Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Management RN: Inpatient & Post-Acute

Devoted

Brooklyn, NY
  • 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

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management RN: Inpatient & Post-Acute in Brooklyn, NY vacancy
  • $29 - $52 per hour

     ...Utilization Review Nurse, RN Optum is a global organization that delivers care...  ...clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and...  ...the flexibility to work remotely* as you take on some tough... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area
    Monday to Friday
    Shift work
    Weekend work

    divvyDOSE

    Sacramento, CA
    14 hours ago
  •  ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential...  ...review of outpatient and ancillary services as well as inpatient and post-acute services when indicated. Determines medical... 
    Remote work

    CommunityCare

    United States
    2 days ago
  •  ...Registered Nurse (RN) Contract...  ...are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan. Job...  ...and retrospective review of inpatient, outpatient, ambulatory and...  ...yr clinical experience - acute care ~ Utilization Management... 
    Remote work
    Contract work
    Local area
    Flexible hours

    OpTech

    Detroit, MI
    5 days ago
  • $68.13k - $119.52k

     ...requirements and manages concurrent and pre...  ...in-house patients, utilizing daily commercial authorization...  ...(CPT) codes and inpatient-only procedures....  ...: ~ Fully remote position, four 10-...  ...nursing in an acute care setting [...  ...Registered Nurse (RN) [Required] Accredited... 
    Remote work
    Full time
    Work experience placement
    Local area
    10 hours per week
    Shift work

    AdventHealth

    United States
    5 days ago
  • $45 - $45.5 per hour

    Overview Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months (...  ...treatment plan. Utilizes clinical skills to assess...  ...retrospective reviews for inpatient acute care, rehabilitation, referrals...  ...junior team members. RN and current unrestricted... 
    Remote work
    Contract work
    Immediate start
    Monday to Friday
    Afternoon shift

    Mindlance

    New York, NY
    3 days ago
  • $29 - $52 per hour

     ...Utilization Management Nurse For those who want to invent the...  ...Although this position is remote, applicants must be...  ...unrestricted compact RN licensure Function...  ...nursing facility, acute inpatient rehabilitation and long...  ...: This will be posted for a minimum of 2 business... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealthcare

    Sacramento, CA
    14 hours ago
  •  ...Hospital is hiring an Inpatient Case Manager, Inpatient Case...  .... Promotes effective utilization and monitoring of health...  .... 1-year acute care case management...  ...Education RN-Associate's Degree OR...  ...that are available as remote work, Sentara Health... 
    Remote work
    Temporary work
    Shift work

    Sentara Healthcare

    Suffolk, VA
    4 days ago
  •  ...Behavioral Health Utilization Manager Behavioral Health Utilization...  ...medically necessary inpatient and outpatient care,...  ...Management Team for post discharge referrals. Assists...  ...' experience in an acute psychiatric care...  ...systems Work Schedule: Remote Other Requirements: Able... 
    Remote work
    Contract work
    Work experience placement

    Harris Health System

    Houston, TX
    5 days ago
  • $60.2k - $107.4k

     ...Inpatient Care Management Nurse Optum is a global organization...  ...ensuring proper utilization of our health...  ...flexibility to work remotely from the Pacific,...  ..., unrestricted RN license in state...  ...practicing clinically (Acute Inpatient, SNF/...  ...: This will be posted for a minimum of... 
    Remote job
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    Genoa Telepsychiatry

    Phoenix, AZ
    2 days ago
  •  ...Medical Center is hiring an Inpatient Case Manager - RN Inpatient Case Manager...  .... Promotes effective utilization and monitoring of health services...  ...eligibility. 1 year of acute care and/or healthcare experience...  ...that are available as remote work, Sentara Health employs... 
    Remote work
    Full time
    Temporary work
    Internship
    Monday to Friday
    Shift work
    Day shift

    Sentara Healthcare

    Woodbridge, VA
    1 day ago
  • $60.2k - $107.4k

     ...together. As an Inpatient Care Management Nurse, you will be...  ...ensuring proper utilization of our health services...  ...to work remotely * from the Pacific...  ...Current, unrestricted RN license in state...  ...clinically (Acute Inpatient, SNF/AIR...  ...Deadline: This will be posted for a minimum of... 
    Remote job
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealth Group

    Phoenix, AZ
    14 hours ago
  •  ...Hospital is hiring an Inpatient Case Manager,Inpatient Case...  .... Promotes effective utilization and monitoring of health...  ...of eligibility.1-year acute care case management...  ...LicensureRegistered Nurse (RN) License - Compact/...  ...are available as remote work, Sentara Health... 
    Remote work
    Temporary work

    Sentara

    Suffolk, VA
    3 days ago
  •  ...Case Manager, RN- Inpatient The Case Manager is responsible for...  ...is not meeting acute care criteria. Facilitates...  ...with need for medical post- acute care to ensure...  ...to decrease ED over-utilization. Creates, implements,...  ...Tampa 33601 Eligible for Remote Work: On Site Job... 
    Remote work
    Full time
    Monday to Friday
    Shift work

    Tampa General Hospital

    Tampa, FL
    14 hours ago
  •  ...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 work
    All shifts
    Shift work
    Day shift

    Northeast Georgia Health System Inc

    Gainesville, GA
    5 days ago
  •  ...Medical Center is hiring an Inpatient Case Manager, RN!****Inpatient Case Manager...  ...management. Promotes effective utilization and monitoring of health...  ...of eligibility. 1-year acute care case management experience...  ...that are available as remote work,** **Sentara Health employs... 
    Remote work
    Full time
    Temporary work
    Immediate start
    Monday to Friday
    Shift work
    Day shift

    Sentara Health Plans

    Virginia, MN
    5 days ago
  • $58.66k - $142.45k

     ...Peer-to-Peer Utilization Review Nurse Mass General...  ...Utilization Management team, specializing...  ...appropriateness of inpatient versus observation...  ...processes through RN-to-RN collaboration...  ...experience in an acute care hospital setting...  ...Work Model ~ Remote / Work from Home.... 
    Remote work
    Work from home
    Shift work

    Mass General Brigham

    Somerville, MA
    1 day 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...  ...Intensity and duration of inpatient or outpatient services Quality... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home

    Guidehealth

    United States
    5 days ago
  •  ...This role is part of a multidisciplinary team focused on member care within a managed care framework. The position requires R.N. licensure in NC, five years of clinical experience, including acute care and utilization management experience. #J-18808-Ljbffr Vaya Health
    Remote job

    Vaya Health

    Raleigh, NC
    4 days ago
  •  ...Summary and Responsibilities As our Utilization Review RN, you will play a pivotal role in optimizing...  ...care transitions. Your expertise in managed care environments and CMS standards...  ...or IA and possess at least two years of acute hospital clinical experience. We are seeking... 
    Remote work

    CHI Health

    United States
    2 days ago
  •  ...an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency...  ...medical necessity reviews for inpatient and outpatient services, with complex case management and collaboration across...  ...experience, and prior Utilization Management exposure. #J-... 
    Remote job

    Alliance Health in

    Morrisville, NC
    1 day ago
  • Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with... 
    Remote job

    Appworkshub

    New York, NY
    3 days ago
  • UnitedHealth Group is seeking a qualified Utilization Management Nurse to review patient records and craft appeal letters,...  ...deliver high-quality reviews. Requirements include an RN license, 3+ years bedside nursing in acute care, and proficiency with Microsoft Office plus 4... 
    Remote job
    Work at office
    Flexible hours

    Construction Association of Michigan

    Brooklyn, NY
    3 days ago
  • UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to assess member needs to help them live healthier...  ..., and support discharge planning while working remotely from anywhere in the U.S. The role requires... 
    Remote job
    Weekend work

    Anacalifornia

    Atlanta, GA
    2 days ago
  •  ...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 work
    Immediate start
    Day shift

    The Judge Group, LLC

    New York, NY
    1 day ago
  • UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and patient plans of care. The role offers remote work from anywhere in the U.S., with weekend coverage on a rotating basis and a salary range based on experience... 
    Remote job
    Weekend work

    University of Minnesota School of Nursing

    Atlanta, GA
    2 days ago
  •  ...seeking aRegistered Nurse in the United States for utilization review and case management. The role supports inpatient care decisions, discharge planning, and...  ...leadership to ensure high-quality patient outcomes. Remote work is available nationwide, with scheduling that... 
    Remote job

    RXinsider LTD.

    Atlanta, GA
    5 days ago
  •  ...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.... 

    L.A. Care Health Plan

    Los Angeles, CA
    2 days ago
  • UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services, assess member needs, and...  ...teams and compliance while offering remote work within the U.S. The position requires an RN license, 3+ years of hospital nursing... 
    Remote job

    Registered Nurse

    Atlanta, GA
    2 days ago
  • $35.29 - $54.71 per hour

     ...-train and support our inpatient Behavioral Health unit...  ...not offer a hybrid or remote option Minimum Requirements...  ...as a Registered Nurse (RN). ~6 months of...  ...in direct patient care utilizing the nursing process...  ...at the point of care Acute Care: Direct care includes... 
    Remote work
    Full time
    Temporary work
    Local area
    Flexible hours
    Shift work
    Night shift

    UCHealth

    Fort Collins, CO
    7 hours ago
  • $35.29 - $54.71 per hour

     ...Location: UCHealth Anschutz Inpatient Pavilion, Aurora - CO Department: Medical Acute Care Unit Work...  ...not offer a hybrid or remote option Work nights,...  ...as a Registered Nurse (RN). Basic Life Support (BLS...  ...in direct patient care utilizing the nursing process... 
    Remote work
    Full time
    Temporary work
    Local area
    Flexible hours
    Shift work
    Night shift

    UCHealth

    Aurora, CO
    7 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Management RN: Inpatient & Post-Acute. Be the first to apply!