Remote Utilization Management Nurse
Syra Health
Syra Health is seeking a Medical Management Nurse to manage a case load focusing on medical necessity reviews and case management in a remote role based in Indiana. The ideal candidate will have acute care, ICU, and Med/Surg experience, along with proficiency in IT applications. Responsibilities include managing a census of 35-45 cases and participating in coordinated care rounds. A valid Indiana RN license is essential, and applicants with diverse backgrounds are encouraged to apply. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse in Indianapolis, IN vacancy
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Phoenix, AZ2 days ago- ...CVS Health is seeking a Utilization Management Nurse Consultant specializing in Medical Review. This fully remote role requires an active RN license, 3+ years clinical experience, and 1+ year in Utilization Review/Medical Management. You will apply criteria to determine...Remote work
4062 Aetna Resources, LLC
Kansas City, MO3 days ago - ...Full Time Days 7am-4:30pm 40 Hours/Week Utilization management and pediatric nursing experience preferred Summary: The Utilization... ...is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote...Remote workFull time
Akron Children's Hospital
Akron, OH5 days ago - ...Utilization Management Nurse Des Moines, Iowa, United States Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys...Remote workFull timeWork at office
Cottingham & Butler
Des Moines, IA2 days ago - ...analytics, Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to build... ...care through precise and timely Utilization Review. In this role, you will apply... ...growth aligned with Illinois nursing regulations and contemporary clinical...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
Guidehealth
Chicago, IL4 days ago $1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required...Remote workContract workImmediate startMonday to FridayJ Edward Staffing LLC
Aurora, CO3 days ago$70k - $75k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build... ...Job Description The Utilization Management Registered Nurseis responsible... ...education consistent with current nursing practice standards and the...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
United States4 days ago- CVS Health is seeking an RN Utilization Management Nurse Consultant specialized in Medical Review. This fully remote role (U.S. only) requires a valid RN license and clinical experience to ensure medically necessary care through thoughtful review and collaboration with...Remote job
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination... ...or Interqual. Experience working in a fully remote, metrics-focused role Experience as an MDS Coordinator...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome officeHumana
Frankfort, KY5 days ago$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 hoursThe Muse
Albany, NY4 days ago- We’re seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you’ll... ...regulations (LCD/NCD policies) . This is a fully remote opportunity requiring discipline, accuracy, and effective...Remote work
$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States Job Summary: The Concurrent Utilization Review (UR) Nurse is responsible... ...Work Environment: Corporate office preferred / remote may be considered Collaborative environment requiring frequent...Remote workHourly payWork at officeNeueHealth
Encino, CA4 days ago$26.01 - $68.55 per hour
...Utilization Management Nurse – Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking and making evidence-based decisions? Join our Utilization Management team and play a key role in ensuring...Remote workHourly payFull timeTemporary workWeekday workOak St. Health
United States1 day ago$26.01 - $68.55 per hour
...something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse – Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical...Remote workHourly payFull timeTemporary workLocal areaWeekday workCVS Health
Richmond, VA2 days ago$26.01 - $56.14 per hour
...CVS Health Utilization Management Position We're building a world of health around every individual — shaping a more connected, convenient... ...Required Qualifications - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have...Remote workHourly payFull timeTemporary workWork at officeLocal areaAfternoon shiftCVS Health
United States5 days ago$26.01 - $56.14 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...: Monday–Friday 8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health Holding, Inc. (...Remote workHourly payFull timeLocal areaMonday to FridayFlexible hoursShift workOak St. Health
United States2 days ago$26.35 - $39.53 per hour
...for all. Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time... ...services provided to members under a managed care health plan. This role involves... .... Corporate office preferred / remote may be considered. Collaborative environment...Remote workHourly payWork at office- ...Healthier Communities Together. This is a remote position in which we are able to... ...following experience: ~ ~ Health plan utilization management ~ Medicare and Medicaid rules and... ...preferred. ~ One (1) year clinical nursing experience plus four (4) years health...Remote work
Samaritan Health Services
Corvallis, OR3 hours ago $57.37 - $85.33 per hour
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Bakersfield, CA2 days ago- A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Remote workHourly payDaily paidDay shift
Providence Swedish Medical Center
Seattle, WA4 days ago - 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
The Judge Group, LLC
New York, NY5 days ago - ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license... ...providers. This position offers the flexibility of remote work while supporting professional growth and a...Remote work
Guidehealth
Chicago, IL4 days ago - ...Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote work
Brighton Health Plan Solutions
Chapel Hill, NC4 days ago - ...leading medical review company in Washington is seeking a Utilization Management Nurse Reviewer. The role involves assessing medical necessity, reviewing... .... The position offers a competitive salary range, remote work options, and a comprehensive benefits package including...Remote work
Dane Street
Washington DC4 days ago - A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote workContract work
Rangam
Pennington, NJ1 day ago - ...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in... ...and a member’s benefit coverage while working remotely. Primary Responsibilities • Performs clinical...Remote workContract workWork at office
Brighton Health Plan Solutions
Chapel Hill, NC3 days ago - ...UTILIZATION MANAGEMENT RN Job Summary: Day-to-day management of Utilization Management queues, dashboards... .... Job Requirements Licensed Registered Nurse credentialed from an accredited school/... ...to clearly communicate instructions to remote users. Background checks/drug-free...Remote workWork at office
LibertyHealth System
Wilmington, NC2 days ago $45k - $70k
A healthcare services company is seeking a Utilization Management Nurse Reviewer to ensure medical services are used appropriately. The role involves reviewing medical records and coordinating care while adhering to guidelines. Candidates should possess an unrestricted...Remote job- ...Brighton Health Plan Solutions is seeking an Utilization Management Nurse to perform medical necessity and benefit reviews remotely. The role requires current LPN licensure and expertise in CMS/MCG criteria with experience in inpatient/outpatient reviews. The successful...Remote work
Brighton Health Plan Solutions
Chapel Hill, NC4 days ago
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