Inpatient Utilization RN - Remote (PST/MST)
$29 - $52 per hourColorado Psychiatric
- Remote job
UnitedHealth Group's Optum unit is seeking a Utilization Review Nurse, RN to perform inpatient utilization management with evidence-based guidelines and medical necessity criteria. The role emphasizes timely review, documentation, and collaboration with physician leadership to coordinate patient care. The position offers remote work options for those in Pacific or Mountain Time, with weekend and holiday hours required, and a compensation range of hourly $29.00–$52.00 based on experience and #J-18808-Ljbffr Colorado Psychiatric
$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization that delivers care, aided... ...efficient and effective Inpatient utilization management. Reviews... .... If you are located in PST or MST, you will have the flexibility to work remotely* as you take on some tough...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift workWeekend work- Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical necessity criteria. The role involves day-to-day clinical reviews, documentation, and collaboration with Medical Leadership across...Remote job
$60.2k - $107.4k
...Inpatient Care Management Nurse Optum is a global organization that... ...for ensuring proper utilization of our health services. This... ...enjoy the flexibility to work remotely from the Pacific, Mountain, or... ...Qualifications: ~ Current, unrestricted RN license in state of Residence...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- Optum, part of UnitedHealth Group, is seeking a Utilization Review Nurse, RN, to perform inpatient utilization management. The role requires... ...and adherence to medical necessity criteria. Remote work is available for PST/MST while weekend shifts are required in some time...Remote jobShift workWeekend work
$29 - $52 per hour
...Utilization Management Nurse For those who want to invent the future... ...***Although this position is remote, applicants must be located... ...require unrestricted compact RN licensure Function is responsible... ...nursing facility, acute inpatient rehabilitation and long-term...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area$66.58k - $142.58k
...family and one community at a time. This RN Case Manager position is 100% remote and candidates are required to live in PST or MST. Preference is for an RN with Compact RN licensure... ...health issues and social indicators. Utilizes case management processes in compliance...Remote workHourly payFull timeTemporary workLive inWork at officeLocal areaWork from homeMonday to FridayFlexible hours- 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
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and coordinate... ...plans of care. This role supports remote work within the Pacific, Mountain... .... The ideal candidate holds an RN license and has 3+ years of clinical...Remote jobWork at office
- Optum is seeking an experienced Utilization Review Nurse (RN) to perform inpatient utilization management and medical necessity determinations. You will review admissions and preauthorization requests, applying MCG/InterQual guidelines and contract terms to ensure cost...Remote jobContract workWeekend work
- CVS Health is seeking a Utilization Management Nurse Consultant (RN) for a remote role. You will perform concurrent reviews for acute inpatient admissions and support timely transitions of care. Required RN license, 5+ years acute care, 2+ years UM/Case Management experience...Remote job
- Optum is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and preauthorization requests. The role requires documentation of clinical... ...criteria, and coordinating with Medical Directors. Remote options are available for eligible candidates. The...Remote job
- Optum is seeking an experienced Utilization Review Nurse (RN) to support inpatient care management in a remote-capable role. You will review admissions and preauthorizations using evidence-based criteria and collaborate with Medical Directors. The position requires an...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...Remote jobFull time
- Optum is seeking an Utilization Review Nurse, RN, to support inpatient utilization management. The role reviews admissions and preauthorization... ...focus on patient outcomes. The position allows remote work for those in PST/MST, with a Monday-Friday 8am-5pm schedule and...Remote jobMonday to FridayWeekend work
- UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient... ...Directors for complex cases. The position may offer remote work options and requires working a Monday-Friday schedule...Remote jobMonday to FridayWeekend 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
$41.2 - $62.17 per hour
...Job Description: The RN Hospital Care Manager I delivers comprehensive... ...departments, including both Inpatient and Outpatient areas. Shift... ...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$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange... .../retrospective review of elective inpatient admissions, outpatient procedures,... ...Monday - Friday from 8:00 am to 5:00 pm PST. There may be up to 1 hour of...Remote jobHourly payMonday to Friday- ...This Opportunity: As a Utilization Management Nurse, you... ...of care for all inpatients through early discharge... ...Active, Unrestricted RN License in your state... ...Work: This is a fully remote position, and we’ll provide... ...CST : 8:30am to 5pm MST : 7:30am to 4pm PST : 6:30am to 3pm Why...Remote workFull timeImmediate startMonday to FridayFlexible hours
- ...Obici Hospital is hiring an Inpatient Case Manager, Inpatient... ...management. Promotes effective utilization and monitoring of health services... .... Education RN-Associate's Degree OR RN-Bachelor... ...that are available as remote work, Sentara Health employs...Remote workTemporary workShift work
- ...Medical Center is now hiring an Inpatient Case Manager . This is... ...management. Promotes effective utilization and monitoring of health... ...Integrated Care Management, RN, Registered Nurse, ACM, CCM,... ...positions that are available as remote work, Sentara Health employs...Remote workTemporary workLocal areaImmediate startShift work
- UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services and identify solutions for members to live healthier... ...clinicians, and supporting discharge planning within a remote-capable framework. You will work with a team to...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services. You will assess member needs, interpret requirements... ...members live healthier lives. The role offers remote work flexibility across Pacific, Mountain, or...Remote job
- UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure appropriate utilization of health services. Assess and interpret member needs, identifying solutions... ...supports clinical and business collaboration and remote work within US time zones. You will review...Remote job
- ...Physicians, patient/family, nursing, utilization review and other members of... ...Licensed to practice as an RN in Georgia. Educational... ...financial responsibility of inpatient or post-hospitalization services... ...weekend rotation, and remote coverage. Physical Demands...Remote workAll shiftsShift workDay shift
- ...Sentara RMH Medical Center is hiring an Inpatient Case Manager, RN!****Inpatient Case Manager Registered... ...case management. Promotes effective utilization and monitoring of health services,... ...*For positions that are available as remote work,** **Sentara Health employs associates...Remote workFull timeTemporary workImmediate startMonday to FridayShift workDay shift
- Job Description - Case Manager, RN- Inpatient (26000368) Job Description Description The... ...community-based providers to decrease ED over-utilization. Creates, implements, and updates... ...General Circle Tampa 33601 Eligible for Remote Work : On Site Job Case Management...Remote workFull time
- ...Inpatient Case Manager, RN Sentara Williamsburg Regional Medical Center is hiring an Inpatient Case... ...case management. Promotes effective utilization and monitoring of health services, collaborates... ...For positions that are available as remote work, Sentara Health employs...Remote workTemporary workPart timeShift work
$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some... ...on clinical guidelines. Maintain RN license and meet continuing education... ...-offer background check. 3+ years of inpatient clinical experience. 1+ year in prior...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...Inpatient Case Manager/ Registered Nurse (RN) Sentara Norfolk General Hospital is hiring an Inpatient Case Manager... ...management. Promotes effective utilization and monitoring of health services,... ...positions that are available as remote work, Sentara Health employs...Remote workPermanent employmentFull timeTemporary workRelocation packageMonday to FridayShift workWeekend workDay shift
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