Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Management Nurse Consultant

Remote Services Inc.

Remote is seeking a Utilization Management Nurse Consultant to work fully from home. This role involves assessing healthcare services, coordinating care, and ensuring effective benefit utilization for members. Candidates must possess at least three years of nursing experience and hold an active RN license. This full-time position operates on a Tuesday to Saturday schedule, clocking 40 hours weekly, and offers a competitive pay range. #J-18808-Ljbffr

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant in New York, NY vacancy
  • $29.1 - $62.32 per hour

     ...CVS Health is seeking an experienced Registered Nurse for a remote position focusing on Utilization Management. The role offers a flexible work schedule requiring weekend availability and entails assessing, planning, and coordinating healthcare services for members. The... 
    Remote work
    Hourly pay
    Flexible hours
    Weekend work

    Hispanic Alliance for Career Enhancement

    New York, NY
    2 days ago
  • $32.01 - $68.55 per hour

     ..., each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days... 
    Remote work
    Hourly pay
    Full time
    Local area
    10 hours per week
    Flexible hours

    The Muse

    Albany, NY
    3 days ago
  • $29.1 - $62.32 per hour

     ...time. Position Summary Fully remote role. Tuesday-Saturday. Hours...  ...or 10:00 a.m.-6:30 p.m. ET. Utilizes clinical skills to coordinate...  ...aspects of the utilization/benefit management program for Medicare...  ...and unrestricted Registered Nurse licensure in the state of residence... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Local area

    CVS Health

    Harrisburg, PA
    1 day ago
  • $26.01 - $56.14 per hour

     ...time. Position Summary Utilizes clinical experience and skills...  ...and benefit utilization. Consults and lends expertise to other...  ...administration of the utilization/benefit management function. Typical office...  ...experience as a Registered Nurse. Must have active current and... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Monday to Friday

    Oak St. Health

    United States
    4 days ago
  • $29.1 - $62.32 per hour

     ...UM Nurse Consultant We're building a world of health around every individual — shaping...  ...family and one community at a time. Utilization Management is a 24/7 operation and work schedule...  ...holidays, and evening hours. Fully Remote- WFH Schedule: Monday-Friday 8a-5p... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Work from home
    Monday to Friday
    Afternoon shift

    Oak St. Health

    United States
    4 days ago
  • $26.01 - $56.14 per hour

     ...Utilization Management Team Member We're building a world of health around every individual — shaping...  ...one community at a time. Location: Remote (CST/MST preferred) Schedule:...  ...environment ~ Associates Degree in Nursing Preferred Med-Surg or specialty... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Monday to Friday
    Afternoon shift

    Oak St. Health

    United States
    6 hours ago
  • $29.1 - $62.32 per hour

     ...health care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule: Monday-Friday 8a-5p EST/9a-6p CST with 1 hour... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Work from home
    Monday to Friday
    Afternoon shift

    CVS Health

    Texas
    4 days ago
  • $26.01 - $74.78 per hour

     ...person, one family and one community at a time. Position Summary CVS Health Aetna has an opportunity for a full-time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area

    CVS Health

    Texas
    11 hours ago
  • 4004 Aetna Medicaid Administrators is seeking a Utilization Management Nurse Consultant for a crucial role in a 24/7 operation based in Florida. This position works from home and requires applicants to reside in Florida. The ideal candidate will have clinical experience... 
    Remote job
    Work from home

    4004 Aetna Medicaid Administrators

    Florida, NY
    18 hours ago
  •  ...3 years of clinical experience required. Must have experience with Medcompass. Must have prior authorization utilization experience. Managed Care/Medicare experience preferred. MUST HAVE MEDCOMPASS or ASSURECARE exp. MUST HAVE MANAGED CARE exp and Medicare... 
    Remote work

    US Tech Solutions

    United States
    1 day ago
  •  ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in... 
    Work at office
    Weekend work

    Careers Integrated Resources Inc

    Downers Grove, IL
    5 days ago
  • $29.1 - $62.32 per hour

    Position Summary Utilization Management Nurse Consultant - A 24/7 operation based in Florida. This role works from home and requires the applicant to reside in Florida. Responsibilities Coordinate, document and communicate all aspects of the utilization/benefit management... 
    Hourly pay
    Local area
    Work from home

    4004 Aetna Medicaid Administrators

    Florida, NY
    18 hours ago
  • $29.1 - $62.32 per hour

     ...determined in collaboration with management to ensure adequate weekend coverage. Position Summary Utilize your clinical experience and...  ...and benefit utilization. Consult and lend expertise to other internal...  ...Qualifications Registered Nurse Education: Diploma RN acceptable... 
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Shift work
    Weekend work

    Hispanic Alliance for Career Enhancement

    New York, NY
    3 days ago
  • $29.1 - $62.32 per hour

     ...clinical expertise beyond the bedside and help drive better healthcare outcomes. We’re looking for a skilled RN to join our Utilization Management team, ensuring members receive appropriate, high-quality care across the continuum. What You’ll Do Review clinical... 
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Shift work
    Afternoon shift

    CVS Health

    Pennsylvania
    1 day ago
  • $71.1k - $97.8k

     ...A healthcare services organization seeks a Utilization Management Registered Nurse in Jackson, MS. This remote role involves utilizing nursing skills for coordinating medical services, ensuring members receive appropriate care levels. Required qualifications include a... 
    Remote work

    Humana

    Jackson, MS
    2 days ago
  •  ...A major healthcare organization is seeking a Utilization Management Registered Nurse to join their team in Richmond, Virginia. This remote role requires an RN license and a minimum of one year of clinical experience in an acute care setting. Responsibilities include coordinating... 
    Remote work

    Humana

    Richmond, VA
    3 days ago
  • $71.1k - $97.8k

     ...A healthcare organization is seeking a Utilization Management Registered Nurse in Jefferson City, MO. In this remote role, you will utilize clinical nursing skills to support the coordination of medical services and facilitate care determinations. Candidates must hold... 
    Remote work

    Humana

    Jefferson City, MO
    3 days ago
  • $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 work

    Humana

    Oklahoma City, OK
    2 days ago
  • $71.1k - $97.8k

     ...A major healthcare provider is seeking a Utilization Management Registered Nurse based in Maryland. The role involves coordinating medical services,...  ...clinical information, and facilitating care while working remotely. Candidates must possess a Compact RN license and have... 
    Remote work

    Humana

    Maryland
    3 days ago
  •  ...A leading healthcare company is seeking a Utilization Management Registered Nurse to leverage clinical nursing skills in supporting medical service coordination...  ...over a year of clinical experience. Position offers remote work and occasional travel. The role includes utilizing... 
    Remote work

    Humana

    Montpelier, VT
    3 days ago
  • $71.1k - $97.8k

     ...A healthcare organization is seeking a Utilization Management Registered Nurse in Baton Rouge. In this remote position, you will use clinical skills to support medical service coordination and determinations, and communicate with providers and members. Candidates must... 
    Remote work

    Humana

    Baton Rouge, LA
    3 days ago
  • $71.1k - $97.8k

     ...A healthcare organization is looking for a Utilization Management Registered Nurse to coordinate medical services and benefit administration. This role...  ...ensure members receive appropriate care while working remotely. The position offers a competitive salary between $71,1... 
    Remote work

    Humana

    Little Rock, AR
    3 days ago
  •  ...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 work

    Humana

    Indianapolis, IN
    2 days ago
  • $71.1k - $97.8k

     ...A leading healthcare company is seeking a Utilization Management Registered Nurse in Montana. Key responsibilities include managing post-acute care services, coordinating medical documentation, and making care determinations using clinical skills. Candidates must possess... 
    Remote work

    Humana

    Helena, MT
    3 days ago
  • $59.5k - $116.6k

     ...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate... 
    Remote work
    Weekend work

    kozmetickesluzby.vecnakraska.sk - Jobboard

    Phoenix, AZ
    1 day ago
  •  ...A leading health organization is looking for a Utilization Management Registered Nurse in Boise, Idaho. The role involves using clinical nursing skills...  ...settings. This position offers flexibility in working remotely, with the possibility of occasional travel for training... 
    Remote work

    Humana

    Boise, ID
    3 days ago
  • $71.1k - $97.8k

     ...A healthcare organization is seeking a Utilization Management Registered Nurse in Columbia, SC to utilize clinical nursing skills in the coordination and documentation of medical services. You will make determinations based on medical criteria and communicate with healthcare... 
    Remote work

    Humana

    Columbia, SC
    2 days ago
  • $71.1k - $97.8k

     ...A leading health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills in coordinating and documenting medical services for members. This remote role emphasizes compassionate care, requiring at least one year of RN experience... 
    Remote work

    Humana

    Topeka, KS
    2 days ago
  • $71.1k - $97.8k

     ...A healthcare company is seeking a Utilization Management Registered Nurse to utilize clinical nursing skills for coordination and communication of medical service determinations. This remote role requires an RN license and at least one year of clinical experience, focusing... 
    Remote work

    Humana

    Santa Fe, NM
    2 days ago
  •  ...System, Inc. is seeking a Behavioral Health Utilization Manager to perform concurrent and discharge...  ...candidate will hold a Bachelor's in nursing, a current Texas RN license, and have experience...  ...utilization review. The position is remote, requiring strong critical thinking... 
    Remote work
    Work at office

    Harris Health System

    Houston, TX
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Management Nurse Consultant. Be the first to apply!