Remote RN Utilization & Quality Management Consultant
St. Charles, Saint Charles, St. Charles County, Missouri, 63301, USA
Listed on 2026-11-01
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Nursing
RN Nurse
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgement to determine appropriate care and benefits, coordinating with providers, and supporting utilization management across a 24/7 schedule with some holidays and evenings.
Associates degree is required with BSN preferred, and RN licensure must be active in the home state. Strong MS Office and Med Compass experience is valued; remote work is available to qualified
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