💼 Full-Time Position

Utilization Management Nurse Consultant

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CVS Health
📍 Work at Home, PA, United States
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Location
Work at Home, United States
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Posted
June 29, 2026
Type
Full-Time
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Full-Time Opportunity: This is a permanent, full-time position with a competitive package and real career growth potential.

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.

**Position Summary**
Fully remote role. Tuesday–Saturday. Hours are 10:00 a.m.–6:30 p.m. Tuesday through Friday. Saturday hours may be either 8:00 a.m.–4:30 p.m. or 10:00 a.m.–6:30 p.m. ET.

Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations. Applies critical thinking and clinical judgment grounded in evidence-based care and clinical practice guidelines for behavioral health and/or medical conditions, ...