Top 9 Rn utilization remote Jobs in Columbus

Appeals Nurse Consultant (Remote)
CVS Health —Columbus, OH
- $60,522 - $129,615 a year
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
4d
RN, LSW, LISW, Care Manager - Columbus
Careforth —Columbus, OH
- $62,657 - $84,173 a year
- Full-time
- Hybrid work
- RN License
- Experience working with individuals with disabilities
- Mid-level
- Wellness program
- Flexible schedule
Patient Support Nurse
Valeris, Inc. —Columbus, OH
- Full-time
- Background check
- RN License
- Pass drug screening
- Health savings account
- AD&D insurance
Quick Apply
8d
Nursing Program Director - Rio Grande Valley Texas
Confidential —United States
- Full-time
- Remote
- Background check
- School experience
- Spanish
- Health savings account
- Relocation assistance
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Appeals Nurse Consultant (Remote)
CVS Health —Columbus, OH
Must have active and unrestricted RN licensure in state of residence. Qualified applicants with arrest or conviction records will be considered for employment…
$60,522 - $129,615 a year
4d
Remote Processing Specialist
CLEAResult Consulting Inc. —Columbus, OH
If applicable, meet all DOT qualification requirements and comply with all applicable federal, state, and local transportation regulations.
$16 an hour
Quick Apply
3d

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Appeals Nurse Consultant (Remote)
CVS Health —Columbus, OH
Must have active and unrestricted RN licensure in state of residence. Qualified applicants with arrest or conviction records will be considered for employment…
$60,522 - $129,615 a year
4d
RN, LSW, LISW, Care Manager - Columbus
Careforth —Columbus, OH
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required.
$62,657 - $84,173 a year

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rn utilization remote jobs near columbus

Appeals Nurse Consultant (Remote)

CVS Health -
Columbus, OH

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Job Details

Full-time
$60,522 - $129,615 a year
4 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

RN License
Patient care
Associate's degree

Full 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

CVS Aetna is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a critical role in ensuring fair and accurate resolution of clinical appeals by applying sound clinical judgment and regulatory knowledge.

Key Responsibilities

Responsible for the review and resolution of clinical appeals.
Reviews documentation and interprets data obtained from clinical records to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and provider issues.
Independently coordinates the clinical resolution with internal/external clinician support as required.
This position may support UM (includes expedited), MPO, Coding, or Behavioral Health appeals.
This is a full-time telework position with standard hours of Monday–Friday, 8:00 AM to 5:00 PM (local time).
Occasional weekend and holiday on-call coverage may be required.

Remote Work Expectations

This is a 100% remote role; candidates must have a dedicated workspace free of interruptions.
Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

Required Qualifications

Must have active and unrestricted RN licensure in state of residence.
3+ years clinical experience.

Preferred Qualifications

Appeals, Managed Care, or Utilization Review experience.
Proficiency with computer skills including navigating multiple systems.
Exceptional communication skills.
Time efficient, highly organized, and ability to multitask.

Education

Associate's Degree minimum.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

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: 08/03/2026

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

Apply Now

Refine Your Search

rn utilization remote jobs in columbus

Appeals Nurse Consultant (Remote)

RN, LSW, LISW, Care Manager - Columbus

Patient Support Nurse

Nursing Program Director - Rio Grande Valley Texas

Utilization Management Reviewer

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