Remote RN Utilization & Care Optimization Consultant
CVS Health
- Remote job
CVS Health is looking for a driven Registered Nurse (RN) as a Utilization Management (UM) Nurse Consultant to provide care management and review clinical records for appropriateness of services. This remote position offers significant clinical impact, involving collaboration with care teams to ensure optimal patient outcomes. With a focus on improving care quality, you will apply your clinical judgment in a fast-paced environment. This full-time role provides a competitive salary, eligible for CVS Health bonuses and a comprehensive benefits package. #J-18808-Ljbffr CVS Health
$26.01 - $62.32 per hour
...Enhancement is seeking a full-time Utilization Management Nurse Consultant to support Medicare... ...for complex spine cases. This remote position requires an active RN license and a minimum of 3 years... ...responsibilities including evaluating care and coordinating services. Candidates...Remote workHourly payFull timeWork at office$105k - $157.6k
...bold ideas and genuine care. We look for curious... ...who bring sun-drenched optimism and drive. Whether you... ...North America Solution Consulting team, you will have... ...join our Manufacturing, Utilities & Transportation , industry... ...: in-person time and remote. Our approach enables...Remote workWork at officeWork from homeHome officeFlexible hours- ...Who We Are At Entyre Care, our mission is to support caregivers... ...an active Registered Nurse (RN) License in the state of... ...position offering autonomy while utilizing your nursing assessment, care... ...are energized by building and optimizing finance operations at speed-and...Remote workFull time
- ...Truman Medical Centers is seeking a Utilization Management RN for a part-time position working from home. The role involves partnering with interdisciplinary teams to optimize patient care and resources, ensuring compliance with regulatory standards. Applicants should...Remote workPart timeWork from home
$38.91 - $60.31 per hour
...and does not offer a hybrid or remote option Minimum... ...licensure as a Registered Nurse (RN). IBCLC or Certified Lactation... ...International Board Certified Lactation Consultant (IBCLC) required within 2... ...practice in direct patient care utilizing the nursing process Values...Remote workTemporary workReliefLocal areaFlexible hoursShift work$49.34 - $76.59 per hour
...A leading healthcare organization is seeking a Utilization Review RN for a fully remote role in Oregon. Candidates must hold an Oregon Registered... ...position manages medical management programs to optimize patient care. Competitive salary range for Portland is $49.34 -...Remote work$26.01 - $56.14 per hour
...Career Enhancement seeks a qualified candidate for a full-time remote position in Behavioral Health specializing in ABA. This role... ...applying evidence-based treatment and assessment while coordinating optimal care for members. Qualified applicants with sufficient clinical...Remote workHourly payFull time- ...effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources... ...& Location DAYS: Tuesday thru Saturday schedule. Remote, but you must live locally in AZ. #J-18808-Ljbffr...Remote workWork at office
- ...Job Description RN Lactation Consultant Job Code: RN1269 Part-time... ...& Culpeper, we believe in caring for the whole person by getting... ...diagnosis and therapeutic plan utilizing principles of prevention.... ...between campus buildings, remote facilities, and out of town...Remote workPart time
- ...seeking an experienced Utilization Review Nurse to join our... ...(Hybrid: In Office/Remote) Schedule: Monday to Friday... ...to facilitate optimal patient outcomes. Review... ...in case management and care coordination meetings. Qualifications Active RN license in the state of...Remote workWork at officeMonday to FridayFlexible hours
$39 - $40 per hour
...Registered Nurse (RN)Type: 6-Month Contract W2Location: Remote - but MUST reside... ...We are seeking a Utilization Management RN to join... ..., coordinating care, and ensuring members... ...care options for optimal outcomesConduct utilization... ...Consulting and ServicesReferrals...Remote workDaily paidContract workMonday to FridayShift workWeekend work- ...: Job Summary The Director of Utilization Management (UM) is responsible for leading... ...in ensuring correct status assignment, optimizing reimbursement, minimizing denials,... ...Work closely with case management, managed care, and patient financial services to streamline...Remote workShift workDay shift
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to... ...and cost-effective patient care. Working collaboratively... ...providers and payers to support optimal patient outcomes and... ...for facility based staff; optional for remote staff.Remote workWork at office
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance... ...member contact and will include 80% travel. Remote role. Will require a driver’s license.... ...system, and need for services for care plan development. Monitor delivery of...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...Registered Nurse (RN) – Case Manager & Utilization Review Nurse Wichita, United States... ...healthcare services, and effective care coordination. The nurse... ...;however, this isnota remote position. Applicant must be... ...coordinating resources to support optimal member outcomes Facilitate...Remote workMonday to FridayFlexible hours
$120k - $165k
...clinical quality and patient care optimization, and revenue strategy—... ...outcomes while most effectively utilizing their clinical resources and... ...quality indicators. The Managing Consultant in the CPI service line at... ..., client facilities, and remote/home offices. The position requires...Remote workContract workInterim roleWork at officeLocal areaHome office$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance... ...member contact and will include 80% travel. Remote role. Will require a driver’s license.... ...system, and need for services for care plan development. Monitor delivery of...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to... ...and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess over a year... ...nursing experience. The position is remote with a salary range of $71,100 -...Remote work- ...Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home.... ...cases, educating patients on appropriate care and managing health care costs for the dependents...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- ...Services) is hiring a Peer-to-Peer Utilization Review Nurse who will manage... ..., ensuring accurate level-of-care determinations, and supporting... ...discussions. A BSN and RN license are required, along with... ...experience. The position offers a remote work model with a 32-hour work...Remote work
- ...Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven... .... This role offers hybrid or fully remote arrangements, with major... ...transforming healthcare from sickness care to wellness guidance. #J-18808-Ljbffr...Remote work
- ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
- ...healthcare organization is searching for Clinical Utilization Review Nurses (RN) based in Alabama. This full-time, remote position involves assessing the medical... ...guidelines, and ensuring compliance with quality care. The organization values work-life balance and provides...Remote workFull time
$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to... ...documentation of medical services. This remote position requires a valid RN license and clinical experience. Responsibilities... ...and ensuring appropriate care delivery. The role offers a pay...Remote work$71.1k - $97.8k
...A leading health care organization is seeking a Utilization Management Registered Nurse to help coordinate medical... ...critical clinical nursing skills within a remote work environment, making care... ...stakeholders. This role requires an RN license and over one year of clinical...Remote work- ...The Peer-to-Peer (P2P) Utilization Review Nurse is an integral member of... ...focuses on concurrent level-of-care denials and supports physician... ...(CONI) processes through RN-to-RN collaboration with payers... ...Schedule and Work Model ~ Remote / Work from Home. ~32 hours...Remote workWork from home
- ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...Remote work
$71.1k - $97.8k
...organization in the United States seeks a Utilization Management Registered Nurse to... ...and benefit determinations. This remote position requires a Compact RN license and over one year of clinical... ...experience in a hospital or acute care setting. The role involves using...Remote work$71.1k - $97.8k
...the United States is seeking a Utilization Management Registered Nurse to... ...and ensure appropriate care levels for members. This role... ...Candidates should possess a Compact RN license and at least one year... ...experience. The position offers a remote work option and includes a...Remote work- ...Memorial Hospital, Inc. is seeking a full-time RN UR Specialist in Albany, GA. Responsibilities... ...notifications and certifications for Utilization Review, ensuring compliance with regulations while supporting patient care. Candidates should possess an Associate Degree...Remote workFull time
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