Remote Utilization Management Nurse - Care Transitions
Curana Health
- Remote job
Curana Health is seeking a Utilization Management Nurse in Idaho to review and monitor healthcare services. This telephonic role emphasizes proactive discharge planning and utilization management to improve care quality and reduce costs. Candidates should have at least 2 years of clinical experience, a valid nursing license, and familiarity with health plan management. The position requires strong organizational skills and attention to detail, with one weekend day coverage per month. #J-18808-Ljbffr Curana Health
$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is... ...high-quality, coordinated care. By uniquely aligning the interests... ...facilitate seamless care transitions. Participate in... ...Corporate office preferred / remote may be considered Collaborative...Remote workHourly payWork at office- Summary The primary role of the Utilization Management Nurse is to review and monitor... ...' utilization of health care services with the goal of maintaining... ..., proactive discharge/transition planning, and high dollar... .... This is primarily a remote telephonic position with normal...Remote workContract workWork at officeWeekend work
- A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...determining service eligibility and facilitating care. This remote role requires an RN license and clinical experience....Remote jobWork from home
- ...Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to... ...are seeking a Clinical Care Manager who is passionate... ...precise and timely Utilization Review. In this role, you... ...aligned with Illinois nursing regulations and contemporary...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
- Community Health Plan of Washington is looking for a Manager of Clinical Utilization Management & Transitions of Care. This role leads a team overseeing utilization... ...management experience. The position includes remote working options, competitive salary, and comprehensive...Remote job
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and... ...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayShift work- ...Note: Candidates can be remote but must have an active... ...a licensed Registered Nurse that is expected to function... ...and is responsible for managing a clinically complex... .../ Outpatient Utilization Management (UM) team and... ...experience in a managed care setting. Preferred: Skill...Remote workContract workWork at officeWork from home
$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$45.75 - $62.9 per hour
...a fulltime prior authorization nurse role; experience with health plan... ...hybrid position with potential for remote work. JOB SUMMARY: Under... ...Supervisor, UM Clinical, the Utilization/Case Manager Nurse coordinates the delivery of care through assessment, planning, facilitation...Remote workFull time$74.16 - $107.75 per hour
...Utilization Review Nurse Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday-Friday 8am-4:30pm... ...is part of the Utilization Management Department at the Resnick Neuropsychiatric... ...of psychiatric nursing care experience required. ~...Remote workHourly payWork at officeMonday to Friday$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$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and... ...established guidelines/procedures. This role is a remote position, M-F 8am to 5pm EST with required weekend...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend work- ...Utilization Management RN - Pediatrics (Remote) | New York RN License Required | 110K+ •... ...health systems and managed care organizations. Position... ...discharge planning and transition of care coordination for... ...unrestricted Registered Nurse (RN) license in New York...Remote workFull timeContract workWork at office
$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$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... ...• Collaborate with staff, physicians, care/service coordinators, and medical directors... ...Requirements This position is remote but requires the employee to live...Remote workWork at officeWeekend work
$58.66k - $142.45k
...Peer-to-Peer Utilization Review Nurse Mass General Brigham relies on a wide... ...profit, we support patient care, research, teaching, and community... ...MGB Central Utilization Management team, specializing in... ...Details (if applicable): ~ Remote / Work from Home. ~32 hours...Remote workWork from homeShift work- ...Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team... ...on Quality Assurance (NCQA) Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for...Remote work
$71.1k - $97.8k
A healthcare company is seeking a Utilization Management Registered Nurse to support coordination and communication of medical services.... ...making benefit determinations, and facilitating care communication. This is a remote position with a pay range of $71,100 to $97,800...Remote job$34.98 - $42.85 per hour
...Remote in California only Are you ready to make... ...We? Clever Care was created to meet the... ...Summary The UM Nurse I - RN performs clinical... .... This role conducts utilization review activities under... ...) year in utilization management or case management...Remote workHourly payWork at office- ...that connects comprehensive care with a modern payment model... ...is seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports... ...Hours This position is fully remote Monday-Friday 8am - 5pm... ...continuity of care. Assist with transitions of care and post-discharge...Remote workLocal areaMonday to FridayShift work
$50.68 per hour
...Job Overview The Utilization Review RN participates... ...Department Name: Utilization Management Job Status: flex,... ...will be primarily remote but there may be... ...Assesses the continuity of care in conjunction with the... ...of Science in Nursing (BSN) * EXPERIENCE -...Remote workHourly payTemporary workLive inImmediate startRelocationFlexible hoursShift workWeekend workDay shiftAfternoon shift- 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
- The Case Management Society of America (CMSA) ® seeks a Utilization Management Review Nurse (UMRN) to evaluate the appropriateness of medical services. Key responsibilities include assessing care based on medical necessity, working with payers on denials, and promoting...Remote jobFlexible hours
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation... ...or Interqual. Experience working in a fully remote, metrics-focused role Experience as an MDS...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office$72.8k - $130k
...and drive alignment between care providers and payers, and ultimately... ...costs while improving risk management, quality and revenue growth.... ...occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse. This role requires clinical nursing... ...information and facilitating member care coordination. Candidates must hold a... ...based on performance, with a remote work option. #J-18808-Ljbffr Humana...Remote job$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- Humana is offering a remote internship for a Utilization Management Behavioral Health Registered Nurse (RN) Intern. This role supports the National Medicaid... ...focusing on clinical reviews and patient care. Candidates must be transitioning military service members or spouses,...Remote jobInternshipWork at officeWeekday work
$26.01 - $68.55 per hour
...Medicare Precertification Utilization Management Nurse Consultant (Remote) We're building a world of health around every individual — shaping a more connected... ...®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves...Remote workFull timeWork at officeLocal areaMonday to FridayAfternoon shift
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