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Senior Cvs Utilization Management Nurse Jobs (NOW HIRING)

CVS Health

Utilization Management Nurse Consultant

Home, PA · On-site

$29.10 - $62.32/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 ...

CVS Health

Utilization Management Nurse Consultant

$32.01 - $68.55/hr

Registered Nurse (RN) - Utilization Management Join a dynamic healthcare team where your clinical ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...

CVS Health

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 ...

CVS Health

Utilization Management Nurse Consultant

Home, KS · On-site

$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 ...

Oak St. Health

Utilization Management Nurse Consultant

$26.01 - $56.14/hr

CVS Health Utilization Management Position We're building a world of health around every individual ... Registered Nurse in adult acute care/critical care setting - Must have active current and ...

Oak St. Health

Utilization Management Nurse Consultant

$32.01 - $68.55/hr

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 ...

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

As of Aug 9, 2026, the average hourly pay for senior 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 Senior Cvs Utilization Management Nurse vs Cardiology Nurse?

AspectSenior Cvs Utilization Management NurseCardiology Nurse
CredentialsRN license, certification in case management or utilization reviewRN license, cardiology-specific certifications (e.g., Cardiac Vascular Nursing Certification)
Work EnvironmentUtilization review departments, insurance companies, hospitalsCardiology units, hospitals, outpatient clinics
Primary ResponsibilitiesReviewing patient cases for appropriate resource use, ensuring insurance complianceProviding direct patient care, monitoring cardiac conditions, patient education
Industry UsageHealthcare insurance, hospital administrationHospitals, cardiology clinics, outpatient facilities

The Senior Cvs Utilization Management Nurse focuses on reviewing and managing patient care from a resource and insurance perspective, while the Cardiology Nurse provides direct cardiac patient care. Both roles require RN licensure, but their work environments and responsibilities differ significantly.

What cities are hiring for Senior Cvs Utilization Management Nurse jobs? Cities with the most Senior 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 Senior Cvs Utilization Management Nurse jobs? States with the most job openings for Senior Cvs Utilization Management Nurse jobs include:
Senior Cvs Utilization Management Nurse jobs near you

Utilization Management Nurse Consultant

CVS Health

Jackson, MS • On-site

$26.01 - $56.14/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,331 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies

Job description

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 ourselves accountable 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 Nurse (RN) - 24/7 Operations

Location: Remote (Preference for CST/MT time zones)

Schedule: 8:00 am to 5:00 pm Includes evenings, weekends, and holidays

Are you a detail-oriented RN with a passion for improving patient outcomes and healthcare efficiency? Join our Utilization Management team and play a key role in ensuring members receive the right care at the right time.

What You'll Do

  • Review clinical information and apply guidelines to make coverage determinations across the care continuum

  • Collaborate with providers and internal teams to coordinate care and support treatment plans

  • Identify opportunities to enhance quality, efficiency, and member outcomes

  • Refer members to appropriate programs, services, and resources

  • Serve as a clinical expert in utilization and benefit management

What You Bring - Required

  • Active, unrestricted RN license in your state of residence

  • 2+ years of recent experience in adult acute or critical care

  • Strong clinical judgment, communication, and multitasking skills

  • Comfort working in a fast-paced, technology-driven environment

  • Associates Degree in Nursing

Preferred Qualifications

  • Experience in Med-Surg or a specialty clinical area

  • Managed care or Utilization Management experience

  • BSN preferred

  • Residence in CST or MT time zone

Work Environment

  • Remote, sedentary role with frequent computer and phone use

  • Requires attention to detail, productivity, and quality standards

Why Join Us?

Be part of a collaborative team that makes a meaningful impact on patient care and healthcare outcomes every day.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$26.01 - $56.14

This 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.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 08/08/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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