# Utilization Management Nurse Consultant - Weekends S/S/M/T (4-10 hour shifts) at CVS Health > Open job at CVS Health in Work at Home, United States. Workplace: On-site. Source: Nurse Jobs World, https://nursejobsworld.com/jobs/cvs-health-utilization-management-nurse-consultant-weekends-s-s-m-t-4-1-irl9d6z Posted 4 November 2026. Last checked on the employer's career site: 7 November 2026. ## Facts - Company: [CVS Health](https://nursejobsworld.com/companies/cvs-health) - Location: Work at Home, United States - Workplace: On-site - Employment type: Full-time - Salary: $26–69 / hour - Local language: Not required - Not mentioned in the job post: visa sponsorship, relocation, where you can apply from ## 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** Medicare Predetermination Utilization Management Nurse Consultant position: _Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours_ - Utilizes 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. **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 Med/Surg experience - 1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) - **Must be willing and able to work Saturday, Sunday, Monday and Tuesday 10 hr shifts after approx 4-5 months of training Monday - Friday 7:30am-6pm EST with occasional holiday rotation.** **Preferred Qualifications** - Prior Authorization or Utilization Management experience - Managed care experience - Experience using MedCompass - Ambulatory surgery experience - Medicare experience is a must **Education** Associates degree required BSN preferred **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $26.01 - $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](https://learn.bswift.com/cvshealth-mainland). We anticipate the application window for this opening will close on: 11/09/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. ## How to apply Apply on the job page, https://nursejobsworld.com/jobs/cvs-health-utilization-management-nurse-consultant-weekends-s-s-m-t-4-1-irl9d6z: its Apply button opens the employer's own application page. ## More jobs from CVS Health - [Case Manager Registered Nurse - Field (Monmouth/Ocean Counties,New Jersey)](https://nursejobsworld.com/jobs/cvs-health-case-manager-registered-nurse-field-monmouth-ocean-counties-9mnv62w): CVS Health, Trenton, United States. On-site. Salary: $67k–143k / year. Posted 6 November 2026. - [Utilization Management Nurse Consultant (Weekend)](https://nursejobsworld.com/jobs/cvs-health-utilization-management-nurse-consultant-weekend-5t2mfb8): CVS Health, Work at Home, United States. On-site. Salary: $29–62 / hour. Posted 6 November 2026. - [Nurse Practitioner Creole Preferred](https://nursejobsworld.com/jobs/cvs-health-nurse-practitioner-creole-preferred-vro095e): CVS Health, Jamaica, United States. On-site. Salary: $104k–225k / year. Posted 6 November 2026. - [Family Nurse Practitioner](https://nursejobsworld.com/jobs/cvs-health-family-nurse-practitioner-0day3cw): CVS Health, Springfield, United States. On-site. Salary: $46–99 / hour. Posted 6 November 2026. - [In-Home Nurse Practitioner or Physician Assistant (Full Time) - Pittsburgh](https://nursejobsworld.com/jobs/cvs-health-in-home-nurse-practitioner-or-physician-assistant-full-time-qo8droc): CVS Health, Work at Home, United States. On-site. Salary: $87k–187k / year. Posted 6 November 2026.