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Remote RN Utilization Management Consultant; Medicare

Remote / Online - Candidates ideally in
Brockton, Plymouth County, Massachusetts, 02301, 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: 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.

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

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.

This is a Full Time role.

The position is based in MA, United States.

This opportunity is part of our work in Bio & Pharmacology & Health, Consulting.

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