Remote UM Nurse Consultant – Prior Authorization

CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) for a fully remote role focused on prior authorization and Medicaid support. The position requires multi-state RN licensure, deep UM knowledge, and the ability to work across a range of medical specialties while maintaining high-quality care and cost-effective utilization.

Louisiana residency preferred for Medicaid alignment. The role emphasizes collaboration with providers, care managers, medical directors, and