Remote Utilization Management Nurse; Precertification
Portland, Cumberland County, Maine, 04101, USA
Listed on 2026-10-26
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Nursing
Nurse Practitioner, RN Nurse, Clinical Nurse Specialist
CVS Health is seeking a remote Utilization Management Nurse Consultant (Clinical Precertification RN) to evaluate medical necessity for Medicare beneficiaries. You will review cases, determine coverage using guidelines, and coordinate with care teams to ensure appropriate treatment within a fast-paced, 24/7 operating environment.
The role emphasizes strong clinical judgment, collaboration, and the ability to work a weekday schedule from home, with a focus on quality, safety, and patient outcomes.
We are seeking a motivated Remote Utilization Management Nurse (Precertification) to join CVS Health in ME, United States.
We invite applications for the Remote Utilization Management Nurse (Precertification) position located in ME, United States.
The following role is for a Remote Utilization Management Nurse (Precertification) with CVS Health.
Our organisation is growing, and we are hiring a Remote Utilization Management Nurse (Precertification) in ME, United States.
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