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Remote RN: Utilization Management & Precertification

Remote / Online - Candidates ideally in
New York, New York City, Richmond County, New York, USA
Listing for: CVS Health
Full Time, Remote/Work from Home position
Listed on 2026-10-18
Job specializations:
  • Nursing
    RN Nurse
Job Description & How to Apply Below
Location: New York

CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to support coverage determinations and care coordination. This remote, full-time role features a weekend schedule after training and requires strong clinical judgment and proficiency with Microsoft Office.

You will review clinical information, apply guidelines, collaborate with providers, and help optimize member outcomes while navigating compliance and HIPAA requirements.

This is a great role to take on the Remote RN:
Utilization Management & Precertification role at CVS Health.

The position is based in Austin, TX, United States.

This opportunity is part of our work in Bio & Pharmacology & Health, Consulting.

The advertised compensation is 36.000 - 85.000.

This role offers the option to work remotely.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

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