Utilization Management Associate – Virginia Licensed Practical Nurse
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 – UM Nurse Associate (LTSS) Join Aetna’s Long-Term Services and Supports (LTSS) team as a UM Nurse Associate and play a vital role in supporting high-quality, coordinated care for members across Virginia. This fully remote opportunity offers a structured weekday schedule (Monday–Friday, 8:00 AM–5:00 PM) and is ideal for a detail-oriented, compassionate Licensed Practical Nurse who thrives in a collaborative, fast-paced environment. In this role, you will review medical records and treatment plans to ensure care is appropriate, effective, and delivered in a timely manner. You’ll contribute to improving member outcomes while helping manage healthcare resources responsibly. Key responsibilities include evaluating personal care and private duty nursing requests, ensuring alignment with clinical guidelines and member needs. You will be part of a mission-driven team focused on empowering members to live safely and independently within their communities. Your clinical expertise, critical thinking skills, and ability to navigate multiple systems will directly impact the quality of care our members receive. What makes this role appealing: Meaningful work supporting vulnerable populations in the LTSS space Consistent weekday schedule with no weekends Fully remote role with a supportive, team-based culture Opportunity to apply clinical judgment beyond bedside care If you’re looking to transition your clinical expertise into a role that blends care coordination, utilization management, and member advocacy—this is an excellent opportunity to grow your career while making a meaningful impact.
Required Qualifications
Must be an Active unrestricted Licensed Practical Nurse in the state of Virginia Must reside in Eastern Standard Time Zone 3 years clinical experience (preferably in medical surgical nursing, behavioral health, long term care, etc. Strong multitasking, prioritization, and computer navigation skills Comfort working in a performance-driven, evolving environment
Preferred Qualifications
Typical office working environment with productivity and quality expectations Long Term Shared Services Supports Experience Managed Care Experience Education Completion of State Accredited Practical Nursing Program Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $22.40 - $48.67 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: 05/23/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply To This Job