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Remote Utilization Management Nurse Consultant
Remote / Online - Candidates ideally in
Lee's Summit, Lees Summit, Jackson County, Missouri, 64002, USA
Listed on 2026-07-23
Lee's Summit, Lees Summit, Jackson County, Missouri, 64002, USA
Listing for:
4062 Aetna Resources, LLC
Remote/Work from Home
position Listed on 2026-07-23
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
CVS Health is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role requires an active RN license, 3+ years clinical experience, and 1+ year in Utilization Review/Medical Management. You will apply criteria to determine medical necessity and collaborate with providers to ensure timely care.
The position offers a 100% remote setup (U.S. only) with established training and opportunities to contribute to process improvements and patient outcomes.
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