Remote Wound Care UM RN - Utilization Management
Elevance Health
Grand Prairie, TX
- Remote job
Elevance Health is seeking a Wound Care Utilization Management RN to perform pre-certification and authorization for Home Health Services for members with wound care needs. You will review records, coordinate with physicians and home health agencies, and ensure appropriate plans of care for continuity of care. This largely remote role requires in-person training sessions; shifts are Monday–Friday, 8:00 AM–4:30 PM CST. An active RN license plus WOCN/CWS certification is required or preferred. #J-18808-Ljbffr Elevance Health
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Wound Care UM RN - Utilization Management in Grand Prairie, TX vacancy
- Elevance Health is seeking a Wound Care Utilization Management RN to work primarily virtually with periodic in-person training sessions. The role requires an active RN license, WOCN or CWS certification, and at least 3 years in diverse health care settings. The RN will...Remote jobWork from home
- ...Wound Care Utilization Management RN Wound Care Utilization Management RN Location: This role enables... ...to 4:30PM (CST). The Wound Care UM RN is responsible for performing pre... ...Performs reviews telephonically/virtually/remotely utilizing the members medical...Remote workFull timeMonday to FridayShift work
$54.1k - $116.77k
...by passionate colleagues who care deeply, innovate with... ...and one community at a time. Utilization Management (UM) Nurse Consultant 100% Work... ...join our team. This is a fully remote role available to candidates... ...Qualifications ~ Active, unrestricted RN license ~2+ years of acute...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend work- ...Humana is seeking an Utilization Management Registered Nurse to interpret... ...determinations for post-acute care. You will work remotely, reporting to the Manager... ...include an active RN license in your state and... ...Preferred candidates have UM/utilization review experience...Remote work
Humana
United States20 hours ago - ...Utilization Management RN (Part-Time, Remote) Position Overview Under the direction of a designated manager... ...recommends alternative levels of care when appropriate. This role supports... ...Experience Utilization Management (UM) Discharge Planning Case...Remote workPart timeMonday to Friday
The Judge Group
Philadelphia, PA3 days ago - ...Utilization Management Nurse This is a remote position. The Utilization Management (UM) Nurse is responsible for conducting clinical reviews and... ...-effective, high-quality care for members through a variety... ...unrestricted Registered Nurse (RN) license in the applicable...Remote work
Your IT & Corporate Recruiter
United States19 hours ago $70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing... ...outpatient services, Quality of care concerns. Interfacing routinely... ...Assisting in the development of UM/PHM Committee materials and...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
United States1 day ago- ...Description Job Description The utilization review and management (UM) component program ensures that external... ...at the appropriate level of care, while supporting regulatory compliance... ...for lunch This is an in-office, no remote work capability position Travel...Remote workWork at office
MedTrust LLC
Oklahoma City, OK3 days ago - ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00 PM... ...operations, Medicare, and Managed Long-Term Care (MLTC). This is a 100% remote position , but...Remote workFull timeMonday to Friday
Medix
New York, NY3 days ago - Elevance Health seeks a Wound Care Utilization Management RN to perform pre-certification and authorization activities for Home Health Services, focusing on wound care. The role involves coordinating with providers, reviewing services for clinical appropriateness, and...Remote job
- ...Utilization Management RN Remote I'm currently working on a Utilization Management RN opportunity with a health plan client, supporting... ...an active Massachusetts RN license, 2-4 years of UM experience, 2-4 years of managed care experience, and InterQual experience across...Remote workContract workTemporary workMonday to FridayShift work
InterSources
United States3 days ago $39.83 - $59.74 per hour
...Utilization Management RN Robbinsdale, MN Posting Date: Sep 18 2026 Apply now... ...Create Impact. Empathy and care are at the heart of North’s... ...of admitted customers. The UM RN assess the documented medical... ...Call Requirement: None Remote or On-site: Hybrid Remote- Must...Remote workFull timeContract workPart timeFor contractorsFor subcontractorLive inWork at officeShift workWeekend workNorth Memorial Health Care
Minneapolis, MN4 days ago$39.83 - $59.74 per hour
...Create Impact. Empathy and care are at the heart of North’s... ...bias. About This Position The Utilization Management RN, under the supervision of the... ...of admitted customers. The UM RN assess the documented medical... ...Call Requirement: None Remote or On-site: Hybrid Remote- Must...Remote workFull timeContract workPart timeLive inShift workWeekend workNorth Memorial Health
Saint Paul, MN2 days ago$65k - $85k
...UM RN - Behavioral Health Job Locations: US-Remote ID: 2026-8743 Category: Utilization Management Position Type: Full-Time Overview HealthEdge® offers AI-powered operational infrastructure... ...stay, intensity of service and level of care, including appeal requests initiated by...Remote workPermanent employmentFull timeWork at officeLocal areaWellframe
New York, NY2 days ago- ...Behavioral Health Utilization Manager Behavioral Health Utilization Manager... ...in the appropriate level of care. Notifies Medical Director regarding... ...platform, adhering to BH UM and Appeals policies and... ...telephone systems Work Schedule: Remote Other Requirements: Able to...Remote workContract workWork experience placement
Harris Health System
United States5 days ago $1,759.5 per week
...Travel RN - Case Management/Utilization Review American Traveler Austin, Texas, United States Position... ...American Traveler is hiring a remote Utilization Management RN with a TX or... ...compact license and 2 years of acute care UM experience. Details Fully remote...Remote workWeekly payWork experience placementLocal areaShift work- ...Summary As an on-site Hospital Utilization Management (UM) Nurse, you are the primary... ...compliance. Unlike remote roles, this position relies... ...Nurse is a Registered Nurse (RN) responsible for performing... ...necessity or the current level of care. Medical Provider Liaison: Function...Remote workImmediate startShift work
- Evry Health is seeking an RN Integrated Care Coordinator (UM) to provide comprehensive care... ...ensure high-quality care in a remote environment, with rotating weekend utilization review coverage. The... ...have 1-2 years in utilization management, 3-5 years clinical experience...Remote job
$45 per hour
...Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s managed care health plan client based out of... ...remote managed care setting. The UM RN Nurse Coordinator reviews outpatient...Remote workContract workTemporary workMonday to FridayWeekend workYoh, A Day & Zimmermann Company
Fairfield, CA21 days ago- ...Summary As an on-site Hospital Utilization Management (UM) Nurse, you are the primary... ...compliance. Unlike remote roles, this position relies... ...necessity or the current level of care. Medical Provider Liaison: Function... ...(s) and Certification(s): RN - Reg Nurse (Single State)...Remote workImmediate startShift work
$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions... ...occasional opportunity for remote work based on... ...~ Registered Nurse (RN) with a current, active... ...knowledge of process flow of UM, including prior...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$28.5 - $38.5 per hour
...to transforming the health care experience and providing access... ...-site with consideration of remote work after 6 months to 1... ...s medical records. Performs utilization management (UM) activities in accordance with... ...unencumbered registered nurse (RN) license with the State...Remote workFull timeLocal areaMonday to FridayShift workWeekend workDay shift- ...CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare services. Join a dynamic...Remote workWork from home
CVS Health Corporation
Albany, NY9 hours ago $60.15 - $85.81 per day
...Utilization Management NurseThe Utilization Management Nurse supports... ...Position – Primarily remote/work-from-home, with... ...Licenses and Certifications:RN - Registered Nurse... ...in an acute care hospital. (required)Pediatric... ...Abilities:Knowledge of UM regulations. Knowledge...Remote workFull timeWork experience placementWork from homeShift workCredenza Health
Madera, CA20 hours ago$66.26k - $84.03k
...here . Job Summary Utilization Management Nurse performs clinical review... ...facilitates and promotes appropriate care and quality toward cost... ...~ Registered Nurse (RN) with active, current, unrestricted... ...in an office setting or remotely, periodically has lifting and...Remote workWork at officeWork from homeArkansas Blue Cross
United States3 days ago- ...seeking a Pre-Authorization Registered Nurse for a remote, full-time role based in Virginia. The RN will review prior authorization requests, determine appropriate care settings, and educate providers on utilization and management processes. Requirements include an active...Remote workFull time
IntelliResume
United States1 day ago - ...Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to join our Clinical Services team. This remote role supports members in Oregon, Washington, Idaho... ...ensure medical necessity and promote cost-effective care. The candidate will collaborate across...Remote work
Cambia Health Solutions
United States2 days ago - ...recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an... ...include evaluating healthcare services and coordinating care for members. Join a dynamic team and make a meaningful impact...Remote workContract work
The Judge Group
United States5 days ago - ...Humana is seeking a Utilization Management Nurse to leverage clinical nursing skills in coordinating, documenting, and communicating... ...across providers and members to ensure appropriate care. The position expects RN licensure with no disciplinary actions, a Bachelor’s...Remote work
Humana
United States4 days ago $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... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend workkozmetickesluzby.vecnakraska.sk - Jobboard
United States4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Wound Care UM RN - Utilization Management. Be the first to apply!
Related searches
- pediatric icu rn Grand Prairie, TX
- connect rn Grand Prairie, TX
- pediatric oncology rn Grand Prairie, TX
- davita rn Grand Prairie, TX
- hospice registered nurse Grand Prairie, TX
- operating room rn Grand Prairie, TX
- oncology rn Grand Prairie, TX
- behavioral rn Grand Prairie, TX
- gastroenterology rn Grand Prairie, TX
- rn biotech Grand Prairie, TX