Remote Utilization Management RN: Inpatient & Post-Acute
Devoted
- Remote job
Devoted Health is seeking a Clinical Guide Part A to support inpatient, behavioral health, and post-acute utilization review in alignment with CMS guidelines. This remote, full-time role requires a licensed RN with several years of UR experience and familiarity with Medicare Advantage requirements. The position offers multiple schedules including weekend coverage and emphasizes regulatory compliance and collaboration with Medical Directors to ensure timely, appropriate care. #J-18808-Ljbffr Devoted
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services by... ...in Phoenix, AZ with a fully remote work style, the role requires... ...years of clinical nursing in acute settings and an active RN license. You will perform reviews...Remote job
- ...Health Plan in the United States is seeking an Inpatient Utilization Management Clinician to evaluate inpatient medical necessity... ...discharge planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and experience with...Remote workFull time
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure appropriate utilization of health services and coordinate plans of care. This role offers remote work and requires strong clinical nursing experience and an RN license. You will collaborate with...Remote job
- ...WellSense Health Plan is seeking an Inpatient Utilization Management Clinician for a fully remote role in the United States. You will evaluate inpatient medical necessity... ...optimal outcomes. Qualifications include an active RN license, nursing degree, and 2 years of utilization...Remote work
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to support utilization management for inpatient... ...in Georgia with a fully remote work option, requiring... ...residency and an active RN license. The candidate... ...planning. 3+ years of acute inpatient nursing...Remote job
- ...in Georgia is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and coordinate... .... Active, unrestricted GA RN license and at least 3 years of acute inpatient nursing... ...holiday rotations, potential remote work from Georgia, and collaboration...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services. You will... ...-Friday schedule with EST/CST remote flexibility and collaboration with clinical teams. A valid RN license and acute inpatient experience are...Remote jobMonday to Friday
- ...Inpatient Case Manager, Registered NurseLocation: Suffolk, VAWork... .... Promotes effective utilization and monitoring of health... ...eligibility. 1-year acute care case management... ...preferred.Education:RN-Associate's Degree ORRN... ...are available as remote work, Sentara Health...Remote workTemporary workShift work
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to join our remote-first team. You will assess patient needs, apply evidence-based criteria, and... ...downstream partners. Qualifications include an active RN license, 3+ years of clinical nursing, and proficiency...Remote job
$33.88 - $47.91 per hour
...Memorial is a 28-bed, acute care, inpatient nursing unit at UNC... ...care primarily to adult post-surgical patients... ...observation, occasional remote cardiac telemetry,... ...oxygen therapy, pain management, blood product administration... ...patient care utilizing the nursing process in...Remote workHourly payDaily paidSummer holiday$60.2k - $107.4k
...delivered. As an Inpatient Care Management Nurse, you will be... ...ensuring proper utilization of our health services... ...to work remotely as you take on some... ...Active, unrestricted RN license in state... ...experience in an Acute Inpatient... ...:** This will be posted for a minimum of...Remote workMinimum wagePermanent employmentFull timeWork experience placementLocal area- ...) is a non-profit managed care organization... ...Behavioral Health Utilization Manager will perform... ...necessary inpatient and outpatient care... ...Management Team for post discharge referrals... ...experience in an acute psychiatric care setting... ...Work Schedule: Remote Other Requirements...Remote workContract workWork experience placement
- ...family, nursing, utilization review and... ...assure patient management that efficiently... ...plan of care for post-hospitalization... ...practice as an RN in Georgia.... ...to assure post-acute needs are arranged... ...responsibility of inpatient or post-... ...rotation, and remote coverage....Remote workAll shiftsShift workDay shift
- ...Centene Management Company LLC is seeking a licensed nurse to perform concurrent reviews for... ...supporting discharge planning in a fully remote role. You will work weekdays with a rotating... .... Ideal candidates have 2–4 years of acute care nursing experience, knowledge of Medicare...Remote workWeekday work
$2,210 per week
...leader in personalized managed health care,... ...Work-life balance. Remote/hybrid setting (once... ...This individual will utilize clinical knowledge... ...outpatient treatment or inpatient confinement. This... ...is not limited to RN, LMSW, LMHC.... ...of 3 years recent acute clinical practice required...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...Centene Management Company LLC is hiring for a remote RN/LPN utilization reviewer. You will evaluate patient care, determine appropriate level of care, and contribute... ...with Medical Affairs. Role requires 2+ years acute care and UM knowledge. Licensure as LPN and/or RN...Remote workMonday to Friday
- ...General Hospital is hiring an Inpatient Case Manager/ Registered Nurse (RN) This position is... ...management. Promotes effective utilization and monitoring of health... ...experience 1 year acute care case management preferred... ...that are available as remote work, Sentara Health employs...Remote workPermanent employmentFull timeTemporary workRelocation packageMonday to FridayShift workWeekday work
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities... ...treatment plans, Intensity and duration of inpatient or outpatient services, Quality of care concerns....Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...currently seeking an experienced: UTILIZATION MANAGEMENT RN JOB SUMMARY: Day-to-day management... ...guidelines Monitor members both inpatient/outpatient - provide updates to... ...Clearly communicates instructions to remote users. Visit for more information...Remote workWork at office
- UnitedHealth Group is seeking a Utilization Management Nurse to ensure efficient administration of health... ...across facilities such as SNFs and inpatient rehab. The role offers telecommuting from... ...patient care. Requirements include RN license, 3+ years in managed care or clinical...Remote job
- ...Currently seeking a Utilization Management RN . Please see details and qualifications... ...below: Position is remote - candidate must reside in... ...experience. ** Previous Acute Hospital Utilization Management... ...medical necessity for inpatient admissions, continued stays...Remote workImmediate startDay shift
$26.35 - $39.53 per hour
...Summary: The Concurrent Utilization Review (UR) Nurse... ...members under a managed care health plan.... ...assessing inpatient admission and continued... ...to outpatient or post-acute care settings. 5.... ...Registered Nurse (RN) or Licensed Vocational... ...preferred / remote may be considered...Remote workHourly payWork at office- ...As an on-site Hospital Utilization Management (UM) Nurse, you are... ...administrative compliance. Unlike remote roles, this position... ...a Registered Nurse (RN) responsible for... ...Patient Class (e.g., Inpatient vs. Outpatient with Observation... .... Documentation and Post Discharge * Completes...Remote workImmediate startShift work
$39.83 - $59.74 per hour
...Utilization Management RN Robbinsdale, MN Posting Date: Sep 18 2026 Apply now ( Back to search Requisition Number... ...Three (3) to five years of previous acute care nursing experience required.... ...Call Requirement: None Remote or On-site: Hybrid Remote- Must live...Remote workFull timeContract workPart timeFor contractorsFor subcontractorLive inWork at officeShift workWeekend work- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure appropriate utilization of health services. You will assess member needs, interpret data,... ...offers a Monday-Friday schedule (8AM-5PM EST), with remote flexibility for EST/CST residents and some...Remote jobMonday to Friday
- ...UnitedHealth Group seeks a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. You will determine and... ...under supervision of Coding Operations Management. The role requires inpatient ICD-10, DRG experience, and familiarity with MUE...Remote work
$41.2 - $62.17 per hour
...Job Description: The RN Hospital Care Manager I delivers comprehensive care... ..., including both Inpatient and Outpatient areas.... ...experience in case management, utilization review, value-based care, and... ...expectations. If applying for a remote or hybrid role, this includes...Remote workHourly payShift workWeekend work- UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services, assess member needs, and coordinate care to... ...healthier lives. Georgia residents with a GA RN license may work remotely; weekends and holidays are on rotation. The...Remote jobWeekend work
$41.41 per hour
...Geisinger is proud to offer an Inpatient RN a hiring incentive up... ...-making regarding the utilization of evidence- based... ...consists of a broad range of acute to complex medical conditions with remote telemetry capabilities.... ...important, from senior management on down, we encourage...Remote workFull timeTemporary workPart timeFlexible hoursShift workNight shiftWeekend workAfternoon shift- ...Care Health Plan in Los Angeles is seeking a Utilization Management Admissions Liaison RN II responsible for overseeing inpatient admission requests and transfers. Candidates... ...least 7 years of clinical experience in an acute hospital setting and hold a nursing degree....
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