Utilization Management Nurse We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients, and prefers working in a ...
Utilization Management Nurse We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients, and prefers working in a ...
Utilization Management Nurse RN Optum Insight is improving the flow of health data and information ... Experience working successfully in a remote or telecommuter role * Denials management, denial ...
Utilization Management Nurse RN Optum Insight is improving the flow of health data and information ... Experience working successfully in a remote or telecommuter role * Denials management, denial ...
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant (RN) - Concurrent Review Remote | Acute Inpatient ...
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant (RN) - Concurrent Review Remote | Acute Inpatient ...
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management ...
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management ...
Utilization Management Nurse RN Optum Insight is improving the flow of health data and information ... Experience working successfully in a remote or telecommuter role * Denials management, denial ...
Utilization Management Nurse RN Optum Insight is improving the flow of health data and information ... Experience working successfully in a remote or telecommuter role * Denials management, denial ...
Utilization Management Nurse RN
$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 RN
$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 (UM) - Work at home in CST Zone
$26.01 - $56.14/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... This is a fully remote role available to candidates in any U.S. state in the CST Zone. You'll apply ...
Utilization Management Nurse Consultant (UM) - Work at home in CST Zone
$26.01 - $56.14/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... This is a fully remote role available to candidates in any U.S. state in the CST Zone. You'll apply ...
Utilization Management Clinical Consultant (Remote-Arizona)
$29.10 - $62.32/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... In this full-time, remote role, you'll handle cases within a Skilled Nursing Facility setting while ...
Utilization Management Clinical Consultant (Remote-Arizona)
$29.10 - $62.32/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... In this full-time, remote role, you'll handle cases within a Skilled Nursing Facility setting while ...
Utilization Management Nurse Rn Optum Insight is improving the flow of health data and information ... Experience working successfully in a remote or telecommuter role * Denials management, denial ...
Utilization Management Nurse Rn Optum Insight is improving the flow of health data and information ... Experience working successfully in a remote or telecommuter role * Denials management, denial ...
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 ...
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 ...
UM Nurse Consultant | Specialty UM - Spine
$29.10 - $62.32/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant, Specialty Spine Team (Remote) Schedule: Monday-Friday, 8 ...
UM Nurse Consultant | Specialty UM - Spine
$29.10 - $62.32/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management Nurse Consultant, Specialty Spine Team (Remote) Schedule: Monday-Friday, 8 ...
Utilization Management Nurse RN
Newtown Square, PA · Remote
$60K - $107K/yr
The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process ...
Utilization Management Nurse RN
Newtown Square, PA · Remote
$60K - $107K/yr
The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process ...
Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented ... This is a fully remote opportunity requiring discipline, accuracy, and effective collaboration ...
Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented ... This is a fully remote opportunity requiring discipline, accuracy, and effective collaboration ...
Licensed Registered Nurse in Illinois (IL), with no disciplinary action * Minimum 3 years of ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse in Illinois (IL), with no disciplinary action * Minimum 3 years of ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse in Illinois (IL), with no disciplinary action * Minimum 3 years of ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Licensed Registered Nurse in Illinois (IL), with no disciplinary action * Minimum 3 years of ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
Utilization Management Nurse, RN
$44.63 - $53.55/hr
As a Utilization Management RN, you'll work closely with our Ambulatory and Concurrent Care, Network Management, Quality Improvement, and Practice Success teams. Your responsibilities include driving ...
Utilization Management Nurse, RN
$44.63 - $53.55/hr
As a Utilization Management RN, you'll work closely with our Ambulatory and Concurrent Care, Network Management, Quality Improvement, and Practice Success teams. Your responsibilities include driving ...
These will be completely remote positions, working entirely from the Nurse's home. The Nurse will ... Professional Utilization Review (CPUR) program * Certified Case Manager (CCM) issued by the ...
These will be completely remote positions, working entirely from the Nurse's home. The Nurse will ... Professional Utilization Review (CPUR) program * Certified Case Manager (CCM) issued by the ...
Manager, Utilization Management
$87K - $161K/yr
Remote in Ohio. Candidates must reside in Ohio and hold an active RN Ohio license. In-person ... Reviews and analyzes utilization management activities, operations, costs, and forecasted data to ...
Manager, Utilization Management
$87K - $161K/yr
Remote in Ohio. Candidates must reside in Ohio and hold an active RN Ohio license. In-person ... Reviews and analyzes utilization management activities, operations, costs, and forecasted data to ...
Utilization Management Nurse, RN
$44.63 - $53.55/hr
As a Utilization Management RN, you'll work closely with our Ambulatory and Concurrent Care, Network Management, Quality Improvement, and Practice Success teams. Your responsibilities include driving ...
Utilization Management Nurse, RN
$44.63 - $53.55/hr
As a Utilization Management RN, you'll work closely with our Ambulatory and Concurrent Care, Network Management, Quality Improvement, and Practice Success teams. Your responsibilities include driving ...
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
Other
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired 1 day ago. Applications are no longer accepted.
Cottingham & Butler rating
8.6
Based on 15 frontline employees who took The Breakroom Quiz
94th of 315 rated insurance
Job description
Utilization Management Nurse
We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients, and prefers working in a professional office setting with daytime office hours and weekends/holidays off.
This position is responsible for working telephonically with providers to evaluate and pre-certify requests such as hospital stays, outpatient surgeries, outpatient tests, care, etc. Review requests and match up to an evidence-based guideline to ensure proper care and ensure the right service is happening at the right time and is medically necessary. In this position you will be handling multiple provider phone calls at any given time and need to be able to handle a very fast paced environment. You will also work closely with participants for referrals to case management and condition management services according to referral criteria and health plan guidelines.
Qualified candidates will have strong multitasking skills, RN and clinical experience, preferably in ER, ICU, mental health, orthopedics, and/or pain management. Bilingual is also preferred.
Full-Time Benefits - Most benefits start day 1
- Medical, Dental, Vision Insurance
- Flex Spending or HSA
- 401(k) with company match
- Profit-Sharing/Defined Contribution (1-year waiting period)
- PTO/Paid Holidays
- Company-paid ST and LT Disability
- Maternity Leave/Parental Leave
- Subsidized Parking
- Company-paid Term Life/Accidental Death Insurance
At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.
As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.
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