Utilization Management Nurse Consultant

CVS Health

Full-time other-general
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Location
Work At Home, WI, United States
Posted
July 25, 2026

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.

**Utilization Management Nurse – Precertification RN**

**Remote | Full-Time | Weekday Schedule**

Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization Management team and play a key role in ensuring members receive appropriate, high-quality care through the precertification process.

**What You'll Do**

+ Review clinical information and apply evidence-based criteria and clinical guidelines to precertification requests
+ Collect a...