Bringing our heart to every moment of your health.
Utilization Management Nurse Consultant (Weekend)
Location
United States
Posted
3 days ago
Salary
$29 - $62 / hour
Seniority
Mid Level
No structured requirement data.
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
Utilization Management is a 24/7 operation and the work schedule will include weekends, holidays, and evening hours.
As a Utilization Management Nurse Consultant you will utilize clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
- Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care
- Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs
- Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
- Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
- Typical office working environment with productivity and quality expectations.
- Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
- Sedentary work involving periods of sitting, talking, listening.
- Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.
- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
- Effective communication skills, both verbal and written
Required Qualifications
- 3+ years of experience as a Registered Nurse
- Must have active current and unrestricted RN licensure in state of residence
- 1+ years of clinical experience in acute or post acute setting
- Must be willing and able to obtain additional Nursing Licenses as business needs require
- Willing and able to work four 10hr-shifts including every Weekend, Saturday and Sunday, and two weekday shifts of 10hrs each. Utilization Management is a 24/7 operation and the work schedule will include weekends, holidays, and evening hours.
- 12.5% Shift Premium applies once M-F training schedule completed and UMNC participating in non-traditional, weekend shift rotation
Preferred Qualifications
- 3+ years of clinical experience preferred
- 1+ years of Managed Care experience preferred
Education
Associates Degree required
BSN preferred
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$29.10 - $62.32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/31/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Related Guides
Related Categories
Related Job Pages
More Consultant Jobs
This role focuses on designing, structuring, and enabling customer data for personalization, analytics, and marketing activation across the enterprise using Adobe Experience Platform and Real-Time CDP. Key tasks include configuring schemas, designing data models, and supporting data ingestion and governance within the Adobe ecosystem.
Climate Finance and Policy Consultancy
GiveDirectlyGive cash to the extreme poor, no strings attached.
The consultancy will assess how direct large lump-sum cash transfers can become a recognized and fundable delivery modality within the global climate finance architecture, focusing on adaptation and resilience. Key outcomes include building understanding of the climate finance landscape, positioning cash transfers credibly in policy spaces, and providing ongoing strategic advisory support.
Radiation Oncology Consultant
JobgetherWe use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1 We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Radiation Oncology Consultant (Remote). As a pivotal role in the healthcare sector, you will lead customer implementations, intertwining clinical expertise with advanced tec...
International Consultant responsible for generating new business in international schools
