Remote Per Diem RN: Utilization Management Expert
Santa Barbara Cottage Hospital
Santa Barbara Cottage Hospital is seeking a Per Diem RN for Utilization Management Review. This role offers the flexibility of remote work and requires a valid MA Registered Nurse State License. The successful candidate will participate in ensuring quality patient care through thorough utilization reviews. Responsibilities include reviewing care management plans to ensure compliance with regulations and providing necessary documentation. As part of a dedicated healthcare team, you will play a vital role in supporting the hospital's mission to advance patient care and community service. #J-18808-Ljbffr
$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- A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Daily paidRemote workHourly payDay shift
$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of... ...62.00 3 months ago IQVIA - Per Diem - RN Clinical Nurse... ...community knowledge in a new way. Experts add insights directly into...Daily paidRemote workContract workMonday to FridayShift workWeekend work$65k - $85k
...Santa Barbara Cottage Hospital is seeking a Utilization Review Specialist (RN) for a remote position, specifically for candidates based in Florida. The ideal candidate will possess a valid Florida RN License and certifications in OASIS and coding. The role involves thorough...Remote work- ...integrity through compliance management. Here, you'll champion... ...Registered Nurse (RN) license Strong clinical... ...Experience in utilization review, case management... ...vulnerable populations Remote work - enjoy the convenience... ...37.5 hours per week; •Possess a current...Remote workFull timeTemporary workWork at office
- ...integrity through compliance management. Here, you'll champion... ...Registered Nurse (RN) license Strong clinical... ...Experience in utilization review, case management... ...vulnerable populations Remote work - enjoy the convenience... ...37.5 hours per week; •Possess a current...Remote workFull timeTemporary workWork at officeWork from home
- ...integrity through compliance management. Here, you'll champion the needs... ...Registered Nurse (RN) license Strong clinical background... ...records Experience in utilization review, case management, quality... ...for vulnerable populations Remote work enjoy the convenience...Remote jobWork from home
$40.5 - $64.8 per hour
...future of medicine. Description **This is a remote casual position supporting Utilization Review at Catherine Gratz Griffin Lake Forest Hospital... ...this role is 6a to 6p or 6p to 6a. ** The Case Manager, RN (PT)reflects the mission, vision, and values of NM, adheres...Daily paidRemote workHourly payWork experience placementCasual workLocal areaRelocation packageFlexible hoursRotating shiftWeekend workWeekday work- Blue Cross Blue Shield of Arizona needs a clinical expert for managing member and provider appeals. This remote position requires strong accuracy, knowledge of compliance timelines, and a focus on customer service. Applicants should possess a healthcare-related degree...Remote job
- ...Hospice Registered Nurse (RN) Case Manager HealthFlex is seeking a compassionate... ...: Full Time, Part Time or Per Diem Responsibilities:... ...professional nursing care by utilizing all elements of nursing... ...Flexible Schedule Work Remote and Independently Successful...Daily paidRemote workFull timePart timeWork at officeFlexible hours
- ...experienced Hospice Registered Nurse (RN) Case Manager who strives to make a real... ...: Full Time, Part Time or Per Diem Responsibilities:... ...professional nursing care by utilizing all elements of nursing process... ...Flexible Schedule Work Remote and Independently...Daily paidRemote workFull timePart timeWork at officeRelocation packageFlexible hours
$57.28 - $88.92 per hour
...Description Utilization Review RN - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent... ...-developed knowledge and skills in Utilization Management, medical necessity, and patient status...Daily paidRemote workMinimum wagePart timeLocal areaShift workDay shift- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote work
$51.43 - $79.84 per hour
Overview Description - This is a remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization...Daily paidRemote workLive inShift workDay shift- ...and monitoring the utilization of behavioral... ...closely with Case Management to address member... ...departmental time frames. Per department needs,... ...to the functions. Expert and resource for... ...degree and active NYS RN license required.... ...opportunity for remote work within all...Remote workFull timeContract workWork at office
- A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote workFlexible hoursWeekend workDay shift
- ...CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, full-time role open to CST zone candidates. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring appropriate care levels within...Remote workFull time
- ...SSM Health in the United States seeks a registered nurse for utilization management to evaluate medical necessity of hospital admissions and procedures... ...role supports day shift operations, requires two years of RN experience, and involves coordinating with payors, physicians...Remote workDay shift
$71.1k - $97.8k
...our caring community The Utilization Management Nurse, National Medicaid Clinical... ...regulatory requirements. The RN Review Nurse works closely... .... Travel: While this is a remote position, occasional travel to... ...pay for full time (40 hours per week) employment at the time...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayWeekend work$70k - $75k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build... ...Job Description The Utilization Management Registered Nurseis responsible... ...Staff to complete 20 hours of CE per 2-year license renewal cycle....Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members...Remote work
- ...field-based role with some flexibility for remote work based on business needs. You'll... ...~ Active, unrestricted RN license in the state of Massachusetts... ...clinical nursing experience ~ Experience in utilization management, medical record review, or long-term care...Remote workWeekend workWeekday work
- ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...Remote workFull timeShift work
$57.37 - $85.33 per hour
...Utilization Management RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future... ...patient well-being and organizational resources. As a remote employee, we will provide you with the equipment needed to...Remote workFull timeLocal areaShift workWeekend work- ...applicable patients as stated in system utilization management plan. Oversees Clinical Review... ...role is PRN and requires (6) 8-hour days per month with 1 day being on the weekend.... ...are required as well. This role will be remote but regular meetings/trainings will require...Remote workReliefShift workWeekend work3 days per week
$40 - $45 per hour
...client that is immediately hiring for a Utilization Management RN Position type: Full Time - Contract... ...Location: Philadelphia, PA (Remote) As a Utilization Management RN,... ...BENEFITS: Pay Range*: $40 - $45 per hour *Pay range offered to a successful...Remote workHourly payFull timeContract workTemporary workWork experience placementImmediate startWorldwideFlexible hours- ...Communities Together. This is a remote position in which we are... ...: ~ ~ Health plan utilization management ~ Medicare and Medicaid rules... ...Collaborates with SHS system experts to ensure focus, alignment,... ...Current unencumbered Oregon RN License required within 90 days...Remote work
$39.83 - $59.74 per hour
...Utilization Management RN Robbinsdale, MN Posting Date: Jul 10 2026 Requisition... ...Center in the state (~5,000 deliveries per year and over 60,000 babies delivered)... ...Weekend Call Requirement: None Remote or On-site: Hybrid Remote- Must live in...Remote workFull timeContract workPart timeFor contractorsFor subcontractorLive inWork at officeShift workWeekend work$35 - $50 per hour
...& Hospice is seeking RN's for our Home Care Division... ..., medication / pain management, wound care and IV... ...professional nursing practice utilizing the framework for... ...On the road Work Remotely ~ No $5000 Sign... ...Full-time, Part-time, Per diem Salary: $35.00 - $5...Daily paidRemote workHourly payFull timePart timeRelocation packageMonday to FridayFlexible hours- ...Behavioral Health Utilization Manager Behavioral Health Utilization Manager will perform concurrent and discharge reviews on assigned patients... ..., MS Excel, Outlook, and telephone systems Work Schedule: Remote Other Requirements: Able to work independently under general...Remote workContract workWork experience placement
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Per Diem RN: Utilization Management Expert. Be the first to apply!
- registered nurse night shift New York, NY
- new grad rn residency New York, NY
- behavioral health registered nurse New York, NY
- school rn New York, NY
- float rn New York, NY
- surgery rn New York, NY
- hospice rn case manager New York, NY
- rn lactation New York, NY
- rn day New York, NY
- wound care rn registered nurse New York, NY


