Remote Wound Care Utilization Management RN
The Elevance Health Companies, Inc.
- Remote job
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 coordinate care plans, review home-based services, and discuss plans of care with providers. Hybrid work arrangement applies, with in-person onboarding and ongoing collaboration across care teams. #J-18808-Ljbffr The Elevance Health Companies, Inc.
- Wound Care Utilization Management RN Location: This role enables associates to work virtually full-time, with the exception of required in‑person training... ...care. Performs reviews telephonically/virtually/remotely utilizing the members medical records and/or discussion...Remote workFull timeTemporary workLocal areaMonday to FridayShift work1 day per week
- ...in the United States is seeking an Inpatient Utilization Management Clinician to evaluate inpatient medical... ...treatment, and support discharge planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and experience with...Remote workFull time
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities... ...of inpatient or outpatient services, Quality of care concerns. Interfacing routinely with ordering providers...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Overview This remote position in Utilization Management requires a Registered Nurse with 2 years of experience. Responsibilities include working... ...is subject to background screening through the Florida Care Provider Background Screening Clearinghouse . Pursuant...Remote workWeekly payMonday to FridayWeekend work
- ...Overview Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial components; promoting integration...Remote workRelief
- ...Utilization Management RN Remote I'm currently working on a Utilization Management RN opportunity with a health plan client, supporting a temporary... ...license, 2-4 years of UM experience, 2-4 years of managed care experience, and InterQual experience across inpatient,...Remote workContract workTemporary workMonday to FridayShift work
- ...Utilization Management RN There's no place like Liberty Health Come explore career opportunities... ...planning opportunities to lower levels of care Assist the Director of Utilization... ...Clearly communicates instructions to remote users. Visit for more...Remote workWork at office
$45 - $50 per hour
...passionate about delivering quality patient care and navigating complex healthcare... ...healthcare insurance, is seeking experienced Utilization Management RNs to play a vital role in reviewing... ...to make an impact within a dynamic, remote environment where your expertise will support...Remote workContract workWork at office$39.83 - $59.74 per hour
...Utilization Management RN Robbinsdale, MN Posting Date: Sep 18 2026 Apply now ( Back to search... ...Uniqueness and Create Impact. Empathy and care are at the heart of North’s culture... ...Weekend Call Requirement: None Remote or On-site: Hybrid Remote- Must live in...Remote workFull timeContract workPart timeFor contractorsFor subcontractorLive inWork at officeShift workWeekend work- ...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
$80 per hour
...Description Certified Wound & Ostomy Nurse (CWON) ?... ...Onsite Position | No Remote Option Schedule: Monday... ...(patient visits and care coordination) Compensation... ...and staff in the management of ostomy care, continence... ...Registered Nurse (RN) license – State of California...Remote workLocal areaMonday to Friday- Humana is seeking an Utilization Management Registered Nurse to interpret and coordinate medical... ...determinations for post-acute care. You will work remotely, reporting to the Manager of Utilization... .... Requirements include an active RN license in your state and 1+ year...Remote job
- ...Looking for qualified Wound Care Nurse RN to join our team! Location: Pine View Health and... ...skilled team and provide high-quality wound management and support to our residents. If you... .... From telemedicine services and remote health monitoring to advanced diagnostic...Remote workFull timeLocal areaShift workNight shiftDay shiftAfternoon shift
- Guidehealth, a data-powered healthcare company, seeks a Utilization Management Registered Nurse (RN) to perform utilization review remotely. The role supports compliance with federal and state regulations and URAC standards, applying medical necessity criteria to documentation...Remote job
- ...prior authorization requests, determine appropriate care, and educate providers on utilization management. The role requires independent clinical judgment, system... ...objectives. The candidate should have 2+ years of RN experience, an active Louisiana RN license (or ability...Remote job
$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 will...Remote jobWeekend work- ...Holding Company, Inc. is seeking an experienced nurse for utilization review in a remote-friendly setting with occasional onsite work in Somerville... ...collaboration with diverse health plan teams to optimize patient care. The ideal candidate has 2-3 years of utilization review...Remote jobCasual work
- Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time role. You will apply medical necessity criteria to reviews and collaborate with medical directors and providers to ensure timely, compliant determinations. The ideal candidate...Remote jobFull time
- Centene Management Company LLC is seeking a licensed nurse... ...in Georgia. This fully remote role follows a Monday-Friday... ...medically necessary care decisions. The position requires RN/LPN licensure with nursing... ...experience; knowledge of utilization management is preferred....Remote jobMonday to Friday
- Guidehealth, a fully remote healthcare company, is seeking a Utilization Management Registered Nurse to perform reviews, apply medical necessity criteria, and document... ...role emphasizes AI integration into daily workflows and high-quality care. #J-18808-Ljbffr GuidehealthRemote job
- ...Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the... ...JOB SUMMARY: Behavioral Health Utilization Manager will perform concurrent and discharge... ...telephone systems Work Schedule: Remote Other Requirements: Able to work...Remote workContract workWork experience placement
- ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to join our remote team. This 100% work-from-home role serves members across the CST zone, ensuring safe, appropriate care and timely approvals. You will review clinical documents, collaborate...Remote workWork from home
- Sanford Health in Sioux Falls, SD is seeking a Registered Nurse to conduct level of care medical necessity reviews within patient records. You will perform utilization management activities to assure compliance with accreditation and regulatory requirements, and support...Remote job
- QuickCruit, Inc. is seeking a Utilization Management RN to collaborate with the Medical Director and Health... ...Manager. You will drive reductions in care variance, ensure timely discharges,... ...to meet care conditions. In this remote U.S. role, you will contribute to care...Remote job
- ...Hospital Utilization Management (UM) Nurse How would you like to work in a place... ...compliance. Unlike remote roles, this position relies heavily... ...Nurse is a Registered Nurse (RN) responsible for performing admission... ...or the current level of care. o Medical Provider Liaison:...Remote workImmediate startShift work
- Evry Health is seeking an RN Integrated Care Coordinator (UM) to provide comprehensive... ...ensure high-quality care in a remote environment, with rotating weekend utilization review coverage. The candidate... ...have 1-2 years in utilization management, 3-5 years clinical experience,...Remote job
- OU Health is seeking a Case Manager, RN for Utilization Review on a PRN basis. The role focuses on evaluating medical necessity... ...and providers, and ensuring appropriate care while maintaining HIPAA compliance, even in a remote setup. The candidate will work with the...Remote jobRelief
$39 - $40 per hour
...Lead Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the following... ...evaluating healthcare services, coordinating care, and ensuring members receive high-quality,...Remote workDaily paidContract workMonday to FridayShift workWeekend work- Position Title: Case Manager, RN - Utilization Review - PRN Department: OUMC Utilization Review Job Description: Remote Eligibility: Candidates must reside and work full-time in AR,... ...They ensure patients receive appropriate care, working closely with insurance companies...Remote workFull timeReliefLocal areaWork from homeRelocationShift work
$60.2k - $107.4k
...Utilization Case Manager At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work... ...Required Qualifications: ~ Current, unrestricted RN license in the State of Wisconsin ~2+ years...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home
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