Utilization Management Nurse Consultant

CVS Health · Work at Home, PA, United States

Location
Work at Home
Job Type
Full-time
Posted
July 01, 2026

Job 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 passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

**Registered Nurse (RN) – Utilization Management**

**Bring your clinical expertise beyond the bedside and help drive better healthcare outcomes.** We’re looking for a skilled RN to join our Utilization Management team, ensuring members receive appropriate, high-quality care across the continuum.

**What You’ll Do**

+ Review clinical documentation and apply guidelines to support coverage decisions
+ Collaborate with providers and care teams to coordinate appropriate treatment
+ Identify opportunities to improve...

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