- CVS Health (Austin, TX)
- …(LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can ... shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and… more
- State of Indiana (IN)
- Nurse Consultant Date Posted: Dec 16, 2025 Requisition ID: 469616 Location: 100% Remote, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State ... and fund addiction and prevention programs. Role Overview: The Public Health Nurse Consultant functions as the subject matter expert in primary medical care… more
- PruittHealth (Columbia, SC)
- **Description - External** **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned facilities. ... Senior Nurse Consultant recommends resources in an efficient and economical manner to enable each resident to attain or maintain the highest practicable… more
- CVS Health (Carson City, NV)
- …all with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must reside in PST zone.** ... is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate… more
- NHS Management, LLC (Fayetteville, AR)
- …the successes they experience along the way. We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be responsible ... Monitor corporate clinical benchmarks, QI's, QM's and other available consultant reports, corporate QA results, and facility QA process....and Paid Vacation Requirements + Must be a Registered Nurse in good standing + Previous experience in a… more
- State of Indiana (Indianapolis, IN)
- Immunizations Nurse Consultant Date Posted: Dec 24, 2025 Requisition ID: 468858 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... where they live, learn, work, or play. Role Overview: The Chief Nurse Consultant serves as the Immunization Division's clinical subject matter expert providing… more
- Truman Medical Centers (Kansas City, MO)
- …(http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Corporate Clinical Nurse Consultant - Ambulatory Services (FT 8:00am - ... UH wants you on our team! **About the Role** As a Corporate Clinical Consultant , you'll play a pivotal role in shaping nursing excellence across the organization.… more
- Truman Medical Centers (Kansas City, MO)
- …myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Corporate Clinical Nurse Consultant - NICU & Pediatric Services (FT ... Per Week** 40 **Job Description** As a Corporate Clinical Consultant , you'll play a pivotal role in shaping nursing...Adult Education, or a relevant specialty + Active Registered Nurse license (Missouri) + BCLS certification (must be maintained)… more
- CVS Health (Columbus, OH)
- …operation and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH **Schedule** - Mon-Fri 10:30AM-7PM with ... alternate weekends and holidays **Position Summary:** UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
- CVS Health (Madison, WI)
- …heart, each and every day. **Position Summary:** The **Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical skills to ... coordinate, document, and communicate all aspects of the utilization/benefit management program. **Job Duties include (but are not limited to):** + Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical… more
- CVS Health (Raleigh, NC)
- …each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization Management is a 24/7 operation ... management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in state of… more
- CVS Health (Lansing, MI)
- …for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant , where you'll apply clinical judgment and evidence-based criteria ... times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum 5 years of… more
- Vatica Health (Rochester, NY)
- …is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant , you will collect, review and analyze patient data to ... of 3 years of recent adult health clinical experience as a Registered Nurse (RN)- preferably in critical care (ie, ICU/CCU/MICU) and/or ED) + Proficiency with… more
- Actalent (Des Moines, IA)
- Remote HEDIS Nurse Consultant Description HEDIS work typically includes requesting records, abstracting/overreading medical records, performing claims research, ... preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts medical record data from practitioner's files to support annual Healthcare Effectiveness Data and Information Set (HEDIS) reporting for company's accredited products Conducts medical record… more
- CVS Health (Tallahassee, FL)
- …of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and ... communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated… more
- CVS Health (Hartford, CT)
- …business hours 8a-5p in time zone of residence Monday - Friday. The Appeals Nurse Consultant position is responsible for processing the medical necessity of ... Medicare appeals for participating providers. Primary duties may include, but are not limited to: Requesting clinical, research, extrapolating pertinent clinical, applying appropriate Medicare Guidelines, navigate through multiple computer system applications… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, timely, and ... comprehensive clinical reviews for members. This role collaborates with providers and internal teams to ensure medically appropriate, efficient, and family-centered care, while supporting regulatory compliance and organizational goals. Key Responsibilities: *… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts high-acuity, timely, ... and comprehensive clinical reviews for neonatal intensive care unit (NICU) members within a designated special population. This role collaborates with providers, families, and internal teams to ensure medically appropriate, efficient, and family-centered care,… more
- HCA Healthcare (Brooksville, FL)
- …you passionate about delivering patient-centered care?** Submit your application for RN Registered Nurse Lactation Consultant position and spend more time at the ... Hospital! **Job Summary and Qualifications** We are seeking a Lactation Consultant Registered Nurse for our Obstetrics Unit. You will provide clinical expertise… more
- HCA Healthcare (Brooksville, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) RN Registered Nurse Lactation Consultant PRN you want in your current role? We ... Hospital! **Job Summary and Qualifications** We are seeking a Lactation Consultant Registered Nurse for our Obstetrics Unit. You will provide clinical expertise… more