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Utilization Management Nurse Consultant

📍 Location
Work at Home
⏰ Job Type
Full-time
📅 Posted
July 15, 2026

About the Role

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 (24/7 Operations)**

**Step away from bedside care and make a system-wide impact.** Join our Utilization Management team and help ensure members receive the right care at the right time.

**What You’ll Do**

+ Review clinical information and apply guidelines to support coverage decisions
+ Collaborate with providers and care teams to coordinate appropriate treatment
+ Identify opportunities to improve care quality and resource utilization
+ Connect members to p...

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