Remote RN Utilisation Management Consultant; Medicare

CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role. You will review clinical data for precertification, apply evidence-based criteria, and coordinate care with providers to ensure appropriate treatment.

You bring an active RN license, 3+ years RN and 1+ year Med/Surg, plus proficiency in Microsoft Office. Nice-to-have: UM or Medicare experience and a BSN.

This role, Remote RN Utilisation Management Consultant (Medicare) at CVS Health, could be your next move.

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.

The position is based in PA, United States.

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