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Utilization Management Nurse Consultant

CVS Health | Work at Home, United States | Posted July 04, 2026

Position Overview

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)**

**Use your clinical expertise to make a broader impact.** Join our Utilization Management team and help ensure members receive the right care, at the right time, in the most effective way.

**What You’ll Do**

+ Review clinical information and apply guidelines to support coverage determinations
+ Collaborate with providers and care teams to coordinate appropriate treatment plans
+ Identify opportunities to improve quality, outcomes, and resour...

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