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.

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. 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.

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.