Remote Utilization Management Nurse Lead
Santa Barbara Cottage Hospital
- Remote job
Join Santa Barbara Cottage Hospital as a Utilization Management Nurse Lead, where you will leverage your clinical expertise to coordinate care and compliance with CMS regulations. This position is vital for managing effective health service delivery and optimizing member outcomes. With a focus on supporting quality initiatives, you will work closely with teams to ensure adherence to accreditation standards in a remote role involving travel. A bachelor’s degree and RN license in Michigan are required. #J-18808-Ljbffr Santa Barbara Cottage Hospital
$85.7k - $128.54k
## Utilization Management Nurse, Lead (Inpatient | Remote | Must have California LVN / RN License)Applyremote type: Fully Remotelocations: Anywhere in the U.S.time type: Full timeposted on: Posted Yesterdayjob requisition id: R2053Alignment Health is breaking the mold...Remote jobImmediate startMonday to Friday- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
- ...Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great full...Remote workFull time
- A leading healthcare recruiting firm in New York seeks an experienced RN Supervisor for the Utilization Management department. Responsible for supervising daily operations, ensuring compliance... ...in utilization management, clinical nursing, and supervisory roles. The position...Suggested
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
- ...Central Florida Health Care, Inc. is seeking a HEDIS Utilization Review Nurse in Winter Haven, Florida. This position involves comprehensive review of medical records for HEDIS reporting and supports quality improvement initiatives. The ideal candidate will have an RN...
- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home. The role requires an MD or DO, board-certified in Internal or Family Medicine, to perform utilization reviews, including preauthorization and appeals. Ideal candidates will have prior...Remote workFull timeWork from home
$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Jefferson City, MO. In this remote role, you will utilize clinical nursing skills to support the coordination of medical services and facilitate care determinations. Candidates must hold...Remote work$71.1k - $97.8k
...A leading healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills for coordinating medical services. This remote position involves assessing care needs, communicating effectively with providers, and serving as part of a team ensuring...Remote work$71.1k - $97.8k
...A major healthcare provider is seeking a Utilization Management Registered Nurse based in Maryland. The role involves coordinating medical services,... ...clinical information, and facilitating care while working remotely. Candidates must possess a Compact RN license and have...Remote work$71.1k - $97.8k
...A national health services provider is looking for a Utilization Management Registered Nurse to coordinate medical services and benefit administration determinations. Positioned remotely, the successful candidate will leverage clinical nursing skills, communicate with...Remote work$71.1k - $97.8k
...A healthcare services organization seeks a Utilization Management Registered Nurse in Jackson, MS. This remote role involves utilizing nursing skills for coordinating medical services, ensuring members receive appropriate care levels. Required qualifications include a...Remote work- ...A major healthcare organization is seeking a Utilization Management Registered Nurse to join their team in Richmond, Virginia. This remote role requires an RN license and a minimum of one year of clinical experience in an acute care setting. Responsibilities include coordinating...Remote work
$71.1k - $97.8k
...A healthcare services company is seeking a Utilization Management Registered Nurse to work remotely from Alabama. The role involves supporting the coordination of care, communicating with healthcare providers, and making benefit determinations. Candidates must have a...Remote work- ...A healthcare organization is looking for a Utilization Management Registered Nurse to work remotely in Cheyenne, Wyoming. You will utilize your clinical nursing skills to coordinate medical services and ensure appropriate care levels. The ideal candidate will hold a Compact...Remote work
- 4004 Aetna Medicaid Administrators is seeking a Utilization Management Nurse Consultant for a crucial role in a 24/7 operation based in Florida. This position works from home and requires applicants to reside in Florida. The ideal candidate will have clinical experience...Remote jobWork from home
- E2E Alignment Healthcare USA, LLC seeks a Utilization Management Nurse Lead to oversee nurse assignments and ensure timely operations. The role includes supporting team processes and participating in quality audits. The ideal candidate has substantial experience in concurrent...
$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Baton Rouge. In this remote position, you will use clinical skills to support medical service coordination and determinations, and communicate with providers and members. Candidates must...Remote work- ...A leading healthcare company is seeking a Utilization Management Registered Nurse to leverage clinical nursing skills in supporting medical service coordination and benefit... ...year of clinical experience. Position offers remote work and occasional travel. The role includes...Remote work
$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is targeted at transitioning military service members or military spouses. Interns will conduct...Remote workInternship
- ...Humana is seeking a Utilization Management Administration Coordinator to provide non-clinical support in a fully remote position. In this role, you will work with the Home Solutions organization contributing to skilled nursing facilities. Responsibilities include managing...Remote workWork from home
- ...analytics, Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to build... ...care through precise and timely Utilization Review. In this role, you will apply... ...growth aligned with Illinois nursing regulations and contemporary clinical...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
$71.1k - $97.8k
...A leading healthcare company is seeking a Utilization Management Registered Nurse in Montana. Key responsibilities include managing post-acute care services, coordinating medical documentation, and making care determinations using clinical skills. Candidates must possess...Remote work- ...A health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills for coordinating medical services within a remote setting. The role involves interpreting medical documentation and collaborating with healthcare providers. Ideal...Remote work
$71.1k - $97.8k
...A leading health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills in coordinating and documenting medical services for members. This remote role emphasizes compassionate care, requiring at least one year of RN experience...Remote work$29.1 - $62.32 per hour
...CVS Health is seeking an experienced Registered Nurse for a remote position focusing on Utilization Management. The role offers a flexible work schedule requiring weekend availability and entails assessing, planning, and coordinating healthcare services for members. The...Remote workHourly payFlexible hoursWeekend work- ...Lead change, elevate outcomes, and love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning hospital in the Bay Area—where your strategic vision... ...decision support, virtual nursing, and remote monitoring; clear investment in clinician...Remote workWeekend work
- ...A leading health organization is looking for a Utilization Management Registered Nurse in Boise, Idaho. The role involves using clinical nursing skills to support medical services... ...This position offers flexibility in working remotely, with the possibility of occasional travel...Remote work
$71.1k - $97.8k
...A healthcare organization is looking for a Utilization Management Registered Nurse to coordinate medical services and benefit administration. This role... ...ensure members receive appropriate care while working remotely. The position offers a competitive salary between $71,1...Remote work
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