Remote Inpatient Utilization Nurse (RN)
4004 Aetna Medicaid Administrators
- Remote job
CVS Health is seeking an experienced radi-? nurse for a 100% remote Concurrent Review RN position. The role supports inpatient reviews, discharge planning, and care transitions across the continuum. Required is an active Louisiana RN license (or Compact), with 5+ years of inpatient nursing experience and strong clinical assessment. You must be willing to obtain additional state licensure and participate in weekend/holiday on-call rotations. #J-18808-Ljbffr 4004 Aetna Medicaid Administrators
- Centene Management Company LLC is seeking a qualified nurse reviewer to conduct concurrent inpatient and pediatric/adult case reviews to validate medical... .... Responsibilities include educating providers on utilization processes, sharing feedback with leadership for process...Remote job
- CVS Health Corporation is seeking a Concurrent Review Nurse (RN) for a 100% remote role. The position involves reviewing inpatient stays, collaborating with care teams, and ensuring appropriate care levels in a remote setting. Requires 5+ years inpatient nursing, strong...Remote job
- CVS Health is seeking a Concurrent Review Nurse (RN) for a 100% remote role. In this inpatient-focused position, you will review admissions and ongoing stays to ensure appropriate, high-quality, cost-effective care across the patient journey. You will collaborate with...Remote job
- ...Health Plan in the United States is seeking an Inpatient Utilization Management Clinician to evaluate inpatient... ...discharge planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and experience with InterQual guidelines...Remote jobFull time
- Cambia Health Solutions seeks an UM IP Clinical Specialist to review inpatient utilization requests, research information, and coordinate with clinicians to support efficient reviews. The role emphasizes accuracy, timeliness, and adherence to regulatory standards. Work-...Remote jobWork from home
$89.54k - $136.47k
...Beach General Hospital is hiring an Inpatient Case Manager/ Registered Nurse (RN) for the Emergency Dept (ED)!... ...management. Promotes effective utilization and monitoring of health services,... ...For positions that are available as remote work, Sentara Health employs associates...Remote workPermanent employmentFull timeTemporary workRelocation packageShift work$89.54k - $136.47k
...Sentara Leigh Hospital is hiring an Inpatient Case Manager/ Registered Nurse (RN) for Emergency Dept (ED)! This... ...management. Promotes effective utilization and monitoring of health services,... ...For positions that are available as remote work, Sentara Health employs...Remote workPermanent employmentFull timeTemporary workRelocationRelocation packageShift work$89.54k - $136.47k
...Norfolk General Hospital is hiring an Inpatient Case Manager/ Registered Nurse (RN)! This position is eligible for... ...management. Promotes effective utilization and monitoring of health services,... ...positions that are available as remote work, Sentara Health employs...Remote workPermanent employmentFull timeTemporary workRelocation packageMonday to FridayShift workWeekday work$7.5k
...currently hiring a Registered Nurse to join the Inpatient Rehabilitation Nursing... ...The Registered Nursing (RN) is responsible to perform... ...quality, evaluation, resource utilization, and environmental health)... ...positions that are available as remote work, Sentara Health...Remote workHourly payFull timeTemporary workCurrently hiringRelocation packageShift work$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities... ...treatment plans, Intensity and duration of inpatient or outpatient services, Quality of care concerns....Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$77.91k - $116.86k
...saving them. Together.Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you will... ...maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact) Immediately upon...Remote workFull timeImmediate startMonday to Friday- ...Job Posting Aug 11, 2026 Registered Nurse (RN) - Inpatient Adult Unit - ( 26161922 ) Natchaug Hospital doesn't just take great care of... ...as per diem schedules are available. The Registered Nurse utilizes psychiatric/chemical dependency nursing skills as a direct...Remote workDaily paidPart timeRelocation packageShift work
- TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective... ...services. Responsibilities include preauthorization, inpatient and continued stay reviews, and presenting complex cases...Remote job
- ...Hospital is hiring an Inpatient Case Manager, Inpatient... ...Case Manager, Registered Nurse. Hours: 8:00 - 4:30 PM.... .... Promotes effective utilization and monitoring of health... ...Experience Preferred. Education RN-Associate's Degree OR... ...that are available as remote work, Sentara Health...Remote workTemporary workShift work
- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital... ...and Medicaid Services "CMS" Inpatient List). They effectively and... ...employment or compact required RN license in state of employment or...Remote workFull time
- ...HolidaysWork-life balance.Remote settingRole Description:This individual will utilize clinical knowledge and... ...sets and acceptable nursing practice guidelines for... ...outpatient treatment or inpatient confinement. This individual... ...but is not limited to RN, LMSW, LMHC.Must have...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- ...PURPOSE AND SCOPE: The Inpatient Services Charge Nurse is an additional “responsibility” assigned to the Inpatient Services RN, for a limited period of time, and for specific additional... ...patient scheduling and staff utilization in accordance with the TAP scheduling...Full timeLocal area
$33 - $55 per hour
...call shifts. PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in... ...credentialed physician, patient hospital primary nurse and others as indicated. Delivers... ...trouble shooting when necessary; efficiently utilizes supplies to prevent waste....Hourly payFull timeWork experience placementLocal areaShift workNight shift$33 - $55 per hour
...PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company... ...credentialed physician, patient hospital primary nurse and others as indicated. Delivers... ...shooting when necessary; efficiently utilizes supplies to prevent waste....Hourly payFull timeWork experience placementLocal areaShift workNight shift- ...Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link... ...compliance. Unlike remote roles, this position relies... ...Nurse is a Registered Nurse (RN) responsible for performing... ...correct Patient Class (e.g., Inpatient vs. Outpatient with Observation...Remote workImmediate startShift work
- CorVel in the United States is seeking a Utilization Review Case Manager to gather demographic and clinical information... ..., and assign appropriate length of stay for inpatient and outpatient treatment. This remote role requires strong CPT/ICD coding knowledge, meticulous...Remote job
- Centene Management Company LLC is seeking a remote Nurse Reviewer to perform concurrent reviews, determine the member’s health status,... ...Affairs and discharge planning teams while educating providers on utilization processes. The ideal candidate holds a nursing degree with 5+...Remote job
$30 - $38 per hour
A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote jobHourly payPart time- Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical... ...Qualified candidates should have an active Maine RN license and at least 3 years of inpatient clinical experience. Additional benefits...Remote jobFlexible hours
$55 - $65 per hour
Gridnaut Recruiting is hiring a remote Pediatric Inpatient Nurses (RN) contractor (pay $55-$65/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: Remote contractor engagement supporting a leading AI lab.; Remote AI evaluation / expert contributor...Remote workHourly payTemporary workFor contractorsFlexible hours- ...Management Location: 100% Remote Schedule: M-F 9:00am... ...have an Illinois state RN license Assess and... ...Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization... ...IL State Registered Nursing (RN) license in good...Remote workContract work
- CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically necessary care across... ..., 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an...Remote jobWork from homeMonday to FridayWeekend work
$63.1k - $94.65k
...Our partner is looking for a Utilization Review RN based in the United States.... ...operations. In this part-time, remote role, you will apply your... ...opportunity for a registered nurse who combines strong clinical... ...Conduct clinical reviews of inpatient admissions, observation...Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift- Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside in the tri... ...an active PA license or a Nurse Licensure Compact to... ...determine medical necessity for inpatient admissions, continued...Remote workImmediate startDay shift
$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review... .... Work Location: This is a remote position, open to candidates... ...: Active, unrestricted RN licensure from the United States... ...conducting concurrent or inpatient reviews for a managed care plan...Remote workHourly payFull timeFor contractorsWork from homeRelocationHome officeWeekend work
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