Remote Utilization Management Nurse Consultant
Lake Charles, Lake Charles area, Calcasieu Parish, Louisiana, USA
Listed on 2026-11-05
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Nursing
RN Nurse, Nurse Practitioner, Healthcare Nursing, Clinical Nurse Specialist
CVS Health is seeking a Utilization Management Nurse Consultant (RN) to work remotely on prior authorization and utilization management. You will review requests, assess medical necessity, and apply clinical criteria to support decisions, collaborating with providers and care teams to ensure compliant, high-quality care.
Ideal candidates have 3+ years of clinical nursing, 2+ years in UM/PA/Managed Care, and experience with Inter Qual/MCG criteria.
We are looking to fill the Remote Utilization Management Nurse Consultant position at CVS Health in Baton Rouge, LA, United States.
Step into the Remote Utilization Management Nurse Consultant role at CVS Health in Baton Rouge, LA, United States and grow with us.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
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