Remote Utilization Management RN—Path to Case Management
$75k - $100kWPS—A health solutions company
- Remote job
WPS—A health solutions company is seeking a Registered Nurse for Utilization Management to evaluate medical necessity and appropriateness of services. The role may cross-train into Case Management and grow into a combined UM/CM position with potential future advancement. Remote work is available for qualified states, including FL. The position starts 01/10/2027 with a base pay range of $75,000 to $100,000, varying by experience and knowledge. #J-18808-Ljbffr WPS—A health solutions company
$75k - $100k
WPS Health Solutions is seeking a Utilization Management RN to evaluate medical necessity and approve... ...cross-training potential into Case Management with future growth into CM and a broader UM/CM path. The position offers remote work in approved states, with a start...Remote job- ...solutions company, is seeking an Utilization Management RN to assess medical necessity,... ...medical directors. The role offers remote work in multiple states and a potential path toward combined UM/CM... ...colleagues, and cross-training in Case Management to support quality,...Remote job
- ...health solutions company, is hiring an Utilization Management RN to evaluate medical necessity and... ...decision-making and may cross-train for Case Management, with potential growth into... ...combined UM/CM role. The position supports remote work in approved states across the U.S...Remote job
$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize... ...Plan. The role may cross-train in Case Management with potential growth into... ...CM in the future. The position offers remote work options across approved states and...Remote job$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize services in coordination with medical directors... .... This role emphasizes evidence-based decision-making, case reviews, and referral when criteria aren’t met. There is...Remote job$75k - $100k
...Health Solutions in Madison, WI seeks an Utilization Management RN to evaluate medical necessity and... ...medical directors and may cross-train into Case Management, with potential to grow... ...combined UM/CM position. The position offers remote/hybrid options across approved states...Remote job$75k - $100k
WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate efficiency, appropriateness... ...Plan. This role may cross-train in Case Management with potential growth into a... ...UM/CM position. The position offers remote work options in multiple states,...Remote job- ...health solutions company, is seeking an Utilization Management RN to evaluate medical necessity and... ..., and opportunities to cross-train in Case Management with potential for a blended... ...UM/CM position. This position offers remote work options within approved states including...Remote job
$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical services for appropriateness... ...authorizing services, referring cases to medical directors, and potential... ...combined UM/CM position. The position is remote with approved states including GA;...Remote job- WPS Health Solutions seeks an experienced Utilization Management Registered Nurse (UM RN) to evaluate efficiency, appropriateness, and medical necessity for... ...our Health Plan. The role includes cross-training in Case Management with potential growth into a combined UM/CM...Remote job
$75k - $100k
WPS, a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and authorize services for our Health Plan. You will refer questionable cases to medical directors to prevent unnecessary procedures and extended hospital stays. Cross-training...Remote job$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate efficiency and medical necessity for... .... The role includes cross-training in Case Management with potential growth into CM. Start date 01/10/2027. Remote work is available in multiple states, including...Remote job$75k - $100k
...a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and authorize... .... The role involves cross-training in Case Management with potential growth into... ...the future. Start Date: 01/10/2027. Remote work options available in a defined...Remote job- WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize services for our Health... ...Directors, and potential cross-training in Case Management. The position offers remote/hybrid options across multiple states with growth...Remote job
- WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate medical necessity for services... ...with Medical Directors. The role offers remote work within approved states and potential growth into Case Management. Experience in managed care and strong...Remote job
- ...Cambia seeks an Utilization Management Nurse to work remotely from OR, WA, ID or UT with preference to current employees and residents of Idaho and Utah.... .... The role requires nursing licensure, 3+ years in case or utilization management, and collaboration with interdisciplinary...Remote work
- ...Cambia Health is seeking an Utilization Management Nurse who can conduct prospective, concurrent, and retrospective reviews to ensure medical... ...physicians as needed. In this role, you will collaborate with case management and other departments, support transitions of...Remote work
- ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00 PM... ...physicians, nurse practitioners, social workers, case managers, therapists, and facility leadership...Remote workFull timeMonday to Friday
$68.81k - $120.72k
...and regulatory requirements and manages concurrent and pre-bill... ...authorizations for in-house patients, utilizing daily commercial authorization... ...]Utilization Management or Case Management [Preferred]Licenses... ...CertificationsRegistered Nurse (RN) [Required]Accredited Case...Remote workLocal areaShift workWeekend work$39 - $40 per hour
...Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the... ...Perform delegated tasks within the Nurse Case Management job family Collaborate with...Remote workDaily paidContract workMonday to FridayShift workWeekend work$34 - $35 per hour
...Utilization Management - Clinical Nurse - Work from Home! Utilization... ...Create case summaries for requests... ...reviews Qualifications RN license in an eNLC (Enhanced... ...email us at ****@*****.***-path.com. This information... ...- Prior Authorization Remote Registered Nurse (Remote...Remote workFull timeWork at officeWork from homeNight shift- ...resources to meet their care conditions. Reports to the Health Plan Manager of Utilization Management. This position will be an integral member of the... ...healthcare outcomes may be enhanced by coaching and/or case management interventions. 7. Understands the data that is...Remote workCasual workWork at officeShift work
$75k - $100k
WPS—A health solutions company is seeking an experienced Utilization Management RN to evaluate the necessity and appropriateness of medical services... ...and collaborating with medical directors. The role offers remote work with quotas and potential growth into CM. Start date...Remote job- ...Solutions, Inc. is seeking a Utilization Management Nurse to perform prospect, concurrent... ...retrospective reviews from a remote setting across Oregon,... ...or a related field, active RN licensure, and approximately 3 years of experience in case/ utilization management with...Remote job
- HonorHealth is seeking an experienced Utilization Review RN Specialist for a remote-capable role serving the greater Phoenix area. The position focuses... ...Responsibilities include chart reviews, collaboration with care management and physicians, and identifying documentation gaps to...Remote job
- WPS is seeking an Utilization Management RN to evaluate medical necessity for services and authorize appropriate... ...criteria and may refer questionable cases to medical directors to prevent... ...documentation of case summaries, and remote work options in approved states. #J-1...Remote job
$65k - $68k
...Utilization Management RN (M-F FROM YOUR HOME OFFICE) HealthCare Strategies Description Do you want to work from the comfort of your own... ...expenses may be positively affected through application of Large Case Management. SPECIFICS: * Perform telephonic Clinical...Remote workFull timeWork at officeHome officeMonday to Friday$75k - $100k
...Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity... ...for referring questionable cases to medical directors to prevent unnecessary... ...experience. Work Location We are open to remote work in the following approved states:...Remote workFor contractorsWork at officeLocal areaImmediate start- Pyramid Consulting is seeking an Utilization Management RN for a 12+ month contract opportunity with a remote location in the United States. The role focuses on prior authorization... ..., clinical document review, and timely case management. Strong nursing credentials and IRN...Remote jobContract workImmediate start
- Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to work from home supporting Oregon, Washington, Idaho or Utah. You will... ...or a related field and have 3+ years of experience in case or utilization management, with active #J-18808-Ljbffr Cambia...Remote job
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