New York, NY · On-site +1
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... UM Nurse Consultant Fully Remote- WFH Schedule : Monday-Friday 10:30AM- 7:30PM Position Summary: UM ...
New York, NY · On-site +1
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... UM Nurse Consultant Fully Remote- WFH Schedule : Monday-Friday 10:30AM- 7:30PM Position Summary: UM ...
New York, NY · Remote
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... UM Nurse Consultant Fully Remote- WFH Schedule - M-F 10:30A-7:30P Position Summary: UM Nurse ...
New York, NY · Remote
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... UM Nurse Consultant Fully Remote- WFH Schedule - M-F 10:30A-7:30P Position Summary: UM Nurse ...
Homer, AK · Remote
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... UM Nurse Consultant Fully Remote- WFH Schedule : Tuesday-Saturday 9:30am-6:00pm Position Summary ...
Homer, AK · Remote
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... UM Nurse Consultant Fully Remote- WFH Schedule : Tuesday-Saturday 9:30am-6:00pm Position Summary ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
CVS Health Utilization Management Position We're building a world of health around every individual ... Remote (Central Time) * Utilizes clinical experience and skills in a collaborative process to ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
CVS Health Utilization Management Position We're building a world of health around every individual ... Remote (Central Time) * Utilizes clinical experience and skills in a collaborative process to ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
Utilization Management Nurse Consultant We're building a world of health around every individual ... At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
Utilization Management Nurse Consultant We're building a world of health around every individual ... At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ...
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Fully Remote- WFH Schedule: Monday-Friday 10:30AM- 7:30PM Position Summary: UM Nurse Consultant ...
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Fully Remote- WFH Schedule: Monday-Friday 10:30AM- 7:30PM Position Summary: UM Nurse Consultant ...
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
CVS Health Utilization Management Position We're building a world of health around every individual ... Must have active current and unrestricted RN licensure in state of residence. Utilization ...
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
CVS Health Utilization Management Position We're building a world of health around every individual ... Must have active current and unrestricted RN licensure in state of residence. Utilization ...
Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
Utilization Management Position We're building a world of health around every individual -- shaping ... At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
Utilization Management Position We're building a world of health around every individual -- shaping ... At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ...
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
CVS Health Utilization Management Position We're building a world of health around every individual ... Required Qualifications 2+ years of experience as a Registered Nurse in adult acute care/critical ...
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
CVS Health Utilization Management Position We're building a world of health around every individual ... Required Qualifications 2+ years of experience as a Registered Nurse in adult acute care/critical ...
$26.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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 ...
Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$26.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
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
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a ...
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 ...
$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 | Remote Cvs Utilization Management Nurse | Remote Cvs Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, case management certification |
| Work Environment | Utilization review teams, insurance companies | Patient advocacy, care coordination teams |
| Employer & Industry | Health insurance, managed care organizations | Health insurance, healthcare providers |
Both roles require RN licensure and related certifications, but the Utilization Management Nurse focuses on reviewing medical necessity and approving services, while the Case Manager emphasizes coordinating patient care and discharge planning. Understanding these differences helps job seekers find the right fit within the healthcare and insurance industries.
$29.10 - $62.32/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 20 days ago
5.8
Based on 4,332 frontline employees who took The Breakroom Quiz
89th of 112 rated pharmacies
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.
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-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
40Time Type
Full timePay Range
The typical pay range for this role is:
$29.10 - $62.32This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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Health care and social assistance and retail
10,000+ Employees
Woonsocket, RI, US
