Remote RN Leader: Utilization Management Supervisor
Acentra Health, LLC
- Remote job
Acentra Health, LLC is seeking a Clinical Supervisor – RN – Full-time to oversee Utilization Management activities. This remote position requires strong clinical and leadership skills to manage UM processes, improve care management, and ensure compliance with standards. Candidates should have a Registered Nurse license, 5+ years of RN experience, and 5+ years in supervisory roles, ideally with Utilization Management experience. Benefits include comprehensive health plans and paid time off. #J-18808-Ljbffr Acentra Health, LLC
- A healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role requires... ...referrals, and facilitate team meetings. A California RN license is required. This position offers a hybrid work...Remote job
- ...is seeking a Clinical Review Supervisor to provide operational supervision... ...of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant... ...in patient care and medical management. The role focuses on quality...Remote job
- Centene Management Company LLC is seeking a Clinical Supervisor to lead the Medical Management team. This fully remote position requires an active New York State Registered Nurse licensure... ...day-to-day activities of the utilization management team while ensuring compliance...Remote job
$85.7k - $128.54k
The Supervisor, Utilization Management (UM), reports to the Manager of UM and oversees the UM department, leading a clinical team and ensuring compliance... ...program. Licensure: Active, valid, and unrestricted RN or LVN license in California (non‑compact). Upon hire, must...Remote jobLocal area$72.8k - $130k
UnitedHealth Group is seeking a Registered Nurse for Utilization Review with remote work flexibility. Responsibilities include representing care coordination services during audits, analyzing UR functions, and collaborating with internal partners. Candidates must have...Remote job$75.3k - $135.4k
Fulton Montgomery Regional Chamber of Commerce in New York seeks a Clinical Manager to supervise the Prior Authorization and Clinical Review teams. The ideal candidate will possess New York RN licensure and have a Bachelor's degree in Nursing along with a minimum of 4...Remote jobFlexible hours- Village Center for Care, Inc. is seeking a Supervisor of Utilization Management in New York. The role involves overseeing concurrent reviews and discharge... ...facilities. Candidates must hold a valid New York State RN license, have 2 years of utilization review experience,...
$85.7k - $128.54k
E2E Alignment Healthcare USA, LLC is seeking a Supervisor for Utilization Management in California. The role includes overseeing the UM department, leading... ...accredited nursing background, and must hold an active RN or LVN license in California. Knowledge of Medicare...$54.1k - $155.54k
...is seeking a Clinical Team Lead to provide leadership and clinical support for a team responsible for Utilization Management Outpatient Appeals. This full-time remote position requires strong nursing experience, effective communication, and problem-solving skills. The...Remote jobFull time$67.68k - $105.77k
...Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized... ...in Nursing required ~ Active Indiana Registered Nurse (RN) license required ~5 years of Nursing/Patient Care...Remote workLocal area- ...Documentation Integrity Supervisor The Outpatient... ...will be accountable for managing a team of CDI specialists... ...This Position is 100% Remote; can work from anywhere... ...this position requires an RN licensure with three years... ...health records and utilize AI/NLP technologies...Remote jobWork at office
- ...Supervisor, Nursing & Patient Care Services Sentara Leigh... ...: Registered Nurse (RN) License - Compact/... ...responsibility to assist the manager for the daily... ...of members of the team. Utilizes effective communication... ...that are available as remote work, Sentara Health employs...Remote workFull timeTemporary workRelocationNight shift
- ...as hybrid, onsite or remote. While the majority of... ...Hybrid People Leaders: must reside in AZ, required... ...OF THE JOB The Utilization Review Supervisor coordinates the activities... ...a Registered Nurse (RN) Required... ...Experience 1 year of managed care/health plan...Remote workFull timeWork experience placement2 days per week1 day per week
- Santa Barbara Cottage Hospital is seeking a Supervisor for Utilization Management to oversee operations and support the Utilization Review Specialists. This remote role focuses on daily operations, team mentorship, and the development of innovative healthcare partnerships...Remote job
- Providence Health & Services is seeking a Supervisor of Utilization Management responsible for overseeing daily operations of Utilization Review Specialists... ...care services. This position offers the opportunity for remote work and comes with a comprehensive benefits package....Remote job
- ...Supervises prior authorization utilization review nurses ensuring they... ...accurate and timely utilization management decisions in collaboration... ...appeals, or equivalent relevant RN experience in a clinical... .... Whether you are working remote or in the office, employees have...Remote workFor subcontractorCasual workWork at office
$87.3k - $119.07k
About the Role Lead the managed long‑term support and services clinical... ...You'll Do The role is mostly remote; field visits support business... ...as a health professional (RN or LSW) and certification as a... ...Knowledge, Skills & Abilities Utilization Management, managed care, CCM...Remote workLocal area- A healthcare provider is seeking a Nurse Reviewer Supervisor in Cleveland, OH. The role involves overseeing prior authorization processes... .... A hybrid work model is available, combining onsite days with remote work, offering a dynamic environment and comprehensive benefits...Remote work
- ...NTT DATA North America is seeking a Utilities Industry Solutions SME to lead business transformation and consulting efforts across the utility sector. This remote role, preferred for candidates in Dallas, requires over 15 years of experience in the utility industry and...Remote work
$75.3k - $135.4k
...professional on our Medical Management/Health Services team. Centene... ...Schedule & Requirements Fully remote position operating on an Eastern... ...day‑to‑day activities of utilization management team. Monitors and... ...Certification Registered Nurse (RN) - State licensure and/or...Remote workFull timePart timeWork at officeMonday to FridayFlexible hours$106k - $161k
A leading utility services provider is seeking an experienced Utility Practice Leader for Technical Presales to drive transformation initiatives across the North American utility sector. You will advise clients, tailor solutions, and ensure delivery excellence in a client...Remote job- ...The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations for authorization...Remote workWork at officeLocal areaWork from homeHome officeMonday to Friday
- ...Health Plan of Washington is looking for a Manager of Clinical Utilization Management & Transitions of Care. This... ...The ideal candidate will have a valid RN license, a bachelor’s degree, and at... ...experience. The position includes remote working options, competitive salary, and...Remote job
$150k - $300k
Tetra Tech is seeking a Power and Utility Sales Leader for a remote/flexible position in the U.S. The role involves leading business development activities to win clients and projects in the power sector, focusing on solution selling and building relationships. Candidates...Remote jobFlexible hours$80 per unit
...receiving personal in-home care services. RN's who enjoy working independently with a... ...) (Required) Work Location: Fully Remote On the road Employer type: ~ Home... .... The best candidates for the RN Supervisor position must meet the following requirements...Remote workPart timeReliefWork at officeLocal areaImmediate startMonday to FridayFlexible hours- ...A leading consulting firm is seeking a Director, Smart Grid & Electric Utility Consulting, based in Greenbelt, MD. The role involves strategic leadership in Smart Grid consulting, client engagement, and business development targeting electric cooperatives and municipal...Remote work
- ...Job Description Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients on appropriate...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- ...The Peer-to-Peer (P2P) Utilization Review Nurse is an integral member... ...the MGB Central Utilization Management team, specializing in identifying... ...(CONI) processes through RN-to-RN collaboration with payers... ...Schedule and Work Model ~ Remote / Work from Home. ~32...Remote workWork from home
- 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 have...Remote jobPart timeWork from home
$73.4k - $110k
Role, Inc. is looking for a Supervisor for Mobile Inspections based in New York, NY. This position manages a team of Mobile Inspectors ensuring quality inspections and operational efficiency. Ideal candidates will have substantial experience in vehicle inspections or related...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Leader: Utilization Management Supervisor. Be the first to apply!


