Remote Utilization Management RN — Travel 75% to Elevate Care
Optum
- Remote job
Optum is seeking a Registered Nurse with MDS certification to perform comprehensive chart audits and ensure accurate coding for MDS/MMQ in nursing facilities. The role requires close collaboration with clinicians to discuss patient care and justify decisions. Qualifications include an unrestricted MA RN license, MDS certification or proof, and experience in long-term care and healthcare. Significant travel within Massachusetts is expected as audits are conducted onsite. #J-18808-Ljbffr Optum
- Overview Work remote and travel 75%. Optum is a global organization that delivers care, aided by technology to help millions of people... ...Optum, UHC, or UBH (e.g. Case Managers, Field Care Advocates) to... ...experience Current unrestricted RN nurse license in Massachusetts...Remote workTravelCasual workWork at office
- ...monitoring the utilization of behavioral health... ...with Case Management to address member... ...and efficient care delivery... ...and active NYS RN license required... ...Demonstrates ability to elevate to management,... ...independently travel within regions.... ...for remote work within all...Remote workTravelContract workWork at office
- American Traveler Staffing Professionals is recruiting an RN for a remote Utilization Management role in Austin, TX. Requires TX or multistate license and 2+ years acute care UM experience, with Cerner/Careport EMR and InterQual knowledge. The assignment runs 13 weeks with...Remote jobTravelLocal area
- ...seeking an experienced: UTILIZATION MANAGEMENT RN JOB SUMMARY: Day-... ...opportunities to lower levels of care Assist the Director of... ...assigned Less than 10% travel to the corporate office for... ...communicates instructions to remote users. Visit for more...Remote workTravelWork at office
- ...Utilization Review And Management (Um) Component Program The utilization review and management... ...at the appropriate level of care, while supporting regulatory compliance... ...This is an in-office, no remote work capability position Travel ~ Some travel may be required...Remote workTravelWork at office
$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions... ...occasional opportunity for remote work based on... ...to perform the daily travel responsibilities. For... ...~ Registered Nurse (RN) with a current, active...Remote workTravelMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$71.1k - $97.8k
Become a part of our caring community The... ...Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes... ...Nurse (RN) with compact license... ...rotation. This is a remote position. This... ...workload gaps, and elevate issues as needed.... ...information. Travel: While this is a...Remote workTravelFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend workWeekday work- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services. You will assess member needs, interpret requirements... ...plan care and discharge efficiently. You will work remotely within the Pacific, Mountain, or Central Time Zone...Remote job
- Humana is seeking a Utilization Management Nurse 2 to apply clinical nursing skills in coordinating... ...and benefit determinations. This remote role may require occasional travel to Humana's offices for training... ...to ensure optimal member care and outcomes. 40 hours per week...Remote jobTravel
- UnitedHealth Group is seeking a dedicated RN Clinical Care Coordinator to manage a panel of members with complex medical... ...improve care quality and appropriate utilization. The role is field-based with a home office; travel up to 75% is required, with mileage reimbursed....Remote jobTravelHome office
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical... ...Registered Nurse (RN) license in your state of... ...Experience working in a fully remote, metrics-focused role... ...HIPAA information. Travel: While this is a remote position...Remote workTravelBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office- Job Summary Utilization Management Nurse performs clinical review of... ...promotes appropriate care and quality toward cost... .... Registered Nurse (RN) with active, current,... ..., Semi-Active, Campus Travel - Someone who normally... ...an office setting or remotely, periodically has lifting...Remote workTravelWork at office
$35 - $37 per hour
...The Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate: $... ...., are not preferred. No travel RNs unless they have a stable... ...whether practicing or not. Utilization Review experience is... ...Full-time Job function Health Care Provider and Administrative...Remote jobTravelPermanent employmentFull timeTemporary workMonday to Friday$54.1k - $116.76k
...passionate colleagues who care deeply, innovate... ...Summary This Case Manager RN position is 100% remote, and the employee can... ...in any state. No travel is expected with this... ...efficiency. Identify and elevate quality of care... ...of customer service. Utilize assessment techniques...Remote workTravelHourly payFull timeTemporary workLive inLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift$1,966 per week
...leader in personalized managed health care, focused on what's... ...-life balance. Remote/hybrid setting (... ...This individual will utilize clinical knowledge... ...is not limited to RN, LMSW, LMHC.... ...ago Rockford, IL $75,000.00-$85,000.00... ...0.00 2 months ago Travel Medical/Surgical Registered...Remote workTravelFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours$44.12 - $53.93 per hour
...Role The Clinical Care Manager is responsible for... ...levels of care). ~ Utilization Management... ...appropriate to position (RN/PT) o... ...and reviewed. #LI-REMOTE Minimum Education... ...performance, shift, travel requirements, sales... ...market leader for over 75 years, and are...Remote workTravelHourly payFull timeFlexible hoursShift work$75.3k - $135.4k
...Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will... ...field, along with an active RN license in California. This position offers a salary range between $75,300 and $135,400 annually, and a comprehensive...Remote work- ...Integrated Case Manager, RN Sentara Health is... ...RN. This is a remote position; however,... ...surrounding areas as travel is required up to... ...50 to 75% a week. The Integrated... ...revises the member's care plan to meet the... ...effective and efficient utilization of health benefits...Remote workTravelTemporary work
$70k - $75k
..., Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to... ...Job Description The Utilization Management Registered Nurseis... ...services Quality of care concerns... ...position is $70,000.00 to $75,000.00 per year based upon...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$66.58k - $142.58k
...Case Management Coordinator Help us elevate our patient care to a whole new level! Join our Aetna team... ...populations by utilizing best-in-class operating... ...tools and resources. Remote Work Expectations This... ...willing and able to travel up to 75% of the time from home...Remote workTravelHourly payFull timeTemporary workLocal areaShift work- UnitedHealth Group is seeking an RN Clinical Care Coordinator to serve as the primary care manager for a panel of members with... ...to promote appropriate utilization of services and improved quality... ...home-based office and local travel up to 75%. Residency in Plymouth County...TravelFull timeWork at officeLocal areaWork from homeDay shift
- Ponos Care is a physician-led, value-based healthcare... ...conditions. The RN Case Manager (TOC / Travel Infusion / RPM /... ...members and provides both remote support and in-... ...department utilization while enhancing quality... ...management. Triage and elevate high-risk findings or...Remote workTravelLocal areaImmediate start
$66.58k - $142.58k
...colleagues who care deeply, innovate... ...Help us elevate our patient care... ...our members by utilizing best-in-class operating... ...-based care management model that joins... ...Nurse (RN) Compact License... ...to occasionally travel up to 10% within... ...independently, remotely, and field based...Remote jobTravelHourly payFull timeTemporary workWork at officeLocal area$1,949.74 per month
...Job Type Travel Offering... ...Specialty Utilization Review Job... ...Utilization Review RN Weekly Pay... ...Description Remote Utilization Review... ..., and utilization management using InterQual criteria... ...guidelines in an acute care setting....Remote workTravelWeekly payShift work- ...RN Utilization Review Location: Torrance, CA Job Type: Travel Discipline: RN Specialty: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts: Days Shift Details...Remote workTravelContract workTemporary workLocal areaShift work
$75.3k - $135.4k
...professional on our Medical Management/Health Services... ...ensure appropriate care to members.... ...-day activities of utilization management team.... .../Certification: RN - Registered Nurse... ...REQUIRED Pay Range: $75,300.00 - $135,400.... ...approach to work with remote, hybrid, field or...Remote workFull timePart timeWork at officeFlexible hours- ECM RN Care ManagerJob DescriptionReports to... ...ADepartment/Location:Remote / HybridFLSA... ...Registered Nurse Care Manager (RN CM) is a key... ...documentation standards, and utilize data to support... ...invites feedback; elevates underrepresented... .... The ability to travel occasionally for...Remote workTravelContract workWork at officeFlexible hours
$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of... ...healthcare services, coordinating care, and ensuring members... ...days ago Greater Chicago Area $75,000.00-$95,000.00 2 weeks...Remote workDaily paidContract workMonday to FridayShift workWeekend work$44.14 per hour
...Job Description Bilingual RN Case Manager (ICM)-Remote/Field-{175361} Location... ...Pay: $44.14/hour (W2) Travel: 25-50%within ~50-mile radius... ...Join a leading integrated care team supporting dual-... ...Motivational Interviewing, Utilization Review, Care Coordination,...Remote jobTravelTemporary workLocal area$110k - $130k
...Job ID: 2026-88771 Remote/Virtual Position: No... ...Reimbursement Florida RN License Required... ...Your Career in Hospice Caring for others is more than... ...preferred ~ Role may require travel up to 80% of business... ...Ensures protocols are utilized to guide operations and...Remote workTravelWork experience placementLocal areaFlexible hours
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