Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for CVS Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice.
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. Position Summary This position will be working from home anywhere in the US. Standard business hours 8a-5p in time zone of residence Monday - Friday. The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare appeals for participating providers. Primary duties may include, but are not limited to: Requesting clinical, research, extrapolating pertinent clinical, applying appropriate Medicare Guidelines, navigate through multiple computer system applications in a fast-paced department. Must work independently as well as in a team environment while working remotely. Fast paced sedentary position, talking on the telephone, looking at computer screens, utilizing templates in Word, and typing on the computer. Required Qualifications 3+ years of clinical experience required Active and unrestricted RN licensure in state of residence Preferred Qualifications Managed Care experience Utilization Management experience Appeals experience Pre Certification experience Pre Authorization experience Education Associates Degree minimum OR Diploma RN required Bachelors Degree preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The Typical Pay Range For This Role Is $66,575.00 - $142,576.00 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:For more information, visit
We anticipate the application window for this opening will close on: 01/15/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. If you have questions about this posting, please contact support@lensa.com...opportunity that allows you to work entirely from home while making a significant impact... ...is flexiblemany of our full-time agents enjoy a three-day weekend... ...Monday through Thursday. Part-time agents typically work two to three evenings or weekends. Key Responsibilities...
...At-Will, Full Time Position: Dean, Graduate Studies, Division of Academic Affairs... ...graduate academic matters, collaborating with Colleges and Departments on academic program... ...and telephone reference check with most recent employer) must be completed satisfactorily...
Requisition ID:915583 Store # :005392 LensCrafters Position: Part-Time Total Rewards: Benefits/Incentive Information LensCrafters is a place for visionaries. Weve got a vision for pairing state-of-the-art technology with a truly personal approach to...
...Job Description PARTTIME AND FULL TIME JOBS AVAILABLE !!!!!!! Already have a full time job but need a second job for some extra... ...?? No Problem, Come join our team. Flexible schedules Work 1 day a week or 6 days a week . 10 hours a week or 50 hours a...
...that need AV expertise and guidance in the AV field. About the team About the team The Corporate Infrastructure Services team (CIS) is part of the IT Services organization that supports all Amazonians at corporate offices. CIS designs, plan, builds, maintains and...