Utilization Review Nurse

CVS Health is hiring a Utilization Review Nurse to join our fully remote team in the United States. As a Utilization Review Nurse, you'll support patients and clinical teams remotely. This is a full-time, work-from-home role open to candidates across the US (Remote — USA). About the role You'll support patients and clinical teams remotely, partnering with a friendly, distributed team across US time zones. We care about outcomes over hours and give you the autonomy, tools, and support to do your best work from home. What you'll do: • Maintain accurate, compliant records • Support clinical and administrative workflows • Communicate with patients and providers • Follow HIPAA and quality standards • Coordinate patient care and scheduling What we offer: • Paid parental leave • Annual learning and professional development budget • Flexible working hours across US time zones • Generous paid time off and company holidays • 100% remote, work-from-anywhere-in-the-US culture How we work We're remote-first and async-friendly. Expect clear documentation, regular feedback, supportive teammates, and real opportunities to grow your career. CVS Health is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for everyone.

Minimum qualifications: • 5+ years of relevant experience • HIPAA awareness • Strong communication and empathy • Detail-oriented and organized • Healthcare experience Nice to have: • Experience in a fast-paced, high-growth environment • A growth mindset and eagerness to keep learning