Remote Utilization Management Nurse - Senior Care Impact
Curana Health, Inc.
Curana Health, Inc. is seeking a Utilization Management Nurse to join their remote team. In this role, you will review healthcare services' utilization to ensure cost-effective care while actively coordinating transitions and discharges for patients. You will engage closely with healthcare providers, monitor quality outcomes, and assist in management of healthcare plans. A minimum of 2 years of clinical nursing experience and an active nursing license are required. Join us in making a meaningful impact on healthcare for seniors across the United States. #J-18808-Ljbffr
$72.8k - $130k
...Sr Utilization Management Nurse Optum Insight is improving the flow of health data... ...drive alignment between care providers and payers, and ultimately... ...occasional opportunity for remote work based on business... ...to mitigating our impact on the environment and enabling...Remote workSeniorMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$71.1k - $97.8k
...healthcare provider is seeking a Registered Nurse (RN) to join their team. The RN will... ...services while emphasizing excellent patient care. Candidates must have an active RN... ...required for training and meetings, making this a dynamic and impactful role. #J-18808-LjbffrRemote work- ...an experienced RN Case Manager to support seniors in Massachusetts. This... ...flexibility with two days remote work. The ideal... ...at least three years of nursing experience, ideally in home care or case management. Join... ...team to make a meaningful impact on the lives of older adults...Remote workSeniorWeekday work
$90.86k - $136.29k
...Job Title Utilization Management Concurrent Review Nurse Job Description The Utilization Management Concurrent Review team reviews the inpatient... ...applies guidelines for nationally recognized levels of care. In this role you will perform first level determination...Remote workSeniorFull timeContract workWork at office- A healthcare provider is seeking a Nurse Reviewer Supervisor in Cleveland, OH. The role involves... ...is available, combining onsite days with remote work, offering a dynamic environment and... ...and professional development opportunities. #J-18808-Ljbffr Superior Dental Care, Inc.Remote workSenior
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management RN will collaborate... ...skills to make an impact Required... ...Compact Registered Nurse (RN) license with no... ...Travel: While this is a remote position, occasional... ...us About Conviva Senior Primary Care:...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeWeekend work$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to support... ...guidelines/procedures. This role is a remote position, M-F 8am to 5pm EST... .... Use your skills to make an impact Required Qualifications ~...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend work- ...A healthcare organization is seeking a Senior Director for Complex Care Management and Utilization Management. This strategic role involves overseeing national... ...and communication skills. This position operates remotely, requiring a dedicated workspace. #J-18808-Ljbffr...Remote workSenior
- ...A healthcare organization is seeking a Senior Director of Complex Care Management and Utilization Management to oversee national programs aimed at healthcare delivery... ...hold relevant certifications. This position is remote, requiring a reliable home office setup. #J-18808-...Remote workSeniorHome office
$34.98 - $42.85 per hour
...Remote in California only Are you... ...make a lasting impact and transform... ...Clever Care was created to... ...Summary The UM Nurse I - RN performs... ...role conducts utilization review activities... ...determinations to senior staff or the Medical... ...in utilization management or case...Remote workHourly payWork at office- ...A healthcare management firm is seeking a Senior Director for Complex Care Management and Utilization Management. This strategic leader will design and optimize integrated care... ...experience in managed care environments. Remote work with travel flexibility is required....Remote workSenior
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret... .... Use your skills to make an impact Required Qualifications: Must... ...Experience working in a fully remote, metrics-focused role Experience...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office$150k - $175k
...presence across the US West utilities market. The ideal... ...Engineering, Capital Portfolio Managers, GIS Directors, and... ...measurable impact on capital project delivery... ...collaboration where it matters and remote-friendly flexibility... .... We hire people who care deeply about their...Remote workSeniorContract workLocal areaFlexible hours- ...Senior Performance Improvement Program Coordinator... ...Improvement Program Coordinator utilizes clinical, accreditation... ...expertise to manage and coordinate the development... ...of standard of care. * Works directly with... ...company policies that impact the employee's area of...Remote workSenior
$26.01 - $62.32 per hour
...Medicare Precertification Utilization Management Nurse Consultant (RN) We're building a world of health... ...by passionate colleagues who care deeply, innovate with purpose, hold ourselves... ...part of a collaborative team that truly impacts patient care while enjoying a...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayShift workWeekend workAfternoon shift$26.01 - $68.55 per hour
...surrounded by passionate colleagues who care deeply, innovate with purpose,... .... Medicare Precertification Utilization Management Nurse Consultant (Remote) Schedule: Monday–Friday, 9:00... ...collaborative, non-bedside role that impacts patient care at scale....Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift- ...Senior Utilization Management Nurse Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional... ..., skilled nursing facility, or surgical center. Managed Care experience is highly preferred. Qualifications...SeniorContract work
- ...Your Role The Utilization Management Concurrent Review team reviews the inpatient stays for our members and correctly... ...guidelines for nationally recognized levels of care. The Utilization Management Concurrent Review Nurse will report to the Utilization Management Nurse...SeniorFull timeWork at office
- ...Epidemiologists is seeking a Senior Clinical Transformation Manager to oversee clinical management in their Accountable Care Organizations. You will... ...achieving quality, efficiency, and utilization goals while mentoring other team members. This remote position allows you to work...Remote jobSenior
$26.01 - $62.32 per hour
Utilization Management Nurse Consultant (Medicare / Spine) Remote | Full-Time | Mon‑Fri, 9:00 AM‑6:00 PM (local time) May include... ...clinical expertise to evaluate care, guide coverage decisions, and help... ...Why Join Us? Make a meaningful impact on patient care while working in...Remote workHourly payFull timeTemporary workWork at officeLocal areaAfternoon shift$115k - $130k
...integrating primary care, mental health,... ...Clinical Operations Senior Manager, RN to help build... ...Tia's registered nursing and clinical operations... ...'s healthcare Remote corporate role with meaningful impact across multiple... ...performance, utilization, quality, and operational...Remote workSenior- The Peer-to-Peer (P2P) Utilization Review Nurse is an integral member of the MGB Central Utilization Management team, specializing in identifying... ...focuses on concurrent level-of-care denials and supports... ...Schedule and Work Model ~ Remote / Work from Home. ~32 hours...Remote workWork from home
$72.8k - $130k
...NJ, is seeking a Senior RN Case Manager to join our team... ...a clinician-led care organization that... ...team or unit. The impact of work is most often... ...to work remotely * from anywhere within... ...acute condition Utilize evidenced-based... ...Bachelor of Science in Nursing (BSN) ~...Remote workSeniorMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Retirement-Communities in Oregon City is seeking a Staff Nurse (RN, LPN/LVN) to provide exceptional clinical care and support in our Assisted Living and Memory Care... ...collaborative team committed to making a positive impact on residents’ lives. #J-18808-Ljbffr Milestone-...Senior
- A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...determining service eligibility and facilitating care. This remote role requires an RN license and clinical experience....Remote jobWork from home
- ...A nonprofit health organization seeks a Registered Nurse for long-term care management of older adults in California. The role involves assessing clients... ...This position offers competitive pay and a supportive work environment focused on community impact. #J-18808-Ljbffr...Remote workSenior
- ...Plan is hiring for a role that utilizes clinical expertise for utilization management in a remote environment. Ideal candidates should... ...hold an Associate's Degree in Nursing, possess strong decision-making... ...experience in a managed care setting. Responsibilities include...Remote work
$34.98 - $42.85 per hour
...Clever Care is hiring a UM Nurse I - RN to conduct clinical reviews of authorization requests in California. The role involves ensuring... ...three years of clinical experience, preferably in utilization management. This remote position offers a wage range of $34.98 to $42.85 per...Remote workHourly pay- ...is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will... ...healthcare services and coordinating care for members. Join a dynamic team and make a meaningful impact in patient advocacy while maintaining a...Remote workContract work
- ...Senior Registered Nurse-Hospital Under general direction and following established... ...for alternate levels of care when the patient does not... ..., patient advocate, and manage patients in the most cost-effective... ..., and appropriate resource utilization. Collaborates with...SeniorFull timeTemporary workFixed term contractWork at officeLocal area
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