Utilization Management Nurse Consultant
CVS Health • Work at Home, PA • Posted July 01, 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**
**Bring your clinical expertise beyond the bedside and help drive better healthcare outcomes.** We’re looking for a skilled RN to join our Utilization Management team, ensuring members receive appropriate, high-quality care across the continuum.
**What You’ll Do**
+ Review clinical documentation and apply guidelines to support coverage decisions
+ Collaborate with providers and care teams to coordinate appropriate treatment
+ Identify opportunities to improve...
**Registered Nurse (RN) – Utilization Management**
**Bring your clinical expertise beyond the bedside and help drive better healthcare outcomes.** We’re looking for a skilled RN to join our Utilization Management team, ensuring members receive appropriate, high-quality care across the continuum.
**What You’ll Do**
+ Review clinical documentation and apply guidelines to support coverage decisions
+ Collaborate with providers and care teams to coordinate appropriate treatment
+ Identify opportunities to improve...