Remote Utilization Management Nurse Consultant
IntelliResume
CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and collaborate with providers to support members with complex needs.
Qualifications include ADN required, BSN preferred, 2+ years acute hospital experience, UR/Managed Care experience, and an active RN license. The role involves coordinating care and applying clinical expertise to ensure safe, effective care and appropriate benefits
#J-18808-Ljbffr- ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to join our remote team. This 100% work-from-home role serves members across the CST zone, ensuring safe, appropriate care and timely approvals. You will review clinical documents, collaborate...Remote workWork from home
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive...Remote workHourly payFull timeTemporary workWork from homeAfternoon shift$26.01 - $56.14 per hour
...something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$32.01 - $68.55 per hour
...with heart, each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$32.01 - $68.55 per hour
...person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Join a dynamic healthcare team where your clinical... ...pm), weekends, and holidays (based on business needs). Remote/office-based environment with extensive computer and telephone...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$60.53k - $129.63k
...community at a time. Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST Position Summary The Utilization Management Nurse Consultant utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$26.01 - $56.14 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | Central Time Zone Preferred Are you an experienced Registered Nurse looking to expand your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work at officeWeekend work
- ...Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between the... ...and administrative compliance. Unlike remote roles, this position relies heavily... ...Collaboration o Physician Consultation: Meet in person with attending/admitting...Remote workImmediate startShift work
$60.52k - $129.62k
...alignment with relevant project plans. Manages and coordinates specific workplans for... ...publications, and/or facilitating research utilization to improve clinical care and outcomes.... ...technical writing skills ~ Registered Nurse (RN) required ~ Adept at problem...Remote workHourly payFull timeTemporary workWork experience placementMonday to Friday- ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice, and we are looking for a Senior Utility Management Services (UMS) Consultant to help lead that growth from the... ...This is a hybrid position (in office/remote). We offer a telecommute option to work...Remote workFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
$72.8k - $130k
...and projects. We have collaborative team scheduling and there is an occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring the accuracy of medical record coding...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area- ...Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care such as SNF, Home Health, and DME. You will report to the Manager of Utilization Management and collaborate with...Remote work
- ...Registered Nurse – Utilization Review (Remote) Position Overview: This is a fully remote Utilization Review RN role supporting multiple service... ...Qualifications: Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote work
- ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
- ...Collaborating with the Medical Director, the full-time Registered Nurse Utilization Review will manage care variance reduction, ensure timely discharges, and refer members to appropriate resources while working remotely. Key responsibilities Assist in building and implementing...Remote workFull time
- ...Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective... ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
- ...Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join... ...regulations (LCD/NCD policies). This is a fully remote opportunity requiring discipline, accuracy, and effective...Remote work
- ...Registered Nurse - Utilization Review The right role can make all the difference in your career... ...computer literate; experience working remote; degree accreditation verification or five... ...of experience. Responsibilities: Manage utilization review processes, ensuring...Remote workContract workRotating shift
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and Guidehealth policies. This role applies...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...skilled and experienced Registered Nurse with specialties in Medical/... ...skilled nursing care, case management, and hospice care to... ...Certifications: Experience in Utilization Review or case management... ...to work independently in remote settings. Must be able to...Remote workFlexible hours
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required...Remote workContract workImmediate startMonday to Friday- ...Senior Advisor – Utilities Business Development About Voyage Advisory Voyage Advisory is a boutique management consulting firm that helps organizations elevate service, drive performance... ...10–30 hours per month) Remote Occasional travel may be required...Remote workHourly payFull timePart timeFlexible hours
- ...The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The... ...organizations, or patient's home which may be in understaffed/remote areas, in the presence of pets or family members that are...Remote workFull timeWork at office
$1,851.96 per month
...Travel Offering Nursing Profession Registered... ...(RN) Specialty Utilization Review Job ID 3824... ...Description Utilization Management RN Schedule 8-hour days... ...have some experience with remote work. Responsibilities...Remote workWeekly payContract workLocal areaMonday to FridayShift workWeekend work- ...Forest City NC locations; Remote Option Projected Hiring... ...proactive intervention and care management consultation and support to promote high... ...The Care Management Nurse Consultant is responsible for... ...and inappropriate service utilization Assists in quality of care...Remote workWork at office
$60k
...LVN experienced in the managed care payor environment... ...and post-service utilization reviews and appeals for... ...SKILLS/ABILITIES The UM Nurse’s responsibilities include... ...cases to independent consultants or IROs, when... ...development opportunities Remote Opportunities We are actively...Remote workTemporary workLocal area- The Utilization Management Nurse supports the Case Management Department by performing a variety of utilization management functions to promote appropriate... ...rotating weekend coverage Hybrid Position - Primarily remote/work-from-home, with an expectation to be on-site at least...Remote workFull timeWork from homeShift work
$90k - $107k
...professionals, including doctors, nurses, business people, tech experts... ...package. The UMCM will utilize clinical knowledge to analyze,... ...outpatient review) experience in a managed care setting with commercial... ...after hire. This is a remote role with occasional onsite team...Remote workWork at officeFlexible hoursShift work- ...Job Title This is a remote position but will need onsite training... ...Collaborate with physicians, nursing staff, and interdisciplinary... ...ensure appropriate resource utilization and care planning Review... ...Prior utilization review, case management, or payer review experience...Remote workFull timePart timeWork at officeLocal areaShift workDay shift
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