurse Location : Onsite in Dubuque ...
Dubuque, IA · On-site
Utilization Management Nurse Cottingham & Butler/ SISCO 1 Positions ID: 4627707008 Posted On 07/01/2025 Refreshed On 07/15/2026 Job Overview Utilization Management Nurse Location : Onsite in Dubuque ...
Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care ...
Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Must be able to drive a vehicle and daytime/overnight travel as required. BENEFITS 401K (4% Match ...
Dalton, GA · On-site
JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Must be able to drive a vehicle and daytime/overnight travel as required. BENEFITS 401K (4% Match ...
Oak Brook, IL · On-site +1
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 ...
Quick apply
Oak Brook, IL · On-site +1
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 ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | Overnight Cvs Utilization Management Nurse | Overnight Cvs Case Manager |
|---|---|---|
| Credentials | RN license, utilization review certification | RN license, case management certification |
| Work Environment | Utilization review departments, hospital or insurance settings | Patient care coordination, hospital or insurance settings |
| Primary Focus | Reviewing medical necessity, approving services | Coordinating patient care, discharge planning |
| Common Usage | Utilization management teams, insurance companies | Case management departments, healthcare providers |
While both roles require RN licensure and involve patient-related assessments, the Overnight Cvs Utilization Management Nurse primarily focuses on reviewing medical necessity and approving services, whereas the Overnight Cvs Case Manager concentrates on coordinating patient care and discharge planning. Understanding these distinctions helps in choosing the right career path or job opportunity within CVS health.
$29.10 - $62.32/hr
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 15 days ago
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.
Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours.
Fully Remote- WFH
Schedule: Monday-Friday 10:30AM- 7:30PM
Position Summary:
UM Nurse Consultant 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.
Required Qualifications:
-Must have 3+ years of Med Surg experience as an RN in the hospital setting
- Active and unrestricted RN licensure in state of residence
- Able to work in multiple IT platforms/systems
- 1+ years of experience with Microsoft Office Applications (Outlook, Teams, Excel)
Preferred Qualifications:
- Knowledge of Medicare/Medicaid
- Managed care experience
- Utilization Management experience
Education:
Associates Degree in Nursing required
BSN preferred
Anticipated Weekly Hours: 40
Time Type: Full time
Pay Range: The typical pay range for this role is:
$29.10 - $62.32
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 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.
