Enable job alerts via email!
Generate a tailored resume in minutes
Land an interview and earn more. Learn more
A leading health solutions company seeks a skilled professional for a fully remote Utilization Management role. Responsibilities include coordinating healthcare services and making clinical coverage determinations. Candidates should possess strong clinical judgment and RN licensure. Benefits include a competitive salary and comprehensive health plans.
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues—caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.
Fully remote role in the USA.
Requires Monday-Friday: 11:30am-8:00pm EST shift; 8:30am-5:00pm PST; or 9:30am-6:00pm MST depending on the candidates' time zone.
Weekend/holiday coverage will occasionally be required.
American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management, and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.
Colleagues working remotely must have a residential broadband internet service with minimum speeds of 25 Mbps download and 3 Mbps upload, no wireless, satellite, contracts, or business lines, and the modem's IP address must not start with 10. Installation and monthly costs are paid by the user upfront.
Full-time, 40 hours/week. Pay range: $26.01 - $74.78/hour, dependent on experience and other factors. Position is eligible for bonuses and incentives.
Application deadline: 07/10/2025.