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Weekday Cvs Utilization Management Nurse Jobs (NOW HIRING)

Intus, Inc

Utilization Management Nurse

$80K - $95K/yr

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 ...

SIHO Insurance Services, Inc.

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Utilization Management Nurse

Columbus, IN · On-site

Utilization Management Nurse Reports To: Manager of Utilization Management Brief Description of Duties: This position is reserved for a licensed Registered Nurse who will perform the Utilization ...

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Weekday Cvs Utilization Management Nurse information

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$89.5K

$163K

How much do weekday cvs utilization management nurse jobs pay per year?

As of Jul 23, 2026, the average yearly pay for weekday cvs utilization management nurse in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What does a utilization management nurse do for CVS?

A utilization management nurse at CVS reviews medical records and treatment plans to ensure they meet insurance and clinical guidelines, helping to determine the necessity and appropriateness of services. They collaborate with healthcare providers and use clinical judgment, often working with electronic health records and following specific protocols to manage patient care and insurance approvals.

How much do NPS make at MinuteClinic?

Nurse Practitioners (NPs) working at MinuteClinic typically earn an average salary ranging from $90,000 to $110,000 annually, depending on experience and location. Weekday CVS Utilization Management Nurses may have different compensation, often influenced by their specialized skills and certifications in utilization review and case management.

What's the highest paying job at CVS?

At CVS, the highest paying roles typically include executive positions such as Vice President or Director of Pharmacy, as well as senior management roles like Regional or District Managers. These positions often require extensive experience, leadership skills, and relevant certifications, and they offer the highest compensation within the company.

What are the key skills and qualifications needed to thrive as a Weekday CVS Utilization Management Nurse, and why are they important?

To thrive as a Weekday CVS Utilization Management Nurse, you need a valid RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management software, insurance guidelines, and medical coding systems such as ICD-10 is typically required. Exceptional critical thinking, attention to detail, and effective communication help nurses advocate for appropriate patient care while collaborating with providers and payers. These skills ensure proper resource utilization, regulatory compliance, and optimal patient outcomes in a managed care setting.

What is the difference between Weekday Cvs Utilization Management Nurse vs Weekend Cvs Utilization Management Nurse?

AspectWeekday Cvs Utilization Management NurseWeekend Cvs Utilization Management Nurse
Work ScheduleMonday to Friday, standard business hoursWeekend shifts, typically Saturday and Sunday
CertificationsRN license, utilization review certification often preferredRN license, utilization review certification often preferred
Work EnvironmentOffice-based, healthcare setting, insurance companyOffice-based, healthcare setting, insurance company
Job ResponsibilitiesReview medical necessity, authorize services, coordinate careReview 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.

What is a Weekday CVS Utilization Management Nurse?

A Weekday CVS Utilization Management Nurse is a registered nurse who works for CVS Health, focusing on evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. This role involves reviewing patient cases, coordinating with healthcare providers, and ensuring that treatments and services meet established guidelines and insurance requirements. These nurses typically work regular weekday hours, rather than nights or weekends. They play a key role in helping patients receive appropriate care while also managing healthcare costs for the organization.

Is RN utilization management hard?

RN utilization management can be challenging as it requires strong clinical knowledge, decision-making skills, and the ability to review and approve or deny healthcare services based on policies and guidelines. The role often involves working with electronic health records and collaborating with healthcare teams, which can add to the complexity of the job.

How does a Weekday CVS Utilization Management Nurse typically collaborate with physicians and case managers?

As a Weekday CVS Utilization Management Nurse, you will regularly interact with physicians and case managers to review patient care plans and ensure appropriate resource utilization. This role involves evaluating medical records, discussing treatment options, and providing clinical recommendations to support cost-effective, quality care. Effective communication and teamwork are essential, as you’ll serve as a bridge between clinical staff, patients, and administrative teams to coordinate authorizations and resolve coverage questions.
What cities are hiring for Weekday Cvs Utilization Management Nurse jobs? Cities with the most Weekday 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 Weekday Cvs Utilization Management Nurse jobs? States with the most job openings for Weekday Cvs Utilization Management Nurse jobs include:
Weekday Cvs Utilization Management Nurse jobs near you
Utilization Management Nurse Consultant

Utilization Management Nurse Consultant

CVS Health

New York, NY • Remote

$29.10 - $62.32/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 hours ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,294 frontline employees who took The Breakroom Quiz

80th of 104 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 ourselvesaccountable 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.

UM Nurse Consultant

Fully Remote- WFH

Schedule : Tuesday-Saturday 9:30am-6:00pm

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

-Must have 3+ years of Med Surg experience as an RN in the hospital setting

- 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

- Knowledge of Medicare/Medicaid

- Managed care experience

- Utilization Management 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:

$29.10 - $62.32

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 fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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.

We anticipate the application window for this opening will close on: 07/23/2026

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

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