Mountain Home, TX · On-site
$26.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... utilization/benefit management function. Required Qualifications 3+ years of experience as an RN ...
Mountain Home, TX · On-site
$26.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... utilization/benefit management function. Required Qualifications 3+ years of experience as an RN ...
Richmond, VA · On-site
$26.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... utilization/benefit management function. Required Qualifications 3+ years of experience as an RN ...
Richmond, VA · On-site
$26.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... utilization/benefit management function. Required Qualifications 3+ years of experience as an RN ...
Los Angeles, CA · On-site
$60 - $75/hr
Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and ...
Los Angeles, CA · On-site
$60 - $75/hr
Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and ...
MI · On-site
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management experience Education Associates Degree in Nursing required BSN preferred ...
MI · On-site
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management experience Education Associates Degree in Nursing required BSN preferred ...
Lansing, MI · On-site
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management experience Education Associates Degree in Nursing required BSN preferred ...
Lansing, MI · On-site
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management experience Education Associates Degree in Nursing required BSN preferred ...
New York, NY · On-site +1
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management experience Education Associates Degree in Nursing required BSN preferred ...
New York, NY · On-site +1
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management experience Education Associates Degree in Nursing required BSN preferred ...
New York, NY · On-site
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Registered Nurse (RN) - Utilization Management Join a dynamic healthcare team and make an impact on ...
New York, NY · On-site
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Registered Nurse (RN) - Utilization Management Join a dynamic healthcare team and make an impact on ...
New York, NY · Remote
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management experience Education Associates Degree in Nursing required BSN preferred ...
New York, NY · Remote
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management experience Education Associates Degree in Nursing required BSN preferred ...
Home, PA · On-site
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
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 ...
Home, PA · On-site
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
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 ...
Homer, AK · Remote
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
Homer, AK · Remote
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$80K - $95K/yr
Medical
Dental
Vision
Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen ...
New
$80K - $95K/yr
Medical
Dental
Vision
Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen ...
New
Harrisburg, PA · On-site
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
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 ...
Harrisburg, PA · On-site
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
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 ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
Utilization Management Position We're building a world of health around every individual -- shaping ... At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ...
$26.01 - $56.14/hr
Medical
Dental
Vision
Retirement
PTO
Utilization Management Position We're building a world of health around every individual -- shaping ... At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ...
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
CVS Health Utilization Management Position We're building a world of health around every individual ... Required Qualifications 2+ years of experience as a Registered Nurse in adult acute care/critical ...
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
CVS Health Utilization Management Position We're building a world of health around every individual ... Required Qualifications 2+ years of experience as a Registered Nurse in adult acute care/critical ...
Utilization Management Nurse Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care ...
Utilization Management Nurse Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care ...
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management experience Education: Associates Degree in Nursing required BSN preferred ...
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management experience Education: Associates Degree in Nursing required BSN preferred ...
$80K - $95K/yr
Medical
Dental
Vision
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This individual ...
$80K - $95K/yr
Medical
Dental
Vision
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This individual ...
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization management experience. Education: Associates degree in nursing required. BSN preferred.
$32.01 - $68.55/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization management experience. Education: Associates degree in nursing required. BSN preferred.
Des Moines, IA · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Management Nurse Des Moines, Iowa, United States Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you ...
Des Moines, IA · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Utilization Management Nurse Des Moines, Iowa, United States Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you ...
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$29.10 - $62.32/hr
Medical
Dental
Vision
Retirement
PTO
At CVS Health ® , you'll be surrounded by passionate colleagues who care deeply, innovate with ... Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ...
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
| Aspect | Weekday Cvs Utilization Management Nurse | Weekend Cvs Utilization Management Nurse |
|---|---|---|
| Work Schedule | Monday to Friday, standard business hours | Weekend shifts, typically Saturday and Sunday |
| Certifications | RN license, utilization review certification often preferred | RN license, utilization review certification often preferred |
| Work Environment | Office-based, healthcare setting, insurance company | Office-based, healthcare setting, insurance company |
| Job Responsibilities | Review medical necessity, authorize services, coordinate care | Review medical necessity, authorize services, coordinate care |
The main difference between Weekday Cvs Utilization Management Nurse and Weekend Cvs Utilization Management Nurse lies in their work schedule. Both roles require similar certifications, responsibilities, and work environments, but the weekday nurse works during standard business hours, while the weekend nurse covers weekend shifts. Both positions are essential for continuous patient care and insurance operations.
Cities with the most Weekday Cvs Utilization Management Nurse job openings:
The most popular types of Cvs Utilization Management Nurse jobs are:
States with the most job openings for Weekday Cvs Utilization Management Nurse jobs include:
$26.01 - $68.55/hr
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 13 days ago
5.8
Based on 4,333 frontline employees who took The Breakroom Quiz
89th of 112 rated pharmacies
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 is a 24/7 operation and work schedule may include weekends, holidays, and evening hours.
Schedule
Fully Remote- WFH
M-F 8A-5P EST/9A-6P CST with 1 hour lunch
Position Summary
Position Summary:
UM Nurse Consultant
Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care. Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
Required Qualifications
3+ years of experience as an RN
Active and unrestricted RN licensure in state of residence
Able to work in multiple IT platforms/systems
1+ years of experience with Microsoft Office Applications (Outlook, Teams, Excel)
Preferred Qualifications
Prior authorization utilization experience preferred
Outpatient Clinical experience
Knowledge of Medicare/Medicaid
Managed care experience
Education
Associates Degree in Nursing required
BSN preferred
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$26.01 - $68.55
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: 08/12/2026
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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Health care and social assistance and retail
10,000+ Employees
Woonsocket, RI, US
