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Remote RN: Medicare Utilization & Quality Consultant

Remote / Online - Candidates ideally in
Lynchburg, Campbell County, Virginia, 24513, USA
Listing for: CVS Health
Full Time, Remote/Work from Home position
Listed on 2026-10-28
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, Public Health Nurse
Salary/Wage Range or Industry Benchmark: 36000 - 95000 USD Yearly USD 36000.00 95000.00 YEAR
Job Description & How to Apply Below

CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgment to determine coverage and coordinating care with providers to facilitate appropriate health services.

Required RN licensure in the resident state, ~3+ years RN experience, and ~1+ years Med/Surg. Strong communication and MS Office skills are essential. Remote work from home with strict HIPAA guidelines is supported.

We are looking to fill the Remote RN:
Medicare Utilization & Quality Consultant position at CVS Health in Virginia Beach, VA, United States.

Are you ready to take on the Remote RN:
Medicare Utilization & Quality Consultant role at CVS Health?

We would love to welcome a new Remote RN:
Medicare Utilization & Quality Consultant to our team in Virginia Beach, VA, United States.

For the Remote RN:
Medicare Utilization & Quality Consultant position at CVS Health, we are reviewing applications now.

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