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Remote Utilization Management RN – Precertification

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
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 Utilization Management Nurse Consultant (Medicare) to apply evidence-based guidelines, review clinical cases, and determine appropriate coverage for members. This remote, full-time role supports a 9:00 AM–6:00 PM time frame in the user’s time zone and involves collaboration with providers and care teams to coordinate necessary treatments.

The position emphasizes strong clinical assessment and decision-making, with a focus on improving member outcomes and ensuring

We are looking to fill the Remote Utilization Management RN – Precertification position at CVS Health in MI, United States.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.

The position is based in MI, United States.

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

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