Remote Utilization Management Specialist MT RN/SW
Logan Health
Logan Health is seeking a Utilization Management Specialist to join our team in a fully remote role focused on inpatient admissions reviews, physician documentation assessment, and authorizations across the Logan Health system. The position emphasizes collaboration with case management, physicians, and insurers to ensure appropriate patient status and medical necessity.
Ideal candidates bring acute care hospital experience, familiarity with Medicare/Medicaid UM regulations, and strong
#J-18808-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Specialist MT RN/SW in United States vacancy
- ...Logan Health Medical Center is seeking a Utilization Management Specialist to review admissions across the... ...appropriate status. This role suits an RN or Social Worker with acute care experience... ...insurers. The position is fully remote for Montana residents and offers a...Remote work
Logan Health Medical Center
United States2 days ago - ...Logan Health is seeking a Utilization Management Specialist to review admissions across our system and determine appropriate status. The role demands... ...partners, and clear communication. This full-time, remote-enabled position requires Montana residence, with four 10...Remote workFull timeShift workWeekend work
Logan Health
Helena, MT1 day ago - ...CVS Health is hiring a Registered Nurse (RN) for Utilization Management to assess and coordinate care, ensuring appropriate utilization and outcomes... ...critical care, and flexibility for a 24/7 operation. This remote, full-time position offers a comprehensive benefits...Remote workFull time
African American Talent
United States2 days ago - ...CVS Health is hiring an experienced Registered Nurse (RN) for Utilization Management to ensure appropriate care at the right time through evidence-based review and coordination. This role supports 24/7 operations and may require evenings, weekends, and holidays from a...Remote workWork from homeWeekend workAfternoon shift
Native American Talent
Arizona1 day ago - ...Logan Health in Montana is seeking a Utilization Management Specialist to join a mission-driven team. The role focuses on reviewing admissions, ensuring... ...multidisciplinary team in a fast-paced hospital setting. Remote work is available for Montana residents only. #J-18808-...Remote work
Logan Health
Montana1 day ago - ...talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region. Organization Utilization Management Job Summary Facilitates optimal reimbursement through accurate certification and complete chart documentation ensuring that...Remote workTemporary workWork experience placementLive outFlexible hours
Vanderbilt University Medical Center
United States3 days ago - ...is seeking an experienced Registered Nurse to join our Utilization Management team in a remote capacity. The role focuses on ensuring members receive appropriate... ...of care. The ideal candidate will have an unrestricted RN license, 2+ years in adult acute or critical care, and...Remote job
- CVS Health is seeking a Registered Nurse (RN) for Utilization Management to ensure appropriate care delivery and coordinate patient care with clinical teams. The role emphasizes evidence-based review, care coordination, and collaboration with providers to optimize outcomes...Remote jobFull timeFlexible hoursAfternoon shift
- Ascension is seeking a Registered Nurse for Utilization Management in a remote-capable role. This position focuses on reviewing admissions and service... ...planning across the organization. The role requires Texas RN licensure and a nursing diploma, with benefits including comprehensive...Remote job
- ...Jobgether, on behalf of a partner company, seeks an experienced Case Manager – Utilization Review Specialist to oversee admission and concurrent reviews remotely in the United States. You will evaluate medical records for medical necessity, coordinate appeals, and collaborate...Remote work
Jobgether
United States2 days ago - ...a partner company seeking a Clinical Denials Management Specialist based in the United States. The role is fully remote and focuses on reviewing, appealing, and preventing... ...a healthcare system, working with nursing, utilization management, revenue integrity, and patient...Remote work
Jobgether
United States2 days ago - ...Sedgwick is seeking a Telecommuter RN for Utilization Review in the United States. The role requires an active RN license, an associate degree... ...review. Certification is a plus. The position offers remote work with a comprehensive benefits package and competitive pay...Remote work
Sedgwick Claims Management Services
United States4 days ago - ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure... ...strong team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization review...Remote workWork at office
HealthHelp
United States4 days ago $69.39k - $88.61k
...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and... ...s degree in a related field, an active RN/Social Work/Clinical Counselor license,...Remote workFull timeCincinnati Children's
United States4 days ago- ...Health in Dallas seeks a Denials Management Specialist to lead denial resolution... ...requires collaboration with Utilization Management and other teams, with a hybrid schedule (remote with onsite 2x/month) in a pediatric... .... The ideal candidate has RN licensure, at least 3 years...Remote work
Nahsedfw
Dallas, TX4 days ago $65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning... ...and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team... ...Collaborate with Branch Directors, Clinical Managers, and field clinicians Support...Remote workMonday to FridayWeekend workWeekday workConcierge Home Care
United States2 days ago- ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial...Remote work
Cincinnati Children's Hospital
United States5 days ago - ...Mesa, AZ, in partnership with Select Medical, seeks a Case Manager (RN/SW) for Per Diem 8 hours/day onsite coverage. Compensation is $... ...cost-effective care across the continuum, ensuring payments meet utilization criteria and safety. CCM preferred. #J-18808-Ljbffr...Hourly payDaily paid
Select Medical
Arizona City, AZ2 days ago - ...Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and discharge planning in collaboration...Remote workPart timeRelief
Trinity Health
Mishawaka, IN2 days ago - ...Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation, and determinations for medical services and benefit administration. You will interpret criteria and policies and work with...Remote workWork at office
Humana
New York, NY4 days ago - ...Alliance Health is seeking an UM Clinical Specialist RN-Physical Health (Remote, NC Based) to assess medical necessity and oversee reviews across... ...with 3–5 years of nursing experience and prior Utilization Management exposure. Strong communication and documentation skills...Remote workWork at office
Alliance Health in
Morrisville, NC1 day ago $80k - $150k
...Asset Management SpecialistOrbital Engineering, Inc. is currently seeking an Asset Management Specialist with experience in CASCADE and ELECTRIC UTILITIES for a REMOTE WORK role for our Utility Services team to support the implementation of DNV Cascade 4 utility asset...Remote workTemporary workWork at officeWork from homeOrbital Engineering
Hammond, IN4 days ago- CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically... ..., 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an Associate degree (BSN...Remote jobWork from homeMonday to FridayWeekend work
$35 - $37 per hour
...poster from The Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate: $36-37/hr... .... No NPs, whether practicing or not. Utilization Review experience is helpful but not... ...: Monday – Friday, 8:00 AM – 4:30 PM MT, with rotating weekends (approximately...Remote workPermanent employmentFull timeTemporary workMonday to FridayThe Judge Group, LLC
New York, NY3 days ago$90.9k - $129.9k
...for this role, rather you will provide utilization review and quality assurance. Your role... ...outcomes into the Medicaid Management Information System (MMIS) for processing... ...you should expect in this role ~100% Remote home office. ~ Full-time position....Remote workFull timeWork experience placementHome officeFlexible hoursGainwell Technologies LLC
Columbus, OH1 day ago$53.19k - $82.43k
...Best Hospitals. What You Will Do in This Role: The Utilization Management Specialist provides advanced operational and workflow support to Utilization... ...information is current and complete. *Approved Remote States: Arizona, California, Colorado, Florida, Georgia,...Remote workFull time$39 - $40 per hour
...Lead Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the following states: IL, TX, NM, OK, MT, TN Schedule: Monday–Friday, 8:00 AM–5:00 PM EST...Remote workDaily paidContract workMonday to FridayShift workWeekend workThe Judge Group
Chicago, IL3 days ago- ...Cedars-Sinai is seeking a highly organized Utilization Management Specialist to provide advanced operational and workflow support for UR Nurses, ensuring timely, accurate, and compliant utilization review processes. You will manage authorization lifecycles, coordinate...Remote work
Cedars-Sinai
Georgia1 day ago - ...Trillium Health Resources is seeking an Utilization Management Specialist III - MH/SU to perform comprehensive clinical review of service requests... ...Carolina licensure; travel within the NC catchment is expected. Remote work options are available for many roles. #J-18808-...Remote work
Trillium Health Resources
United States2 days ago - ...Cedars-Sinai seeks a detail-oriented Utilization Management Specialist to support UR Nurses and manage the authorization lifecycle using EPIC/CS-Link. You will ensure timely, accurate documentation and compliance with CMS and payer requirements, collaborating with Case...Remote work
Cedars-Sinai
Arizona1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Specialist MT RN/SW. Be the first to apply!
Related searches
- graduation specialist United States
- specialist teaching assistant United States
- cybersecurity specialist United States
- irb specialist United States
- deduction specialist United States
- entry level safety specialist United States
- disclosure specialist United States
- junior specialist United States
- partner success specialist United States
- gaming specialist United States