Remote Registered Nurse - Utilization Management
Hanker Systems, Inc.
- Remote job
Hanker Systems, Inc. is seeking an experienced RN for Utilization Management / Utilization Review. This 100% remote role follows a 5x8-hour schedule aligned to Pacific Time, with weekend rotation every third weekend, and provides a laptop, keyboard, and mouse. Typical caseload is approximately 1:40. The ideal candidate holds an active California RN license, with at least 3 years in acute hospital Care Management/UM, and has Epic and InterQual experience to support medical necessity decisions #J-18808-Ljbffr Hanker Systems, Inc.
- ...Job Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between... ...and administrative compliance. Unlike remote roles, this position relies heavily... ...resources.The on-site UM Nurse is a Registered Nurse (RN) responsible for performing...Remote workFull timeImmediate startShift work
$70k - $75k
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Job DescriptionJob DescriptionJob Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:" Provides health care services regarding admissions, case management, discharge planning and utilization review.Responsibilities:" Reviews admissions...Remote work
- ...Job DescriptionJob DescriptionJob Title: Registered Nurse - Utilization ReviewREMOTE POSITION Utilization Management: Shift: Monday through Friday 8A to 4:30P, with every... ...and have some experience with working remote (we do not supply the computer). Degree accreditation...Remote workPermanent employmentMonday to FridayShift workWeekend work
$71.1k - $97.8k
...Become a part of our caring communityThe Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination... ...Guidelines or Interqual.Experience working in a fully remote, metrics-focused roleExperience as an MDS Coordinator or...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office- ...Overview NaphCare is hiring an experienced Utilization Management Registered Nurse just like you to join our Remote based, Arizona team . NaphCare is a family owned, healthcare technology company that has been delivering high quality healthcare to correctional...Remote workFull timeShift work
- ...Work Shift As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between... ...and administrative compliance. Unlike remote roles, this position relies heavily... ...resources.The on-site UM Nurse is a Registered Nurse (RN) responsible for performing...Remote workImmediate startShift work
$71.1k - $97.8k
Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to... ...Associate Degree in nursing Licensed Registered Nurse (RN) in a compact state with no... ...information. Travel: While this is a remote position, occasional travel to Humana...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift work- ...Cambia Health Solutions, Inc. is seeking an Utilization Management Nurse to perform prospective, concurrent, and retrospective reviews for member care across multiple states. The role emphasizes applying clinical criteria, ensuring medical necessity, and coordinating...Remote workWork from home
- ...Arkansas Blue Cross Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews of prior approvals, network exceptions, and inpatient/outpatient procedures. The role requires an active RN license and a Bachelor's degree is preferred, with at least...Remote workWork from home
- ...Utilization Management Registered Nurse NaphCare is hiring an experienced Utilization Management Registered Nurse just like you to join our Remote based, Arizona team. NaphCare is a family owned, healthcare technology company that has been delivering high quality healthcare...Remote jobFull timeShift work
$71.1k - $97.8k
Utilization Management Registered Nurse - Home Health### Utilization Management Registered Nurse - Home HealthApply: Remote Kentucky: Remote Oklahoma: Remote Ohio: Remote North Dakota: Remote North Carolina: Full time: Posted Today: R-436670# **Become a part of our caring...Remote workWeekly payFull timeTemporary workWork at officeHome officeMonday to FridayShift work- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess and coordinate care for members across the continuum of care. This role... ..., and effective communication. A BSN is preferred; remote work is supported within the state(s) of residence. #J-1...Remote work
- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician, facility case manager, discharge planner and contracted providers to ensure appropriate, cost-effective care at the...Remote work
- ...Cambia Health is seeking an Utilization Management Nurse who can work remotely within the U.S. states of Oregon, Washington, Idaho or Utah. The role focuses on prospective, concurrent and retrospective reviews to ensure medical necessity and cost-effective care. The...Remote work
- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote workFlexible hoursWeekend workDay shift
- Cambia Health is seeking an Utilization Management Nurse to support prospective, concurrent and retrospective reviews from a home-based role across multiple states. The position emphasizes quality, cost-effective care and appropriate payment for services while coordinating...Remote jobWork from home
- ...Cambia seeks an Utilization Management Nurse to work remotely from OR, WA, ID or UT with preference to current employees and residents of Idaho and Utah. You will perform prospective/concurrent/retrospective reviews to promote quality and cost-effective care while ensuring...Remote work
- ...Cambia Health Solutions, Inc. is seeking an experienced Utilization Management Nurse to conduct prospective, concurrent, and retrospective reviews and apply clinical criteria to determine medical necessity. You will collaborate with physician advisors to support appropriate...Remote work
- ...Cambia Health is hiring an Utilization Management Nurse to support care decisions remotely in OR/WA/ID/UT with opportunities for Idaho or Utah residents. The role emphasizes clinical review, evidence-based criteria, and collaboration with care teams. The position requires...Remote work
- ...Humana Inc. is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and determinations for medical services and benefit administration.You will report to the Manager of Utilization Management and serve as a member of the...Remote work
- ...CVS Health is seeking an experienced Registered Nurse (RN) to join the Utilization Management team in a remote capacity. You will review clinical information to support coverage determinations and apply evidence-based criteria across the continuum of care. The role...Remote work
- A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include evaluating healthcare...Remote workContract work
- ...Curana Health seeks an experienced Utilization Management Nurse to review and monitor members’ use of healthcare services, ensuring high-quality... ...discharge planning, and high-dollar claims analysis, with remote telephonic duties and occasional weekend coverage. The...Remote work
- ...Humana is seeking a Utilization Management Nurse 2 to apply clinical nursing skills in coordinating and documenting medical services and benefit determinations. The role involves independent interpretation of actions, collaborating with internal and external stakeholders...Remote work
- ...Cambia Health is seeking an Utilization Management Nurse who can conduct prospective, concurrent, and retrospective reviews to ensure medical necessity and proper care pathways. You will apply evidence-based criteria and consult with physicians as needed. In this role...Remote work
$26.01 - $68.55 per hour
CVS Health is seeking a Registered Nurse (RN) for Utilization Management. You will review clinical information to support coverage determinations, apply guidelines... ...ensure appropriate care. This full-time role offers remote work from home in the United States, with a 40-hour...Remote jobHourly payFull timeWork from home- ...Arkansas Blue Cross and Blue Shield is seeking an experienced Utilization Management Nurse (RN) to perform clinical reviews of prior approvals,... ...necessity, evidence-based care, and cost containment with a remote work option across multiple states. The ideal candidate...Remote work
- Cambia Health is seeking an Utilization Management Nurse to support care decisions from a home-based setup across several states, including Washington, Oregon, Idaho and Utah. The role emphasizes clinical judgment, cost-effective care, and policy-based reviews. The nurse...Remote jobWork from home
- ...Cambia Health is seeking an Utilization Management Nurse to perform prospective, concurrent, and retrospective reviews within a remote-capable role serving eligible states. You will apply evidence-based criteria to determine medical necessity, collaborate on care transitions...Remote work
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