Aetna Medicaid AdministratorsHiring

Utilization Management Nurse Consultant

  • Remote, United States
  • Full-time
  • Mid-level
  • Posted 5 days ago
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In one line

Remote nursing job reviewing cases for a round-the-clock utilization management team; you need an active RN license and acute care experience.

About the role

Work happens from a private home office with wired internet, on a schedule that can include evenings, weekends and holidays. The team decides whether members get the right care at the right time.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Employment
Full-time
Skills
Utilization Management, Managed Care, Med-Surg, Critical Care, RN license
Posted
30 Oct 2026
Last checked
2 Nov 2026

What you will do

  • Check clinical records against evidence-based criteria and recommend coverage decisions
  • Work with providers and care teams to coordinate services and spot gaps in quality or resource use
  • Point members toward programs and services that fit their needs

What they look for

  • Unrestricted RN license in the state where you live
  • At least two years of RN experience in adult acute or critical care
  • Associate degree in nursing
  • Clear communication, comfort juggling tasks and basic computer skills
  • Willingness to work flexible hours, including evenings, weekends and holidays

Nice to have

  • Two or more years in Med-Surg or a specialty
  • Utilization management or managed care background
  • Living in the Eastern time zone

How Keywordise applies for you

  1. 1Upload your CVAdd your CV once. It takes about a minute.
  2. 2Tailored to this jobKeywordise writes a CV and a cover letter for this job from your real experience.
  3. 3The form fills itselfName, email, experience and screening questions, field by field.
  4. 4Application sentYou get a receipt and follow it in your dashboard.

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ClaudeConnectorChatGPTConnectorMuseby Meta

Claude

  1. In Claude, open Settings, then Connectors, and choose Add custom connector.
  2. Name it Keywordise and paste the connector URL.
  3. Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

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ChatGPT

  1. In ChatGPT, open Settings, then Connectors. On plans that need it, turn on developer mode first.
  2. Add a new connector with the connector URL and choose OAuth. Leave the client ID and secret empty.
  3. Log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

Disconnect any time in your Keywordise settings.

Muse

  1. Open Muse (muse.ai or the app) and send it the message below.
  2. If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
  3. Send the prompt. Muse asks before it sends anything.
Message for Muse
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.

Muse is available in the US only for now.

Prompt
Apply to Keywordise job obacb73eaa
How to connect

Questions about this job

Can I do this job remotely, and from which countries?

The posting lists it as remote for people in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a mid-level role. The posting asks for: unrestricted RN license in the state where you live; at least two years of RN experience in adult acute or critical care; associate degree in nursing. Skills it names include Utilization Management, Managed Care, Med-Surg, Critical Care.

How do I apply with Keywordise AI?

Click Apply with Keywordise AI, create an account and upload your CV. Your CV and cover letter are written for this job from what you have really done, then Keywordise applies for you. Trial: 7 days, no card.

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