• Utilization Management Registered…

    CVS Health (Richmond, VA)
    …it all with heart, each and every day. **Position Summary** The Utilization Management (UM) Nurse Consultant is a remote, full-time role responsible for ... external stakeholders. The position also involves coaching healthcare staff on utilization management principles and contributing to policy development.… more
    CVS Health (07/29/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and… more
    CVS Health (07/23/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
    CVS Health (08/01/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** * 2+ years of experience as a Registered Nurse in adult acute care/critical care setting * Must...and unrestricted RN licensure in state of residence * Utilization Management is a 24/7 operation and… more
    CVS Health (08/01/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zone. **Education**… more
    CVS Health (07/31/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of ... years of Nursing experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. +… more
    CVS Health (07/26/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit ... solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other… more
    CVS Health (07/30/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit ... solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other… more
    CVS Health (07/24/25)
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  • Utilization Management Clinical…

    CVS Health (Richmond, VA)
    …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
    CVS Health (07/31/25)
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