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Remote Cvs Utilization Management Nurse Jobs in Rochester, NY

... management of assigned therapists when necessary * Perform ongoing review of high-risk cases and ... Engage in the Utilization Review process for assigned cases every month * Respond to clinical ...

Workforce Planner

Farmington, NY · On-site +1

$62K/yr

Partner with operations to maximize the utilization of UKG Dimensions and VR, adhering to best ... management skills. Physical requirements * This position offers flexibility to work fully remote ...

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Remote Cvs Utilization Management Nurse information

See Rochester, NY salary details

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$41

$68

How much do remote cvs utilization management nurse jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for remote cvs utilization management nurse in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

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 Rochester, NY?

The most popular types of Cvs Utilization Management Nurse jobs in Rochester, NY are:

What are popular job titles related to Remote Cvs Utilization Management Nurse jobs in Rochester, NY?

For Remote Cvs Utilization Management Nurse jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Remote Cvs Utilization Management Nurse jobs in Rochester, NY look for?

The top searched job categories for Remote Cvs Utilization Management Nurse jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Cvs Utilization Management Nurse jobs?

Cities near Rochester, NY with the most Remote Cvs Utilization Management Nurse job openings:

Remote - Licensed Practical Nurse (LPN) - NY Licensure - Day Shift

Rochester, NY • Remote


CareHarmony
Fitness and Sports Centers • 51 - 200 employees

4.0

Company rating: 4.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz


$28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 9 days ago


Job description

CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.

CareHarmony is seeking an experienced Licensed Practical Nurse - LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient's healthcare journey.

You will have experience identifying resources and coordinating needs for chronic care management patients.

What's in it for you?

  • Fully remote position - Work from the comfort of your own home in cozy clothes without a commute. Score!
  • Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on average.
  • Career growth - Many of our team members move up in the company at a faster-than-average rate. We love to see our people succeed!

Requirements

Responsibilities:

  • Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical patient care.
  • Identify and coordinate community resources with patients that would benefit their care.
  • Provide patient education and health literacy on the management of chronic conditions.
  • Perform medication management, including identifying potential medication concerns, reconciliation, adherence, and coordinating refills.
  • Assist in ensuring timely delivery of services to your patients; Home Health, DME, Home Infusion, and other critical needs.
  • Resolve patients' questions and create an open dialogue to understand needs.
  • Assist/Manage referrals and appointment scheduling.

Additional Requirements:

  • Active New York License (LPN)
  • Technical aptitude - Microsoft Office Suite
  • Excellent written and verbal communication skills

Plusses:

  • Epic Experience
  • Bilingual
  • Any additional state licensures (LPN)

Remote Requirements:

  • Must have active high-speed Wi-Fi
  • Must have a home office or HIPAA-compliant workspace

Physical Requirements

  • This position is sedentary and will require sitting for long periods of time
  • This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time 
  • The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations 

Benefits:

  • Health Benefits (core medical, dental, vision)
  • Paid Holidays
  • Paid Time Off (PTO)
  • Sick Time Off (STO)
  • 401k with company match
  • Company laptop provided

Pay:

  • The position starts at $22/hr ($21/hr + $1/hr NY license bump) with the ability to earn up to $28/hr based on production
  • Quarterly bonus program
  • Opportunities to pick up OT to increase earnings


What CareHarmony employees say

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