Remote RN: Medicare Utilization & Quality Consultant
Alexandria, Fairfax County, Virginia, 22303, USA
Listed on 2026-11-01
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Nursing
RN Nurse, Healthcare Nursing
CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant. The role involves applying clinical judgment to determine coverage and coordinating care with providers to facilitate appropriate health services.
Required RN licensure in the resident state, ~3+ years RN experience, and ~1+ years Med/Surg. Strong communication and MS Office skills are essential. Remote work from home with strict HIPAA guidelines is supported.
This posting is for the Remote RN:
Medicare Utilization & Quality Consultant role at CVS Health, based in Virginia Beach, VA, United States.
This opportunity is part of our work in Bio & Pharmacology & Health, Consulting.
The advertised compensation is 36.000 - 95.000.
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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