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.
RN Utilization Management Nurse Consultant (Medicare – Joint Procedures)
Remote | Full-Time | Monday–Friday (9:00 am to 6:00 pm in your time zone, with occasional evenings/holidays)
Are you an experienced Registered Nurse looking to make an impact beyond the bedside? Join a collaborative Utilization Management team where your clinical expertise helps ensure members receive the right care at the right time.
What You’ll Do
Review and assess clinical information for Medicare precertification (joint procedures)
Apply evidence-based criteria and clinical judgment to make coverage determinations
Collaborate with providers and care teams to coordinate appropriate treatment plans
Identify opportunities to improve care quality and optimize healthcare utilization
Support care integration by connecting members to additional programs and services
Serve as a clinical resource to internal and external partners
What You Bring - REQUIRED
Active, unrestricted RN license in the state of residence
3+ years of RN experience
1+ year of Med/Surg experience
Proficiency in Microsoft Office (Outlook, Teams, Excel)
Associates degree in nursing
Nice to Have
Utilization Management or Prior Authorization experience
Managed care and/or Medicare experience
MedCompass or similar system experience
Ambulatory surgery background
BSN
Why Join Us?
Consistent weekday schedule (with some flexibility for a 24/7 operation)
Opportunity to use your clinical expertise in a non-bedside role
Collaborative, mission-driven team focused on quality care
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$26.01 - $62.32
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 06/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.