Remote RN Utilization Management Consultant; Medicare
Lower Merion, Montgomery County, Pennsylvania, USA
Listed on 2026-11-01
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Nursing
RN Nurse
CVS Health is seeking an experienced RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role. You will review clinical information, apply evidence-based criteria, and make coverage determinations while coordinating with providers and care teams.
This role emphasizes quality care and collaboration, supporting members to access the right services.
Required:
active RN license, 3+ years RN experience, 1+ year Med/Surg, and MS Office proficiency.
Our organisation is growing, and we are hiring a Remote RN Utilization Management Consultant (Medicare) in Elm, PA, United States.
This opportunity is part of our work in Bio & Pharmacology & Health, Consulting.
The advertised compensation is 36.000 - 86.000.
This role offers the option to work remotely.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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