Remote Utilization Management RN - Care Coordination
$71.1k - $97.8kHumana
- Remote job
A leading health organization is seeking a Utilization Management Registered Nurse to support coordination and documentation of medical services. The ideal candidate holds a Compact RN license and has over one year of clinical experience. Responsibilities include interpreting medical necessity criteria and facilitating member care. The role offers a remote work option, a competitive salary range of $71,100 to $97,800 per year, and a comprehensive benefits package, including health insurance and retirement savings. #J-18808-Ljbffr Humana
$71.1k - $97.8k
...organization is seeking a Utilization Management Registered Nurse to support the coordination and determination of... ...and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess... ...experience. The position is remote with a salary range of...Remote job$71.1k - $97.8k
...organization is seeking a Utilization Management Registered Nurse. In this remote role, you will use your... ...skills to support the coordination of medical services. You... ...based on information from care providers, and ensuring... ...need to hold a Compact RN license and have over a...Remote job$71.1k - $97.8k
...in the United States seeks a Utilization Management Registered Nurse to coordinate medical services and benefit determinations. This remote position requires a Compact RN license and over one year of clinical... ...in a hospital or acute care setting. The role involves using...Remote job$71.1k - $97.8k
...company is seeking a Utilization Management Registered Nurse to utilize... ...nursing skills for coordinating medical services and... ...determinations. This remote position requires clinical... ...and a Compact RN license. Responsibilities include making care determinations, excellent...Remote job- A healthcare organization is seeking a Utilization Management Registered Nurse to utilize clinical nursing skills in coordinating medical services. This remote role requires a Compact RN license and over a year of clinical experience. Responsibilities include interpreting...Remote job
$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse based in New... ...service determinations and coordinate care. Applicants should possess a Compact RN license and over a year of clinical experience. This remote position offers a competitive salary...Remote job$71.1k - $97.8k
A healthcare organization is seeking a Utilization Management Registered Nurse to leverage clinical skills in managing coordination and communication of medical services. This remote role requires a Compact RN license, over a year of clinical experience, and a passion...Remote job$71.1k - $97.8k
A leading health care organization is seeking a Utilization Management Registered Nurse to help coordinate medical services and support benefit determinations... ...nursing skills within a remote work environment, making... .... This role requires an RN license and over one year of...Remote job$71.1k - $97.8k
...healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills in coordinating medical services. This remote position requires a Compact RN license and over a year of... ...members, and ensuring coordinated care. The role offers a salary...Remote job$71.1k - $97.8k
...organization is seeking a Utilization Management Registered Nurse to utilize nursing skills in coordinating medical services and... ...benefit determination. This remote position requires a Compact RN license and over a year... ...and facilitating care. The role offers a pay range...Remote job- ...healthcare company is seeking a Utilization Management Registered Nurse to join their remote team. The successful... ...nursing skills to coordinate and communicate medical... ...services, ensuring quality care for members. Candidates must hold a compact RN license and possess over...Remote job
$71.1k - $97.8k
A healthcare company based in Arizona seeks a Utilization Management Registered Nurse to interpret and support the coordination of medical services. Responsibilities include... ...members. Required qualifications include a valid RN license and over a year of clinical nursing...Remote job$35.5 - $53.25 per hour
...Behavioral Health Contract Management Group: Charlotte - Utilization Management Status:... ...an individualized plan of care. • Ensures essential information... ...to facilitate care coordination. • Refers pertinent... ...preferred. applicable state RN licensure required....Remote workDaily paidFull timeContract workTemporary workPart timeWork at officeFlexible hoursShift workDay shift$69.8k - $96.2k
...leading health services company is looking for a Utilization Management Nurse 2 to utilize clinical skills, coordinate with providers and members, and ensure optimal... ...experience, preferably in emergency or critical care settings. This position offers a competitive salary...Remote work- ...A healthcare organization is seeking a dedicated Utilization Management LVN to ensure timely access to care. This remote role involves coordinating authorization workflows, reviewing clinical documents for CPT verification, and supporting high-needs members. Required...Remote work
- ...Nurse for a clinical role focusing on utilization review and care coordination. The ideal candidate will have 5+... ...healthcare, a strong understanding of managed care processes, and be proficient in Microsoft 365. This role offers remote work and a comprehensive benefits...Remote work
- ...experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license and significant experience in healthcare. The...Remote workWork from home
- ...recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an... ...include evaluating healthcare services and coordinating care for members. Join a dynamic team and make a meaningful...Remote workContract work
- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including prior authorization and... ...and Washington. This role encompasses care coordination and discharge planning, along with various...Remote work
$45 - $45.5 per hour
...Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months... ...appropriate health care services in conjunction... ...treatment plan. Utilizes clinical skills to... ..., plan, implement, coordinate, monitor and evaluate... ...team members. RN and current unrestricted...Remote workContract workImmediate startMonday to FridayAfternoon shift- ...healthcare solutions provider is seeking a Utilization Management Nurse to perform clinical reviews,... ...compliance with national standards remotely. The ideal candidate will hold an active... ...two years of experience in a managed care environment. Responsibilities include...Remote workWork at office
- ...Utilization Management RN - Pediatrics (Remote) | New York RN License Required | 110K+ • Fully remote opportunity... ...health systems and managed care organizations. Position Summary... .... Through clinical review and coordination, this role supports appropriate levels...Remote workFull timeContract workWork at office
- ...healthcare analytics firm is seeking a Registered Nurse for a remote role focused on utilization review and clinical determinations. The position requires... ..., 5+ years of varied healthcare experience, and an active RN license in Illinois. Responsibilities include conducting...Remote work
$39 - $40 per hour
...The Judge GroupUtilization Management Registered Nurse (RN)Type: 6-Month Contract W2Location: Remote - but MUST reside in one of... ...hourSummary: We are seeking a Utilization Management RN to join our... ...healthcare services, coordinating care, and ensuring members receive...Remote workDaily paidContract workMonday to FridayShift workWeekend work- ...BlueCross BlueShield of South Carolina is seeking a Utilization Management Coordinator I to perform medical reviews and manage services within the LPN/LBSW scope. This is a remote position with scheduled on-site requirements. Candidates need a Bachelor's degree and LPN...Remote work
- ...Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (Possible FT Conversion) This position will be remote but candidate must reside... ...indicated. Efficiently collaborates with the hospital utilization review department, attending physicians and...Remote work
- ...experienced Registered Nurse (RN) – Utilization Management / Case Management (Medicare... ...across multiple Managed Care functions, including Utilization... ..., appeals, and member care coordination in a fast-paced,... ...6 weeks depending on role) Remote/hybrid flexibility available...Remote workContract workLocal area
- ...California is seeking a Supervisor of Utilization Management to oversee operations of the... .... You'll manage staffing, coordinate referrals, and facilitate team meetings. A California RN license is required. This... ...focuses on improving patient care and operational efficiency....Remote job
$34.98 - $42.85 per hour
...Remote in California only Are you ready... ...Clever Care was created to meet... ...The UM Nurse I - RN performs clinical... ...This role conducts utilization review activities... ...discharge planning coordination as assigned. • Ensure... ...year in utilization management or case management...Remote workHourly payWork at office- ...Job Summary The RN-Patient Flow Coordinator operates within Prisma... ...Central Bed Management and the Transfer Center... ...processes, nursing autonomy, remote triage and patient... ...with correct orders. Utilizes critical thinking... ...promote safe, timely care transitions. Possesses...Remote workReliefShift work
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