Remote Utilization Management Nurse: Care Coordinator
$69.8k - $96.2kHumana
- Remote job
A leading health services company is looking for a Utilization Management Nurse 2 to utilize clinical skills, coordinate with providers and members, and ensure optimal treatment. Candidates should be licensed RNs with 3-5 years of clinical nursing experience, preferably in emergency or critical care settings. This position offers a competitive salary of $69,800–$96,200, along with various benefits to support overall well-being. #J-18808-Ljbffr Humana
$37.33 - $76.26 per hour
...salary growth. Can be remote!! The RN Care Coordinator is responsible for overseeing... ...basis to perform utilization reviews and other UM activities... ...'s degree preferred (Nursing Masters not required for... ...experience • 5 years case management experience in an acute care...Remote work- ...InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in... ...and claims knowledge. This is a REMOTE opportunity for candidates living in... ...criteria and contract benefits. * Utilize allocated resources to back up...Remote workContract workLocal areaShift work
$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 making benefit determinations based on clinical criteria and communicating with providers and members...Remote job- ...demands of hands-on care behind. Instead,... ...a dedicated team, coordinate whole-person medical... ...BHH Registered Nurse (Part-Time) (20-24... ...approach for clients managing severe mental... ...Client Care: Provide remote and in-person... ...Driven Coordination: Utilize our Electronic Health...Remote workFull timePart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift
- ...training then will be fully remote Description -... ...requests or provides health management program interventions. Utilizes clinical proficiency, claims... ...assess, plan, implement, coordinate, monitor, and evaluate medical... ...Subrogation, Quality of care Referrals, etc.)....Remote jobContract workLive in
$22 per hour
A-Line Staffing is now hiring Utility Services Care Coordinators (Energy Assistance Program) in Detroit, Michigan... ...Fisher Building in Detroit, then remote with 2 in‑office days per week... ...Ability to handle high-volume calls and manage multiple priorities. Strong...Remote workHourly payFull timeContract workWork at officeImmediate startMonday to Friday2 days per week- ...The Peer-to-Peer (P2P) Utilization Review Nurse is an integral member of the MGB Central Utilization Management team, specializing in identifying... ...focuses on concurrent level-of-care denials and supports... ...Schedule and Work Model ~ Remote / Work from Home. ~32 hours...Remote workWork from home
$52 per hour
...position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering,... .... JOB QUALIFICATIONS: *Registered Nurse (RN), with 3 years direct clinical care to the...Remote workPermanent employmentWork from home- ...Title: Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (Possible FT Conversion) This position will be remote but canidate... ...indicated. Efficiently collaborates with the hospital utilization review department, attending physicians and...Remote work
$74 per hour
...RN Care Coordinator- Full-Time Professionally develop and... ...considered). Location: Some remote work and some in-... ...Summary: The Case Management Consultant provides consultative... ...approaches to nurse care managers, and... ...conditions, and coordinate utilization of community...Remote workDaily paidFull timeTemporary workPart timeInterim roleWork at officeLocal areaShift 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 job$71.1k - $97.8k
A healthcare company is seeking a Utilization Management Registered Nurse to support coordination and communication of medical services. The role requires... ...benefit determinations, and facilitating care communication. This is a remote position with a pay range of $71,100 to $9...Remote job$40 per hour
...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work... ...Permanent Position Summary: A Managed Care Organization is seeking a Utilization Management...Remote workHourly payPermanent employmentTemporary workWork at office- ...RN, BH Transition of Care Coordinator Established in 198... ...seeking a Registered Nurse, Behavioral Health Transition... ..., reducing avoidable utilization (reducing total cost... ...a hybrid model with remote opportunities and... ...plans and symptom management strategies. Serve...Remote workContract workLocal areaFlexible hours
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications... ...months RN experience in direct patient care • 12 consecutive months in Utilization...Remote workContract workImmediate startMonday to Friday$54.1k - $155.54k
CVS Health is seeking a Remote Telephonic Case Manager to support patients with their care while working from home anywhere in the US. The role involves applying clinical judgment and utilizing motivational interviewing skills to manage cases for fully and/or self-insured...Remote jobWork from home$85.82k
...These roles involve patient care, including assessment, diagnosis, treatment, and follow... ...of healthcare teams. Requires Registered Nurse certification. These roles are... ...them understand their treatment plans, and coordinating care across multiple providers. Care navigators...Remote workTemporary workWork experience placementFlexible hours- 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 job
- Curana Health, Inc. is seeking a Utilization Management Nurse to join their remote team. In this role, you will review healthcare services' utilization to ensure cost-effective care while actively coordinating transitions and discharges for patients. You will engage closely...Remote job
$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse. This role requires clinical... ...information and facilitating member care coordination. Candidates must hold a Compact RN... ...bonuses based on performance, with a remote work option. #J-18808-Ljbffr...Remote job- A healthcare company is seeking a Utilization Management Registered Nurse in Denver, Colorado. This remote position involves using clinical nursing skills to manage post-acute care services, determine appropriate medical services, and communicate with healthcare providers...Remote job
$71.1k - $97.8k
...services company is looking for a Utilization Management Registered Nurse based in Ohio. The role involves using clinical skills to support the coordination and documentation of medical services... .... This position allows for remote work with occasional travel to company...Remote job$27.1 - $40.65 per hour
...Utilization Management Nurse, LVN/LPN (Work from Home) California, United States NeueHealth is a value-driven healthcare company grounded... ...that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers,...Remote workHourly payFull timeContract workWork at officeWork from home- ...healthcare provider in the United States is seeking a Utilization Management Nurse to work remotely. This role involves performing clinical utilization reviews... ...and at least 2 years of experience in a managed care setting. The position requires strong organizational and...Remote jobWork at office
$71.1k - $97.8k
...leading health services organization is seeking a Utilization Management Registered Nurse in Austin, Texas. This remote position involves using clinical nursing skills... ...services, ensuring members receive appropriate care. The ideal candidate will have an RN license and...Remote job$74.16 - $107.75 per hour
...Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule... ...keys to toggle section visibility The Utilization Management (UM) Nurse supports appropriate level-of-care determination, patient flow, and revenue cycle integrity...Remote workHourly payWork at officeMonday to Friday- ...Primary Responsibilities The Utilization Management Nurse will determine the medical appropriateness... ...with staff, physicians, care/service coordinators, and medical directors to coordinate... ...Requirements This position is remote but requires the employee to live...Remote workWork at officeWeekend work
- yourcommission is seeking a PRN Utilization Management Review Nurse in Bellaire, Texas to perform evaluations on medical services for necessity and efficiency. Responsibilities include handling appeals, conducting peer reviews, and ensuring quality outcomes through collaboration...Remote jobReliefFlexible hours
- Performs care coordination services for assigned recipients who are eligible for home health services... ...Care Services and/or Private Duty Nursing Services etc. based on contract... ...level reviewer. Provides first level utilization review for all inpatient and outpatient...Remote jobContract work
- ...Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses,... ...Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department... ...Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined...Temporary workFlexible hours
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