Remote Utilization Nurse Consultant (RN) - Care Optimization

CVS Health is hiring a Utilization Management Nurse Consultant (RN) for a fully remote role in the United States. You will review medical records, assess medical necessity, and support discharge planning to ensure cost-effective, quality care. The position emphasizes collaboration with providers and interdisciplinary teams to meet complex member needs. The role requires an active RN license, 2+ years in acute care, and an Associate Degree in Nursing; a BSN is preferred.