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Remote UM Nurse Consultant — Utilization & Care Coordination
Remote / Online - Candidates ideally in
Kansas City, Wyandotte County, Kansas, 66115, USA
Listed on 2026-07-31
Kansas City, Wyandotte County, Kansas, 66115, USA
Listing for:
4062 Aetna Resources, LLC
Remote/Work from Home
position Listed on 2026-07-31
Job specializations:
-
Nursing
Healthcare Nursing, RN Nurse
Job Description & How to Apply Below
CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote role available to CST-zone residents across the United States. You will review medical necessity, coordinate care, and apply clinical criteria to determine coverage while ensuring timely, high-quality outcomes.
Responsibilities include collaborating with providers, supporting discharge planning, and addressing complex member needs. Requires RN license and acute hospital experience; BSN preferred.
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