Remote Utilization Management Nurse
$71.1k - $97.8kHumana Inc
- Remote job
A leading health 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. Candidates should possess a Compact RN license and at least one year of clinical experience. This position allows for remote work with occasional travel to company offices. Competitive salary range is $71,100 - $97,800 per year, plus an eligibility for a bonus incentive plan. #J-18808-Ljbffr Humana Inc
$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... ..., and facilitating care communication. This is a remote position with a pay range of $71,100 to $97,800 per year...Remote job$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required...Remote workContract workImmediate startMonday to Friday- 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
- 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
$74.16 - $107.75 per hour
...Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday... ...or enter keys to toggle section visibility The Utilization Management (UM) Nurse supports appropriate level-of-care determination, patient...Remote workHourly payWork at officeMonday to Friday- ...Primary Responsibilities The Utilization Management Nurse will determine the medical appropriateness of inpatient and outpatient services by... ...health need. Location Requirements This position is remote but requires the employee to live within our service area,...Remote workWork at officeWeekend work
$71.1k - $97.8k
A leading health services organization is seeking a Utilization Management Registered Nurse in Austin, Texas. This remote position involves using clinical nursing skills to evaluate medical services, ensuring members receive appropriate care. The ideal candidate will have...Remote job$69.8k - $96.2k
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...Remote job$34.98 - $42.85 per hour
...Remote in California only Are you ready to make a lasting impact... ...Job Summary The UM Nurse I - RN performs clinical review... ...policies. This role conducts utilization review activities under... ...one (1) year in utilization management or case management preferred....Remote workHourly payWork at office- ...analytics, Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to build... ...care through precise and timely Utilization Review. In this role, you will apply... ...growth aligned with Illinois nursing regulations and contemporary clinical...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
$60k
...a LPN/LVN experienced in the managed care payor environment to perform... ...pre-service and post-service utilization reviews and appeals for... ...KNOWLEDGE/SKILLS/ABILITIES The UM Nurse’s responsibilities include... ...development opportunities Remote Opportunities We are actively...Remote workTemporary workLocal area$69.8k - $96.2k
Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization...Remote jobBi-weekly payFull timeTemporary workApprenticeshipWork from homeHome office$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that... ...Work Environment: Corporate office preferred / remote may be considered Collaborative environment requiring frequent...Remote workHourly payWork at office$71.1k - $97.8k
Job Summary The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication... ...or Interqual. Experience working in a fully remote, metrics‑focused role. Experience as an MDS Coordinator...Remote workBi-weekly payTemporary work- ...Job Description Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients on appropriate...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote jobWork from homeFlexible hours
- Registered Nurse - Utilization Review (Nursing) Aurora, CO — 6 Months Location: Colorado Military Health System - Buckley AFB and Peterson AFB. Labor Category: Registered Nurse - Utilization Management Current POP ends 11/30/25. TO POP ends 11/30/27. This assignment...Remote workContract workWork from homeMonday to FridayNight shift
$71.1k - $97.8k
A leading healthcare organization is seeking a Utilization Management Registered Nurse to support the coordination and determination of medical services... ...a year of clinical nursing experience. The position is remote with a salary range of $71,100 - $97,800 per year and...Remote job- Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with...Remote job
- Humana is seeking a Utilization Management Behavioral Health Registered Nurse (RN) Intern to join their National Medicaid team. This role involves conducting medical... ...an active RN license. This position supports remote work, providing work-life balance while contributing...Remote jobInternship
$71.1k - $97.8k
A health services organization is seeking a Utilization Management Registered Nurse in Maryland. This remote position requires a Compact RN license and over a year of clinical experience. Responsibilities include coordinating medical services, making determinations based...Remote job$71.1k - $97.8k
A leading health insurance company is seeking a Utilization Management Registered Nurse to utilize clinical nursing skills for coordinating medical services and benefit determinations. This remote position requires clinical experience and a Compact RN license. Responsibilities...Remote job- A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include evaluating healthcare...Remote jobContract work
$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... ...will utilize critical clinical nursing skills within a remote work environment, making care determinations and...Remote job- A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote jobFlexible hoursWeekend workDay shift
- Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is targeted at transitioning military service members or military spouses. Interns will conduct...Remote jobInternship
$45k - $70k
A healthcare management firm is seeking a Utilization Management Nurse Reviewer to ensure efficient use of medical services. The role involves reviewing medical records, assessing treatment necessity, and collaborating with healthcare providers. Candidates should possess...Remote job- A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...Remote jobFlexible hours
$71.1k - $97.8k
A leading health organization is seeking a Utilization Management Registered Nurse to support coordination and documentation of medical services. The... ...criteria and facilitating member care. The role offers a remote work option, a competitive salary range of $71,100 to $...Remote job
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