Utilization Management Nurse Consultant-Central Time Zone Preferred

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

Make an impact on patient care from wherever you are. We’re seeking an experienced Registered Nurse (RN) to join our Utilization Management team, where you'll use your clinical expertise to help ensure members receive the right care at the right time.

What You'll Do

  • Review and assess clinical information to support coverage and care decisions
  • Apply clinical guidelines, policies, and professional judgment across the continuum of care
  • Collaborate with providers and interdisciplinary teams to coordinate treatment and services
  • Identify opportunities for care management referrals and member support programs
  • Promote quality, effective healthcare utilization, and positive member outcomes
  • Serve as a clinical resource for internal and external stakeholders

What We're Looking For - REQUIRED

  • Active, unrestricted RN license in state of residence
  • Minimum 2 years of RN experience in adult acute care or critical care
  • Strong clinical assessment, communication, and computer skills
  • Ability to thrive in a fast-paced, high-volume environment
  • Associates Degree in Nursing

Preferred Qualifications

  • Experience in Medical-Surgical or specialty nursing
  • Managed Care and/or Utilization Management experience
  • BSN preferred
  • Candidates residing in Central Time Zone preferred

Schedule

This is a 24/7 operation, and schedules may include evenings (10:00am to 7:00pm Central), weekends, and holidays.

Monday – Friday 8:00 am to 5:00 pm Central

Join a collaborative team where your clinical expertise helps improve healthcare quality, access, and outcomes for members every day.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$32.01 - $68.55

This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/15/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Additional Information

Company: CVS Health

Location: Illinois

Salary: $32.01 - $68.55 per hour

Job ID: R0963121

Specialties: Managed Care, Utilization Management, Critical Care, Acute Care

Required Licenses: RN

Experience Level: 1-3 years

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

Other Jobs To Apply

Human Resources Manager (Full-Time, Remote) (Remote)

REMOTE ENTRY-LEVEL POSITION - Full/Part-Time Available| Beginner Friendly - Start ASAP

Flight Attendant (PT or FT with Premium Pay)

Aetna Remote Jobs, Aetna Careers Remote @ Joblagii ( Manager Account Management )

Software Engineer Principal (Remote)

Airlines Customer Service Remote Jobs, Remote Airline Jobs Atlanta Apply In USA ( Customer Assi[...]

Amazon Delivery Driver

Senior SOC Analyst - 2nd Shift Weekends

Portuguese (Brazilian or European) Remote Interpreter

Amazon Content Moderator Job (Remote) $22/H ?? Part-Time ?? US

Regulatory and Start Up Specialist (Portuguese speaker) (Fully Remote)

Remote Cyber Security Engineer - Flexible, Part-Time

Tier 1 SOC Analyst - REMOTE

Chat Agent

Remote Amazon Data Entry Jobs - No Experience - Part-Time

Flexible Sortation Warehouse Associate(Smyrna)

Amazon Customer Service - Work From Home $16-$35/hr

Philadelphia Overnight Warehouse Associate with $21-$25/hr Pay

Warehouse Associate (PT/FT with 1st/2nd/3rd shift openings)

Data Entry / Medical Billing Work at Jobs

Registered Nurse Triage and Transitions Team PRN

Administrative Assistant (Remote)

Remote Customer Service Specialist

Warehouse General Labor & Forklift

Remote Call Center Representative

Area Manager II

*New - Infusion Prior Authorization Specialist – Remote Position – (Experienced)

Amazon Work From Home Data Entry Jobs, Amazon Looking To Fill 250 Work-From-Home Jobs Apply For[...]

Earn Extra Cash as a Local Delivery Driver

Sr. Ad Operations Manager, Social Marketing

Warehouse Operations

Warehouse / Supply Assistant

Abbeville,LA:XL Warehouse Associate at Amazon | Hiring

Part-Time Application Reader, Undergraduate Admissions

Amazon Fulfillment Center - Warehouse

Amazon Data Entry Jobs from home - No Experience Needed

Amazon Delivery Driver

Scalehouse Attendant

Resource Liaison

Cashier Assistant (Front End)

Remote Product Tester - $25-45 per hour

amazon flex $15+/ Hour (Sign on Bonus)!

Software Engineer - Prime Video

Entry Level Customer Service - Work From Home ™

Amazon Package Delivery Driver - Earn $20.00 - $28.00/hr

Student Warehouse Operative, Entry Level (No Experience Needed)

Walmart Data Entry Work From Home (Entry Level/No Experience Required)

Clinical Quality PM, One Medical Senior Health

Weekend Remote Chat Support Jobs – Work Saturdays & Sundays Only | $25–$35/hr

Online Proofreader