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Remote RN Utilization Management Consultant; Medicare

Remote / Online - Candidates ideally in
Elm, Lancaster County, Pennsylvania, 17521, 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)
Location: Elm

CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role. You will review clinical information, apply evidence-based criteria, and make coverage determinations while coordinating with providers and care teams.

This role emphasizes quality care and collaboration, supporting members to access the right services.

Required:

active RN license, 3+ years RN experience, 1+ year Med/Surg, and MS Office proficiency.

We are currently recruiting a Remote RN Utilization Management Consultant (Medicare) for our team in Elm, PA, United States.

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

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote RN Utilization Management Consultant (Medicare) role in the description above.

We appreciate your interest in this position.

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