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Remote Utilization Nurse Consultant; Medical Review

Remote / Online - Candidates ideally in
St. Louis, Saint Louis, St. Louis city, Missouri, 63105, USA
Listing for: CVS Health
Full Time, Remote/Work from Home position Listed on 2026-11-06
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, General Nursing
Salary/Wage Range or Industry Benchmark: 36000 - 77000 USD Yearly USD 36000.00 77000.00 YEAR

Job Description & How to Apply Below

Position: Remote Utilization Nurse Consultant (Medical Review)
Location: St. Louis

American Health Holding, Inc. (an division of CVS Health) is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role emphasizes precise clinical review, collaboration with providers, and compassionate patient care in a fast-paced desk-based setting.

You will leverage your RN expertise to evaluate medical necessity, apply criteria, and provide timely determinations while supporting cross-training and process improvements for client satisfaction.

Step into the Remote Utilization Nurse Consultant (Medical Review) role at CVS Health in Kansas City, MO, 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.

All applications are reviewed carefully by our team.

This is a Full Time role.

The position is based in Kansas City, MO, United States.

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