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Remote RN Utilization Management Consultant; Medicare

Remote / Online - Candidates ideally in
Boston, Suffolk County, Massachusetts, 02212, USA
Listing for: CVS Health
Full Time, Remote/Work from Home position
Listed on 2026-10-26
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 36000 - 86000 USD Yearly USD 36000.00 86000.00 YEAR
Job Description & How to Apply Below
Position: Remote RN Utilization Management Consultant (Medicare)

CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant to impact care beyond the bedside. This remote, full-time role supports Medicare joint procedures by reviewing clinical information and applying criteria to determine coverage.

You will collaborate with providers and care teams to coordinate treatment plans, identify opportunities to improve quality and utilisation, and serve as a clinical resource for internal and external partners. Monday–Friday schedule.

The Remote RN Utilization Management Consultant (Medicare) position in the Bio & Pharmacology & Health, Consulting field is open for applications.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Remote RN Utilization Management Consultant (Medicare) role at CVS Health, based in MA, United States.

We are looking to fill the Remote RN Utilization Management Consultant (Medicare) position at CVS Health in MA, United States.

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