• Utilization Management Nurse

    CVS Health (Austin, TX)
    …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... with diverse cultural dynamics of clinical staff and patients. Registered Nurse ( RN ) required. Licensed...(LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant… more
    CVS Health (12/23/25)
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  • Utilization Management Nurse

    CVS Health (Carson City, NV)
    …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant... function. **Required Qualifications** -Must reside in PST zone. - RN with active and unrestricted state licensure in state… more
    CVS Health (12/21/25)
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  • Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …anywhere in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and...setting required - Must have active current and unrestricted RN licensure in state of Florida - Willingness to… more
    CVS Health (12/25/25)
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  • Utilization Management Nurse

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (12/20/25)
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  • Utilization Management Nurse

    CVS Health (Raleigh, NC)
    …all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... /benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN more
    CVS Health (12/24/25)
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  • Utilization Management Nurse

    CVS Health (Baton Rouge, LA)
    …we do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts ... in quality improvement, policy review, and education related to utilization management . * Serve as a clinical...and data integrity **Required Qualifications** * Active, unrestricted Louisiana RN license or compact license * Minimum 3 years… more
    CVS Health (12/19/25)
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  • Utilization Management Nurse

    CVS Health (Baton Rouge, LA)
    …And we do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts ... review, and education related to NICU and special populations utilization management . * Serve as a clinical...detail and data integrity **Required Qualifications** * Active, unrestricted RN license in Louisiana or a compact license. *… more
    CVS Health (12/19/25)
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  • Utilization Management Nurse

    CVS Health (Phoenix, AZ)
    …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
    CVS Health (12/13/25)
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  • Utilization Management Clinical…

    CVS Health (Albany, NY)
    …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... Time Zone. + Must have an active and unrestricted RN ( _Registered Nurse_ ) licensure in the state...Previous experience with prior authorization. + Previous experience with utilization management . + Previous experience in an… more
    CVS Health (12/25/25)
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  • Utilization Management Nurse

    Saint Francis Health System (OK)
    …in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the details ... Nursing. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of… more
    Saint Francis Health System (12/13/25)
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