Remote Utilization Management Nurse Consultant
4062 Aetna Resources, LLC
CVS Health is seeking a licensed RN for a remote Utilization Management role. You will review clinical information, apply guidelines, collaborate with providers, and coordinate services to support care quality and outcomes. The position requires an active RN license and 2+ years in adult acute or critical care, with comfort in a fast-paced, tech-driven environment. CST/MST time zones preferred. This is a full-time remote role with comprehensive benefits. #J-18808-Ljbffr
- 4062 Aetna Resources, LLC is looking for a Utilization Management Nurse Consultant Clinical Precertification RN to work full-time remotely. This role requires a Registered Nurse with clinical expertise to review clinical cases, collaborate with providers, and ensure members...Remote workFull time
$32.01 - $68.55 per hour
..., each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$26.01 - $56.14 per hour
...The Hispanic Alliance for Career Enhancement is seeking a full-time RN for a remote role within their Utilization Management team. Applicants must hold an active RN license and possess at least 2 years of adult acute or critical care experience. The position involves reviewing...Remote workHourly payFull time$29.1 - $62.32 per hour
...UM Nurse Consultant We're building a world of health around every individual — shaping... ...family and one community at a time. Utilization Management is a 24/7 operation and work schedule... ...holidays, and evening hours. Fully Remote- WFH Schedule: Tuesday-Saturday 9:...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management (24/7 Operations) Leverage your clinical expertise to make a broader impact. Join our Utilization Management team and help ensure members receive the right care at the right time across the healthcare continuum. What...Remote workHourly payFull timeLocal areaAfternoon shift$29.1 - $62.32 per hour
...care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule : Tuesday-Saturday 9:30am-6:00pm...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$32.01 - $68.55 per hour
...CVS Health Utilization Management Position We're building a world of health around every individual... ...Services and benefit utilization. Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift$26.01 - $56.14 per hour
...Utilization Management Nurse (RN) – 24/7 Operations Location: Remote (Preference for CST/MT time zones) Schedule: Includes evenings, weekends, and holidays Are you a detail-oriented RN with a passion for improving patient outcomes and healthcare efficiency? Join...Remote workHourly payFull timeTemporary workAfternoon shift$26.01 - $56.14 per hour
...Registered Nurse (RN) – Utilization Management (24/7 Operations) Step away from bedside care and make a system-wide impact. Join our Utilization Management team and help ensure members receive the right care at the right time. What You'll Do Review clinical...Remote workHourly payFull timeLocal areaAfternoon shift- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work at officeWeekend work
$26.01 - $56.14 per hour
...at a time. Responsibilities Utilize clinical experience and skills... ...services and benefit utilization. Consult and lend expertise to... ...administration of the utilization/benefit management function. Perform close... .... Requirements Registered Nurse with 2+ years of experience...Hourly payFull timeTemporary workWork at officeLocal areaAfternoon shift$26.01 - $74.78 per hour
...do it all with heart, each and every day. Position Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours- ...3 years of clinical experience required. Must have experience with Medcompass. Must have prior authorization utilization experience. Managed Care/Medicare experience preferred. MUST HAVE MEDCOMPASS or ASSURECARE exp. MUST HAVE MANAGED CARE exp and Medicare...Remote work
- 4062 Aetna Resources, LLC is seeking a Utilization Management RN to review clinical information and apply guidelines to support coverage decisions. You will collaborate with providers and care teams to coordinate appropriate treatment and identify opportunities to improve...
- ...A major healthcare organization is seeking a Utilization Management Registered Nurse to join their team in Richmond, Virginia. This remote role requires an RN license and a minimum of one year of clinical experience in an acute care setting. Responsibilities include coordinating...Remote work
$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work$71.1k - $97.8k
...A major healthcare provider is seeking a Utilization Management Registered Nurse based in Maryland. The role involves coordinating medical services,... ...clinical information, and facilitating care while working remotely. Candidates must possess a Compact RN license and have...Remote work$71.1k - $97.8k
...A healthcare company is seeking a Utilization Management Registered Nurse to support coordination and communication of medical services. The role requires... ..., and facilitating care communication. This is a remote position with a pay range of $71,100 to $97,800 per year...Remote work- ...A health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills for coordinating medical services within a remote setting. The role involves interpreting medical documentation and collaborating with healthcare providers. Ideal...Remote work
$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Frankfort, KY. This remote role requires clinical nursing skills for coordination and documentation of medical services. Responsibilities include interpreting medical criteria and collaborating...Remote work$71.1k - $97.8k
...A healthcare services organization seeks a Utilization Management Registered Nurse in Jackson, MS. This remote role involves utilizing nursing skills for coordinating medical services, ensuring members receive appropriate care levels. Required qualifications include a...Remote work$71.1k - $97.8k
...Humana Inc is seeking a dedicated Utilization Management Nurse to join their team in Topeka, Kansas. In this role, you will use your clinical knowledge to provide appropriate care for members and coordinate with various stakeholders to ensure optimal treatment. Candidates...Remote workFull timeWork at office$71.1k - $97.8k
...A healthcare company is seeking a Utilization Management Registered Nurse to utilize clinical nursing skills for coordination and communication of medical service determinations. This remote role requires an RN license and at least one year of clinical experience, focusing...Remote work- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of... ...Observation (OBS). Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote work
$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Baton Rouge. In this remote position, you will use clinical skills to support medical service coordination and determinations, and communicate with providers and members. Candidates must...Remote work- ...A leading healthcare company is seeking a Utilization Management Registered Nurse to leverage clinical nursing skills in supporting medical service coordination... ...over a year of clinical experience. Position offers remote work and occasional travel. The role includes utilizing...Remote work
$71.1k - $97.8k
...A leading health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills in coordinating and documenting medical services for members. This remote role emphasizes compassionate care, requiring at least one year of RN experience...Remote work- ...A leading healthcare organization is seeking a Utilization Management Registered Nurse to join their team in Trenton, New Jersey. The role involves utilizing... ...as hospitals or home health. The position operates remotely with occasional travel for required meetings. A strong...Remote work
- ...A healthcare company is seeking a Utilization Management Registered Nurse to coordinate medical services and benefit determinations. The role involves... ...experience, preferably in acute care settings. This is a remote position with occasional travel requirements and offers...Remote work
- ...Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective... ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
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