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Remote Utilization Management Nurse Consultant

Remote / Online - Candidates ideally in
Kansas City, Jackson County, Missouri, 64101, USA
Listing for: 4062 Aetna Resources, LLC
Remote/Work from Home position
Listed on 2026-07-23
Job specializations:
  • Nursing
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 35817 - 77145 USD Yearly USD 35817.00 77145.00 YEAR
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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