Remote Utilization Management RN - MA Travel 75%
Optum
Kingston, MA
- Remote job
Optum is seeking a licensed RN with MDS/MMQ expertise to audit medical records for accuracy and to support facility payments. You will discuss patient care details with peers and providers, present findings to medical professionals, and ensure HIPAA compliance. The role requires extensive travel within Massachusetts for audits and collaborates with care teams to determine appropriate courses of action. This position emphasizes accuracy, clinical judgment, and coordination with UHC/UBH teams, #J-18808-Ljbffr Optum
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management RN - MA Travel 75% in Kingston, MA vacancy
- Work remote and travel 75% Optum is a global organization that delivers care, aided by technology... ...segments within Optum, UHC, or UBH (e.g. Case Managers, Field Care Advocates) to identify... ...experience Current unrestricted RN nurse license in Massachusetts MDS certification...Remote workTravelCasual workWork at office
- UnitedHealthcare is seeking an RN Field Clinical Care Coordinator to manage a panel of members with complex medical and... ...needs in Plymouth County, MA. This field-based role offers home-office flexibility and up to 75% travel, with mileage reimbursed. You will assess...Remote jobTravelHome office
$2,147 per week
...Travel RN - Case Management/Utilization Review American Traveler Somerville, Massachusetts, United States Position... ...Description American Traveler is hiring a remote RN for Utilization Management requiring an active MA RN license and prior utilization review...Remote workTravelWeekly payLocal areaMonday to FridayShift work$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization... ...live in the Springfield MA Regional Area, driving... ...occasional opportunity for remote work based on business... ...a Registered Nurse (RN) with a current,... ...conduct daily field-based travel requirements ~...Remote workTravelMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area- ...Utilization Management RN There's no place like Liberty Health Come explore career opportunities... ...Other duties as assigned Less than 10% travel to the corporate office for Department... ...Clearly communicates instructions to remote users. Visit for more...Remote workTravelWork at office
Liberty Healthcare
Wilmington, NC2 days ago $29 - $52 per hour
...RN Clinical Care Coordinator At UnitedHealthcare... ...the primary care manager for a panel of... ...appropriate utilization of services and... ...Melrose, Malden, MA and surrounding areas... ...flexibility to work remotely* as you take on... ...the field. Local travel up to 75% and mileage is reimbursed...Remote workTravelHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementLocal areaRelocation package- ...Job Description Job Description The utilization review and management (UM) component program ensures that external healthcare... ...one hour for lunch This is an in-office, no remote work capability position Travel ~ Some travel may be required, but should be minimal...Remote workTravelWork at office
MedTrust LLC
Oklahoma City, OK29 days ago - CVS Health is seeking a Case Manager Registered Nurse - Field to conduct... ...Bergen County, NJ, with up to 75% travel. The role emphasizes... ...years of clinical practice, NJ RN license, NJ Choice certification... ...skills. This is a full-time field/remote position with a 8am-5pm EST...Remote jobTravelFull time
$35 - $37 per hour
...poster from The Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate: $36-37/hr... ..., etc., are not preferred. No travel RNs unless they have a stable work history... .... No NPs, whether practicing or not. Utilization Review experience is helpful but not...Remote jobTravelPermanent employmentFull timeTemporary workMonday to Friday$44.12 - $53.93 per hour
...The Clinical Care Manager is responsible... ...levels of care). ~ Utilization Management... ...appropriate to position (RN/PT) o... ...reviewed. #LI-REMOTE Minimum... ...performance, shift, travel requirements, sales... ...Blue Shield of MA? We understand... ...leader for over 75 years, and are...Remote workTravelHourly payFull timeFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA3 days ago$60.2k - $107.4k
...Utilization Case Manager At UnitedHealthcare, we're simplifying the health care experience, creating... ...Qualifications: ~ Current, unrestricted RN license in the State of Wisconsin ~2+... ...~ Reliable transportation to travel to member's homes within the geographical...Remote jobTravelMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$63.1k - $94.65k
...-enabled revenue cycle management solutions for health systems... ...have current compact RN license, or be willing... ...Information: Our Utilization Review team provides coverage... ...Required: This is a remote role which requires access... ...be willing and able to travel to and work onsite at...Remote workTravelTemporary workWork at officeLocal areaFlexible hoursShift work$71.1k - $97.8k
...our caring community The Utilization Management Nurse utilizes clinical nursing... ...Licensed Registered Nurse (RN) (Compaq License) with no... ...Additional Information Remote to work the eastern or central... ...PHI / HIPAA information. Travel: While this is a remote position...Remote workTravelFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeHumana
Baton Rouge, LA3 days ago- UnitedHealthcare is seeking an RN Field Clinical Care Coordinator to manage a panel of members with complex medical... ...offers a home-based office and up to 75% travel with mileage reimbursed.... ...education, and care transitions. Requires MA RN license, 2+ years clinical experience...Remote jobTravelWork at officeWork from home
- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ... ...planning. Candidates must have an active RN license in New Jersey, strong... ...position offers reimbursement for mileage travelled during fieldwork. #J-18808-Ljbffr...Remote jobTravelContract work
- UnitedHealthcare is seeking an RN Clinical Care Coordinator to manage a panel of members with... ...with a home-based office and travel up to 75%, supporting care transitions... ...Residents in Plymouth County, MA or surrounding areas may work remotely part-time while visiting members...Remote jobTravelPart timeWork at officeWork from home
- ...seeking a CSS, Nurse Care Manager to join our Community... ...in person with some remote options available dependent... ...PCP, specialist, MA and CHW care manager, recovery... ..., etc. Utilizes ascribed processes for... ...consistently observes HIPAA. Travel between sites is required...Remote workTravel
Greater Lawrence Family Health Center
Lawrence, MA4 days ago - UnitedHealth Group is seeking a dedicated RN Clinical Care Coordinator to manage a panel of members with complex medical... ...improve care quality and appropriate utilization. The role is field-based with a home office; travel up to 75% is required, with mileage reimbursed....Remote jobTravelHome office
$101.72k - $198.36k
...California - Ability to work remote, but selected candidate must... ...requires California RN Licensure. Candidates must have... ...of the following functions: utilization management, care management, behavioral... ...services leadership.• Local travel may be required (based upon...Remote workTravelContract workWork experience placementWork at officeLocal area$130k - $140k
...The Senior Territory Sales Manager, Mass Spectrometry, is... ...Organization; covering Eastern MA, with focus on the... ...Boston area with ability to travel within the territory and work remotely from home office Travel, Motor... ...Ability to travel - up to 75% travel within territory,...Remote workTravelFull timeWork from homeHome officeFlexible hoursNight shiftDanaher Corporation
Boston, MA2 days ago$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities... ...The salary range for this position is $70,000.00 to $75,000.00 per year based upon experience and qualifications...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
United States1 day ago- Job Summary Utilization Management Nurse performs clinical review of prior approvals... ...Registered Nurse (RN) with active, current, unrestricted... ...Worker, Semi-Active, Campus Travel - Someone who normally works in an office setting or remotely, periodically has lifting and...Remote workTravelWork at office
$29.1 - $62.32 per hour
...time. Position Summary Utilizes clinical skills to... ...of the utilization/benefit management program. Requires an RN with unrestricted active license... ...Nurse Consultant role is 100% remote and the candidate can live... ...:30am - 6:00pm CST. No travel is required. As a...Remote workTravelHourly payFull timeTemporary workWork experience placementLive inWork at officeLocal areaMonday to FridayShift workAfternoon shiftCVS Health
Mountain Home, TX3 days ago$71.1k - $97.8k
...Us Put Health First The Utilization Management Nurse 2 utilizes clinical nursing... ...Required Qualifications ~ RN License without restrictions... ...necessary ~ Travel to hospital/provider for onsite... ...Travel: While this is a remote position, occasional travel...Remote workTravelBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$1,966 per week
...leader in personalized managed health care,... ...Work-life balance. Remote/hybrid setting (once... ...This individual will utilize clinical knowledge... ...is not limited to RN, LMSW, LMHC. Successful... ...ago Rockford, IL $75,000.00-$85,000.00... ...00.00 2 months ago Travel Medical/Surgical Registered...Remote workTravelFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...and surrounding areas, MA Lowell, Merrimack Valley... ...for optimal care. Work remotely if within a commutable distance... ...service programs. Manage care plans as a single... ...Qualifications Current RN licensure in Massachusetts... ...MS Office. Ability to travel within the assigned...Remote workTravelLocal areaHome officeRelocation packageMonday to Friday
- Mass General Brigham Health Plan Holding Company, Inc. is seeking an experienced nurse for utilization review in a remote-friendly setting with occasional onsite work in Somerville, MA. The role emphasizes clinical knowledge, medical necessity determinations, and...Remote jobCasual work
$1,949.74 per month
...Services Job Type Travel Offering... ...Specialty Utilization Review Job ID... ...Utilization Review RN Weekly Pay $... ...Job Description Remote Utilization Review RN responsible... ...reviews, and utilization management using InterQual criteria...Remote workTravelWeekly payShift workProvidence Health and Services
Eureka, CA5 days ago- ...leader in personalized managed health care, focused on... ...We are looking for remote workers based out of Arizona... ...role allows you to utilize your clinical nursing experience... ...in. Must be an RN. Successful completion... ...required. rare travel to do onsite evaluations...Remote workTravelFull timeTemporary workWork at officeMonday to FridayFlexible hoursNight shift
Hines & Associates Inc
Elgin, IL7 days ago - ...Registered Nurse, RN - Charlottesville, VA Sentara... ..., evaluation, resource utilization, and environmental... ...with occasional weekends. Travel is not required. Full-... ...RN, Registered Nurse, MA, CCMA, RMA, EMT-B Benefits... ...that are available as remote work, Sentara Health...Remote workTravelFull timeTemporary workWork at officeImmediate startRelocation packageDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management RN - MA Travel 75%. Be the first to apply!
Related searches
- optum rn Kingston, MA
- rn insurance assessment Kingston, MA
- rn skilled nursing facility Kingston, MA
- rn risk management Kingston, MA
- telehealth rn Kingston, MA
- full-time registered nurse rn Kingston, MA
- hospice rn registered nurse Kingston, MA
- nurse rn Kingston, MA
- rn ambulatory surgery Kingston, MA
- rn hospice Kingston, MA