Remote Behavioral Health RN: Care Coordination & Utilization
Humana
Humana is seeking a remote Utilization Management Behavioral Health Professional 2 in Indiana. The role requires an active RN license in Indiana, an ASN (BSN preferred), and 1+ year of clinical and managed care experience.
You will coordinate with providers and members to ensure optimal care, interpret policies, and follow established guidelines while enjoying a remote work setup with travel as needed. The position offers a 40-hour work week, a pay range of $65,000–$88,600 with bonus eligibility
#J-18808-Ljbffr- HealthEdge in the United States seeks a Telephonic Utilization Management RN for Behavioral Health to coordinate care and perform medical necessity reviews across... ...year in Behavioral Health/utilization management; remote work across time zones as #J-18808-Ljbffr WellframeRemote job
- ...CVS Health is seeking a Registered Nurse for Utilization Management to assess and coordinate care for members. You will review clinical information... ...resources. Requires an active RN license, ADN (BSN preferred... ...adult acute/critical care. Remote work within the U.S. #J-188...Remote work
- HealthEdge is seeking a Telephonic Utilization Management RN to coordinate, document, and communicate all aspects of the utilization/benefit management... ...clinical needs, review authorization requests, and ensure care plans align with medical necessity across inpatient and...Remote job
- ...Yoh, a Day & Zimmermann company, is seeking an Utilization Management Nurse Coordinator (RN) for a remote contract opportunity based in Fairfield/Redding, CA. Training is onsite for 3 weeks, then remote with regular weekday hours and one weekend per month. The role...Remote workContract workWeekend workWeekday work
- CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review clinical information... ...and collaborate with providers to coordinate care, ensuring members receive appropriate...Remote jobWork at officeWeekend work
- CVS Health is seeking an experienced RN to assess, plan, and coordinate healthcare services for members. You will apply clinical criteria to determine coverage... ...collaborate with providers to facilitate care and benefit utilization. Ideal candidates hold an Associate Degree...Remote jobWeekend workAfternoon shift
- AllMed is seeking a Clinical Quality Assurance Coordinator (RN) to lead quality utilization reviews and ensure medical necessity in accordance with evidence-based guidelines. The role is 100% remote, requiring a strong knowledge of HIPAA, URAC standards, and regulatory...Remote job
$65k - $88.6k
...Become a part of our caring communityThe Licensed Behavioral Health Utilization Management Professional... ...skills to support the coordination, documentation, and communication... ...Registered Nurse ( RN ) – Multi-State Compact... ...and resolve within a remote environment...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$47.37 per hour
Lancesoft is seeking a Care Review Clinician for a remote 3-month assignment. You will work with the Utilization Management team to review inpatient cases, authorize care, and ensure... ...regulations. The role requires an active RN/LPN/LVN license and 2-4 years of clinical...Remote jobHourly pay$65k - $85k
...UM RN - Behavioral Health Job Locations: US-Remote ID: 2026-8743 Category: Utilization Management Position Type: Full-Time Overview HealthEdge... ....com. Overview: Telephonic coordination and delivery of clinical... ...intensity of service and level of care, including appeal requests...Remote workPermanent employmentFull timeWork at officeLocal area- ...Behavioral Health Utilization Manager Behavioral Health Utilization Manager will... ...the appropriate level of care. Notifies Medical Director... ...times. Assists in the coordination of care of hospitalized members... ...systems Work Schedule: Remote Other Requirements: Able...Remote workContract workWork experience placement
$35.84 - $58.84 per hour
...State MN Remote NO Department... ...than any other care provider according... ...Care Coordination & Assessment... ...including mental health screening tools... ...the Integrated Behavioral Health Care Coordinator... ...& Education Utilize motivational... ...registered nurse (RN) is accountable...Remote workFull timeMonday to FridayFlexible hoursWeekend workDay shift$33.52 - $50.28 per hour
...The 7M Medical / Behavioral Unit is a... ...comprehensive care for adult patients... ...occurring behavioral health needs, and... ...treatment. The RN provides... ...patient care and coordinates care delivery for... ...outcomes and resource utilization. Serves as a... .../Schedules Remote Work Options...Remote workWork experience placementRelocationFlexible hours- ...CoordinatorAt Northbay Health, the Administrative Coordinator (AC) is a... ...requiring acute care admission, transfers... ...of practice utilizing True North Values... ...and current RN license issued by... ...the value-based behaviors expected of all... ...role requirements.Remote Work DisclosureNorthBay...Remote workTemporary workPart timeShift workAfternoon shift
- ...CVS Health is hiring a Behavioral Health Utilization Management Clinician for a fully remote role nationwide. The position supports utilization management decisions, crisis intervention, and care coordination across providers and teams. The role requires an active...Remote workShift work
- ...Back RN/Managed Care Coordinator - Remote Healthcare Columbia , South Carolina Contract Hybrid... ...and evaluates medical or behavioral eligibility regarding benefits... ...service requests or provides health management program interventions. Utilizes clinical proficiency, claims...Remote workContract workLive in
- ...of the largest health benefits companies... ...health care plans and related... ...dental, vision, behavioral health benefit... ...LTSS department. RN will be responsible... ...setting by utilizing the applicable... ...providers for care coordination. Works with... ...Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
$29 - $52 per hour
...Clinical Care ManagerAt UnitedHealthcare... ...re simplifying the health care experience, creating... ...Care Management / coordination activities will... ...member's medical, behavioral and socioeconomic... ...appropriate utilization of services and improved... ...closest to RN's zip code. These...Remote workHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to Friday- CVS Health is seeking a Registered Nurse to assess, plan, implement and coordinate healthcare services for members in a remote capacity. This role involves evaluating needs... ...providers to support care decisions. The ideal... ...experience, an active RN license in their state,...Remote workWeekend workAfternoon shift
$3,268 per week
...Travel RN - Case Management/Utilization Review - Case Management American... ...across the health system and virtually... ...onsite and 3 days remote per week Day shift... ...discharge planning, and care coordination Familiarity with... ...Experience in Behavioral Health, Emergency Department...Remote workWeekly payContract workLocal areaShift workDay shift3 days per week- UnitedHealth Group is seeking a dedicated RN Clinical Care Coordinator to manage a panel of members with complex medical and behavioral needs. You will coordinate medical,... ...to improve care quality and appropriate utilization. The role is field-based with a home office...Remote jobHome office
- ...Humana in Louisiana seeks Licensed Behavioral Health Utilization Management Professional 2 to coordinate, document, and communicate... ...work across multiple systems in a remote environment. Candidates must... ...3+ years of direct patient care and behavioral health experience...Remote work
- ...CVS Health Corporation is seeking a Behavioral Health Utilization Management Clinician for remote work with a Louisiana preference. The role focuses... ...applying guidelines, and coordinating care to ensure medically... ...license and an unrestricted RN license with psychiatric...Remote work
$36 per hour
...About the unit:The Behavioral Health Unit (BHU) at... ...engaged in the patient care. We provide group... ...for any RN with less than 12... ...implementation, coordination of care- teaching... ...evaluation, resource utilization, and environmental... ...are available as remote work, Sentara Health...Remote workHourly payFull timeTemporary workRelocation packageShift workNight shift- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a fully remote, nationwide role. You will review preauthorization requests, coordinate decisions with providers, and manage crisis calls with clinical judgment. The position offers 40 weekly...Remote workShift work
$45 per hour
...Job Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s managed care health plan client based out of Redding or Fairfield, CA. Anticipating to be temporary for at least...Remote workContract workTemporary workMonday to FridayWeekend work- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana preference. The position supports evidence-based care, care coordination, and discharge planning. You will review... ...psychiatric RN license, with 3+ years...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a fully remote, nationwide role. You will review preauthorizations, coordinate decisions with providers, and manage crisis situations... ...quality, cost-efficient care. A strong behavioral...Remote workShift work
$29.1 - $62.32 per hour
...building a world of health around every... ...passionate colleagues who care deeply, innovate... ...Summary Join our Utilization Management team as... ...from providers. Remote Work Expectations... ...3+ years of acute behavioral health and/or substance... ...in nursing (RN) required, BSN preferred...Remote jobHourly payFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...State of Colorado seeks a Clinical Care Coordinator for Civil and Forensic Mental Health Services. The role is remote with on-site meetings and travel mainly around Denver... ...in Colorado and at least 1 year of licensed behavioral health experience. Strong documentation and...Remote workWork from home
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