The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
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 ...
Utilization Management Nurse Consultant
$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 ...
Utilization Management Nurse Consultant
$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 ...
Utilization Management Nurse Consultant
$26.01 - $56.14/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 ...
Utilization Management Nurse Consultant
$26.01 - $56.14/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 ...
Utilization Management Nurse Consultant - Eastern Time Zone
$32.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... This Utilization Management (UM) Nurse Consultant role is fully remote but preference is for ...
Utilization Management Nurse Consultant - Eastern Time Zone
$32.01 - $68.55/hr
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... This Utilization Management (UM) Nurse Consultant role is fully remote but preference is for ...
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 ...
Utilization Management Nurse Consultant
$32.01 - $68.55/hr
Registered Nurse (RN) - Utilization Management Are you an experienced RN looking to leverage your ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...
Utilization Management Nurse Consultant
$32.01 - $68.55/hr
Registered Nurse (RN) - Utilization Management Are you an experienced RN looking to leverage your ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...
Lead Utilization Management Nurse
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
Lead Utilization Management Nurse
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 ...
Utilization Management Nurse Reviewer
New Orleans, LA · On-site +1
$73K - $139K/yr
Summary The Utilization Management Nurse Reviewer Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
Utilization Management Nurse Reviewer
New Orleans, LA · On-site +1
$73K - $139K/yr
Summary The Utilization Management Nurse Reviewer Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client 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 ...
As a Utilization Management (UM) Nurse, you will play a vital role in improving the health and well ... This is a remote position supporting members and providers throughout Illinois with periodic in ...
As a Utilization Management (UM) Nurse, you will play a vital role in improving the health and well ... This is a remote position supporting members and providers throughout Illinois with periodic in ...
As a Utilization Management (UM) Nurse, you will play a vital role in improving the health and well ... This is a remote position supporting members and providers throughout Illinois with periodic in ...
As a Utilization Management (UM) Nurse, you will play a vital role in improving the health and well ... This is a remote position supporting members and providers throughout Illinois with periodic in ...
As a Utilization Management (UM) Nurse, you will play a vital role in improving the health and well ... This is a remote position supporting members and providers throughout Illinois with periodic in ...
As a Utilization Management (UM) Nurse, you will play a vital role in improving the health and well ... This is a remote position supporting members and providers throughout Illinois with periodic in ...
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 ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...
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 ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...
Specialty UM - NICU UM Nurse Consultant - Louisiana Residence Preferred
$26.01 - $56.14/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant (Remote) Are you passionate about improving outcomes for ...
Specialty UM - NICU UM Nurse Consultant - Louisiana Residence Preferred
$26.01 - $56.14/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant (Remote) Are you passionate about improving outcomes for ...
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Louisiana Medicaid ...
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Louisiana Medicaid ...
Utilization Management Nurse | Square, |
$60K - $107K/yr
Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Management Nurse | Square, |
$60K - $107K/yr
Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Management Nurse | Square, |
$60K - $107K/yr
Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Management Nurse | Square, |
$60K - $107K/yr
Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ...
Utilization Management Nurse Consultant (Weekend)
$29.10 - $62.32/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management / CareManagementExperience * Must have active current and unrestricted RN ...
Utilization Management Nurse Consultant (Weekend)
$29.10 - $62.32/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management / CareManagementExperience * Must have active current and unrestricted RN ...
Remote Cvs Utilization Management Nurse information
See salary details
$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
How much do remote cvs utilization management nurse jobs pay per hour?
As of Sep 2, 2026, the average hourly pay for remote cvs utilization management nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.
What is the difference between Remote Cvs Utilization Management Nurse vs Remote Cvs Case Manager?
| 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.
More about Remote Cvs Utilization Management Nurse jobs
What cities are hiring for Remote Cvs Utilization Management Nurse jobs?
Cities with the most Remote Cvs Utilization Management Nurse job openings:
What are the most commonly searched types of Cvs Utilization Management Nurse jobs?
The most popular types of Cvs Utilization Management Nurse jobs are:
What states have the most Remote Cvs Utilization Management Nurse jobs?
States with the most job openings for Remote Cvs Utilization Management Nurse jobs include:
What job categories do people searching Remote Cvs Utilization Management Nurse jobs look for?
The top searched job categories for Remote Cvs Utilization Management Nurse jobs are:
- Utilization Management Ii
- Director Of Utilization Review
- International Utilization Review Rn
- Utilization Review Nurse Compact License
- Utilization Management Review Nurse
- Full Time Anthem Utilization Review Nurse
- Rn Utilization Review Nurse
- Fulltime Cigna Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Remote Optum Utilization Review
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired 2 days ago. Applications are no longer accepted.
Humana rating
8.0
Based on 267 frontline employees who took The Breakroom Quiz
170th of 315 rated insurance
Job description
Become a part of our caring community
The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Use your skills to make an impact
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Utilization Management Nurse 2 uses clinical knowledge and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree
- Licensed Registered Nurse (RN) in the state of Ohio with no disciplinary action.
- At least 3 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience.
- Previous experience in utilization management.
- Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
- 3 or more years experience in a high volume community or mail order pharmacy practice environment
- Health Plan experience
- Previous Medicare/Medicaid Experience
- Call center or triage experience
- Bilingual
Additional Information
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
About Humana
Sourced by ZipRecruiter
Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Louisville, KY, US
Year founded
1961