• Utilization Management Nurse

    CVS Health (VA)
    …And we do it all with heart, each and every day. **Position Summary** This Utilization Management Nurse Consultant (UMNC) position is 100% remote. ... As a Utilization Nurse Consultant , you will utilize clinical skills...to coordinate, document and communicate all aspects of the utilization /benefit management program and our plan sponsor(s).… more
    CVS Health (09/26/25)
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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 ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
    CVS Health (10/08/25)
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  • Utilization Management Nurse

    CVS Health (AZ)
    …the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, you'll ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
    CVS Health (10/01/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …work S/S/M/T 10 hour shifts (AFTER training M-F for about 4 - 5 months).** ** Utilization Management is a 24/7 operation and work schedules will include holidays ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...or eastern time zone (AFTER 4-5 months of training). Utilization Management is a 24/7 operation and… more
    CVS Health (10/09/25)
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  • Utilization Management Nurse

    CVS Health (AZ)
    …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed, ensuring… more
    CVS Health (10/04/25)
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  • Utilization Management Nurse

    CVS Health (IL)
    …+ **M** anaged care experience + Discharge planning experience + Utilization Management experience **Education** ASN Required, BSN Preferred **Anticipated ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in… more
    CVS Health (10/08/25)
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  • Utilization Management Nurse

    CVS Health (OH)
    … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position ... experience in medical healthcare. + 3+ years Medical Review or Utilization Management experience. + 2+ years of experience with personal computer, keyboard… more
    CVS Health (09/24/25)
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  • Behavioral Health Utilization

    CVS Health (KY)
    …with heart, each and every day. **Position Summary** This is a fully **remote** Utilization Review Clinical Consultant . **Must reside in the state of Kentucky or ... and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to coordinate,… more
    CVS Health (09/13/25)
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  • Utilization Review Nurse Coordinator…

    State of Connecticut, Department of Administrative Services (East Hartford, CT)
    Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
    State of Connecticut, Department of Administrative Services (10/01/25)
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  • Consultant , Nurse Disability I

    Lincoln Financial (Hagatna, GU)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management . **What you'll be doing** * Evaluate medical information… more
    Lincoln Financial (10/01/25)
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