Remote Utilization Management Nurse - Make Healthcare More Efficient
Cambia Health
- Remote job
Cambia Health is seeking an Utilization Management Nurse to work remotely within Oregon, Washington, Idaho or Utah. The role focuses on prospective, concurrent, and retrospective reviews to ensure medical necessity and appropriate payment for services. Licensure in applicable states is required, with strong clinical assessment and documentation skills. The position emphasizes collaboration with care teams, adherence to policies, and opportunities to contribute to quality improvement while #J-18808-Ljbffr Cambia Health
$26.01 - $62.32 per hour
...individual - shaping a more connected,... ...a time. RN Utilization Management Nurse Consultant (Medicare... ...Procedures) Remote | Full-Time |... ...Nurse looking to make an impact beyond... ...quality and optimize healthcare utilization... ...tasks and improve efficiency....Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $56.14 per hour
...individual - shaping a more connected, convenient and... ...at a time. Registered Nurse - Utilization Management (Remote) Make a difference in patient... ...appropriate, high-quality healthcare services and benefits.... ...streamline tasks and improve efficiency. Communication Tools:...Remote workFull timeWork at officeLocal areaWork from homeAfternoon shift$26.01 - $56.14 per hour
...individual — shaping a more connected,... ...at a time. Utilization Management Nurse Consultant Clinical... ...Spine Team) Remote | Full-Time | Weekday... ...Nurse ready to make an impact beyond... ...and healthcare quality, we’d love... ...tasks and improve efficiency. Communication...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $74.78 per hour
...individual - shaping a more connected, convenient... ...community at a time. Utilization Management Registered Nurse (RN) - Remote Make a meaningful impact on... ..., high-quality healthcare services and benefits.... ...streamline tasks and improve efficiency. Communication...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$29.1 - $62.32 per hour
...company, who manages all applications... ...for a Utilization Management Nurse Consultant based... ...Nurse to join a remote Utilization... ...closely with healthcare providers and... ...patient cases to make utilization... ...manage cases efficiently. Maintain... ...you would like more information about...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...communities and skilled nursing facilities a... ...team includes more than 1,000... ...re looking to make a meaningful... ...on the senior healthcare landscape, you... ...role of the Utilization Management Nurse is to review... ...and efficiency of medical services... ...is primarily a remote telephonic position...Remote workContract workWork at officeWeekend work
- ...dedicate themselves to making a difference in the healthcare industry, and in people... ...As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link... ...compliance. Unlike remote roles, this position relies... ...the support to do more meaningful work—and enjoy...Remote workFull timeImmediate startShift work
$34 - $47 per hour
...Utilization Review Nurse Astrana Health is looking for... ...Plans. This is a remote position for CA-licensed... ...Utilization Management experience in a fast... ...-powered healthcare management company... ...healthcare, and make the US healthcare system more efficient. Our platform currently...Remote jobHourly payLive inWork at officeMonday to FridayShift work$70k - $75k
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis... ...powered, performance-driven healthcare company dedicated to... ...excellence. Our goal is to make great healthcare... ...teaching’ AI to make AI tools more reliable and user-...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$37.2 - $50.4 per hour
...Utilization Management Nurse Work from home within Oregon, Washington... ...our mission to make health care easier and... ...the member's specific healthcare needs and to promote... ...organizations. #LI-Remote Pay ranges vary based... ...career at Cambia is more than just a paycheck...Remote workFull timeWork at officeImmediate startWork from homeFlexible hours$78.4k - $107.8k
...caring community The Utilization Management Behavioral Health Nurse utilizes behavioral... ...to related areas. Makes decisions regarding... ...resolve within a remote environment. ~... ...wellness and smart healthcare decisions for you and... ...at large. Learn more about what we offer...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$54.1k - $116.77k
...individual — shaping a more connected, convenient... ...at a time. Utilization Management Nurse Consultant Clinical Precertification... ...RN Remote | Full-Time | Weekday... ...Registered Nurse ready to make an impact beyond the... ...care coordination and healthcare quality, we’d love to...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$29.1 - $62.32 per hour
...individual — shaping a more connected, convenient... ...at a time. Utilization Management Nurse Consultant - Clinical... ...Precertification RN (Medicare) Remote | Full-Time | Monday-... ...clinical cases and make coverage... ..., including VPNs and healthcare applications Basic...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...Utilization Management NurseBurlingame, CA 94010OverviewSalary... ...Management (UM) Nurse is a licensed... ...coordination of necessary healthcare services.Reviews... ...as appropriate.Makes complex clinical... ...of effective and efficient standards,... ...in understaffed/remote areas, in the presence...Remote workWork at office
$75k - $100k
...Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity... ...We are open to remote work in the... ...Enjoy working with healthcare professionals to... ...facilitate decision-making process for the... ...Wisconsin. ~4 or more years of...Remote workFor contractorsWork at officeLocal areaImmediate start- ...hiring an experienced Utilization Management Registered Nurse just like you to join our Remote based, Arizona... ...NaphCare is a family owned, healthcare technology company... ...support team to make sure you have what you... ...speak with me to learn more about this position and...Remote workFull timeShift work
$71.1k - $97.8k
...caring communityThe Utilization Management Registered Nurse uses clinical nursing... ...criteria, you will make determinations based... ...working in a fully remote, metrics-focused roleExperience... ...wellness and smart healthcare decisions for you... ...at large. Learn more about what we offer...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office$60k
...experienced in the managed care payor... ...and post-service utilization reviews and appeals... ...Licensed Vocational Nurse, or Licensed Practical... ...Remote Opportunities... ...access to in-home healthcare. We connect Payers... ...health outcomes and more efficient management of complex...Remote workTemporary workLocal area- ...For us, this is more than a job– it... ...for ways to make a difference with... ...a registered Nurse who is able to... ...as well as efficiently in high pressure... ...in Case Management or Utilization Review Business... ...movement through the healthcare system.... ...interested in is remote or on-site....Remote workFull timeWork experience placementLocal areaImmediate startFlexible hoursWeekend work
$119.14k - $184.95k
...Utilization Review RN - REMOTE position. This position is... ...Utilization Management, medical necessity... ...and efficiently manage a diverse... ...and decision-making skills.... ...'s Degree in Nursing. ~ Upon hire... ...or integrated healthcare system.... ...are serving more people, advancing...Remote workDaily paidMinimum wageLocal areaShift workDay shift$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management We're building a... ...individual — shaping a more connected,... ...while improving healthcare outcomes across... ...systems and work efficiently in a fast-paced... ...nursing role Make a meaningful impact... ...Work remotely while collaborating...Remote workHourly payFull timeTemporary workLocal areaAfternoon shift$26.01 - $68.55 per hour
...Utilization Management Nurse Consultant We're building a world of... ...individual — shaping a more connected,... ...at a time. Fully remote with requirement to... ...facilitates safe and efficient discharge planning and... ...facilitate appropriate healthcare services/benefits for...Remote workHourly payFull timeTemporary workWork at officeMonday to FridayWeekend work$26.01 - $56.14 per hour
...individual - shaping a more connected,... ...Location: 100% Remote (U.S. only) About... ...medical management organization founded... ...promote high-quality healthcare for members.... ...a team that's making a difference in... ...journeys. As a Utilization Management (UM) Nurse Consultant specializing...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work$71.1k - $97.8k
...caring community The Utilization Management Nurse 2 utilizes clinical nursing... ...information to make recommendations to improve... .... Three (3) or more years of progressive... ...Travel: While this is a remote position, occasional... ...personal wellness and smart healthcare decisions for you and...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift work$71.1k - $97.8k
...Health First The Utilization Management Nurse 2 utilizes clinical nursing... ...Use Your Skills to Make an Impact Required... ...home base ~2 or more years of clinical experience... ...: While this is a remote position, occasional... ...wellness and smart healthcare decisions for you and...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Utilization Review RN This position... ...Utilization Management, medical... ...effectively and efficiently manage a... ...and decision-making skills. Providence... ...s Degree in Nursing. ~ Upon... ...in a remote UR environment... ...integrated healthcare system. Why... ...are serving more people,...Remote workDaily paidLocal areaDay shift
$32.01 - $68.55 per hour
...Utilization Management Position We're building a world of health... ...individual shaping a more connected, convenient... ...appropriate healthcare services/benefits for... ...experience as a Registered Nurse in adult acute care/critical... ...tasks and improve efficiency. Communication...Remote jobHourly payFull timeTemporary workWork at officeLocal areaWork from homeShift workAfternoon shift- ...dedicate themselves to making a difference in the healthcare industry, and in people... ...As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link... ...compliance. Unlike remote roles, this position relies... ...future that gives you more. Wellstar Health...Remote workImmediate startShift work
$71.1k - $97.8k
Utilization Management Registered Nurse - Home Health### Utilization Management... ...- Home HealthApply: Remote Kentucky: Remote Oklahoma... ...information to make recommendations to improve... ....• Three (3) or more years of progressive... ...wellness and smart healthcare decisions for you and...Remote workWeekly payFull timeTemporary workWork at officeHome officeMonday to FridayShift work$66.26k - $84.03k
...To learn more about Arkansas Blue Cross... ...Job Summary Utilization Management Nurse performs... ...and evaluates the efficiency and appropriateness... ...prioritize and make sound nursing judgments... ...with healthcare providers and internal... ...office setting or remotely, periodically...Remote workWork at officeWork from home
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