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Remote Utilization Management Nurse Consultant

Remote / Online - Candidates ideally in
Grand Rapids, Kent County, Michigan, 49501, USA
Listing for: CVS Health
Full Time, Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, Public Health Nurse
Salary/Wage Range or Industry Benchmark: 36000 - 86000 USD Yearly USD 36000.00 86000.00 YEAR
Job Description & How to Apply Below

CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive the right care at the right time. You will review cases, collaborate with providers, and use evidence-based guidelines to support coverage determinations.

A 3+ year RN background including Med/Surg and an active RN license are required. This full-time role follows a Monday–Friday schedule with some holidays and evenings in the local time

We have an opening for a Remote Utilization Management Nurse Consultant in Lake Michigan Beach, MI, United States within Bio & Pharmacology & Health, Consulting.

The Remote Utilization Management Nurse Consultant position in the Bio & Pharmacology & Health, Consulting field is open for applications.

This role, Remote Utilization Management Nurse Consultant at CVS Health, could be your next move.

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