# Registered Nurse (RN) Utilization Management Nurse Consultant - Remote

**Company**: CVS Health
**Location**: Work from home, PA, PA
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $29.10 - $62.32
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/PA---Work-from-home/Utilization-Management-Nurse-Consultant_R1067796?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/registered-nurse-rn-utilization-management-nurse-3e45de46-bde/

## Description

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

At CVS Health, you'll be surrounded by colleagues who care deeply, innovate with purpose, hold themselves accountable and prioritize safety and quality in everything they do.

**Registered Nurse (RN) Utilization Management Nurse Consultant - Remote**

Make a difference in patient care from the comfort of home.

We're seeking experienced Registered Nurses to join our Utilization Management team in a fully remote role. In this position, you'll leverage your clinical expertise to review healthcare services, coordinate care, and help ensure members receive the right care at the right time. As part of a 24/7 operation, you'll collaborate with providers and healthcare teams while playing a key role in improving quality and outcomes.

**Responsibilities**

- Review clinical information and apply evidence-based guidelines to make coverage recommendations.

- Coordinate with providers and care teams to support treatment plans and continuity of care.

- Identify opportunities for care management referrals and improved healthcare utilization.

- Promote quality, efficiency, and positive member outcomes.

- Work in a fast-paced, technology-driven environment while meeting productivity and quality goals.

**Requirements**

- Active, unrestricted RN license in your state of residence.

- 2+ years of RN experience in adult acute care, critical care, or medical-surgical.

- Strong clinical judgment, communication, and multitasking skills.

- Comfort navigating multiple computer systems, monitors, and Microsoft Office applications.

- Ability to work independently in a remote environment.

- Associates degree in nursing required – BSN Preferred.

**Preferred Qualifications**

- Utilization Management or Managed Care experience.

- Prior experience with case management, care coordination, or health plan operations.

- EST time zone residency preferred.

**Work Schedule**

- Utilization Management is a 24/7 operation.

- Schedules may include evenings, weekends, and holidays.

**Benefits**

- Fully remote opportunity with company-provided technology equipment.

- Meaningful work that impacts patient care and healthcare quality.

- Collaborative healthcare environment with opportunities for professional growth and development.

**Technical and Logistical Requirements**

- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.

- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.

- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).

- Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.

- Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.

- Future Growth: Openness to learning new skills in the future as the workplace environment evolves.

**Anticipated Weekly Hours**

40

**Time Type**

Full time

**Pay Range**

$29.10 - $62.32

For more fresh new jobs, check out [yubhub.co](https://yubhub.co/).

## Skills

### Required
- RN license
- adult acute care
- critical care
- medical-surgical
- Microsoft Office
- multitasking
- communication skills

### Nice to have
- Utilization Management
- Managed Care
- case management
- care coordination
- health plan operations

---

Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/PA---Work-from-home/Utilization-Management-Nurse-Consultant_R1067796?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)