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Remote Cvs Utilization Management Nurse Jobs in Florida

Actalent

Utilization Management Rn - Remote

Miami, FL · Remote

$35 - $39/hr

... utilization review, case management, and discharge planning is must * Active RN Compact License is ... remote position. Application Deadline This position is anticipated to close on May 27, 2026. About ...

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CVS Health

Case Manager, Registered Nurse

Tallahassee, FL · Remote

$54.10K - $155.54K/yr

Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization ... CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected ...

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Remote Cvs Utilization Management Nurse information

What is the difference between Remote Cvs Utilization Management Nurse vs Remote Cvs Case Manager?

AspectRemote Cvs Utilization Management NurseRemote Cvs Case Manager
CredentialsRN license, certifications in utilization reviewRN license, case management certification
Work EnvironmentUtilization review teams, insurance companiesPatient advocacy, care coordination teams
Employer & IndustryHealth insurance, managed care organizationsHealth 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.

What are the most commonly searched types of Cvs Utilization Management Nurse jobs in Florida? The most popular types of Cvs Utilization Management Nurse jobs in Florida are:
What are popular job titles related to Remote Cvs Utilization Management Nurse jobs in Florida? For Remote Cvs Utilization Management Nurse jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Cvs Utilization Management Nurse jobs in Florida look for? The top searched job categories for Remote Cvs Utilization Management Nurse jobs in Florida are:
What cities in Florida are hiring for Remote Cvs Utilization Management Nurse jobs? Cities in Florida with the most Remote Cvs Utilization Management Nurse job openings:
Remote Cvs Utilization Management Nurse jobs near you
Infographic showing various Remote Cvs Utilization Management Nurse job openings in Florida as of May 2026, with employment types broken down into 2% As Needed, 22% Full Time, 66% Part Time, and 10% Contract. Highlights an 56% Physical, 11% Hybrid, and 33% Remote job distribution.
Utilization Management Rn - Remote

Utilization Management Rn - Remote

Actalent

Miami, FL • Remote

$35 - $39/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

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

Job description

Urgent Hiring for "Remote Clinical Review Nurses"
Job Description:

  • Review approximately 20 cases a day for medical necessity.
  • Advocate for and protect members from unnecessary hospital admissions.
  • Follow established procedures and processes to complete authorizations.
  • Collaborate with a team of nurses to assist each other and complete cases.
Qualifications:
  • 3+ years of utilization management, concurrent review, prior authorization, utilization review, case management, and discharge planning is must
  • Active RN Compact License is Must

If you are Interested , Kindly give a call : (726) 216-6069
Job Type & Location
This is a Contract position based out of Miami, FL.
Pay and Benefits
The pay range for this position is $35.00 - $39.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on May 27, 2026.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
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About Actalent

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Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We're supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

Company size

5,001 - 10,000 Employees

Headquarters location

Hanover, MD, US

Year founded

1983

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