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RN Utilization & Quality Care Consultant; Remote

Remote / Online - Candidates ideally in
Asheville, Buncombe County, North Carolina, 28801, USA
Listing for: CVS Health
Full Time, Remote/Work from Home position
Listed on 2026-10-30
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: RN Utilization & Quality Care Consultant (Remote)

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays, leveraging your clinical expertise to ensure members receive appropriate care.

You will review clinical data for precertifications, apply criteria, coordinate with providers, and drive care quality while supporting patient access to additional programs and

We have an opening for a RN Utilization & Quality Care Consultant (Remote) in Charlotte, NC, United States within Bio & Pharmacology & Health, Consulting.

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

This role, RN Utilization & Quality Care Consultant (Remote) at CVS Health, could be your next move.

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