Remote Utilization Management RN: Shape Care Decisions
Registered Nurse
- Remote job
UnitedHealth Group is seeking a Utilization Management Nurse to ensure efficient and effective administration of health services. You will assess member needs, determine medical necessity of level of care, and guide care decisions in a remote setting. Baseline requirements include Compact RN license and 3+ years in managed care or clinical settings, with prior utilization management experience. Experience with MS Office and multiple EMR systems is preferred. #J-18808-Ljbffr Registered Nurse
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse... ...outpatient services, Quality of care concerns. Interfacing... ...inspires us to shape a better future for healthcare... .... Final base pay decisions are dependent upon a variety...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ..., a nonprofit health plan serving multiple states, seeks an Utilization Review RN to review and document member case history and determine clinical... ...license, Associate or Bachelor's degree, and 5+ years of experience; remote work within Medica states. #J-18808-Ljbffr MedicaRemote job
$29 - $52 per hour
...Utilization Management Nurse For those who want to invent... ...future of health care, here's your... ...that is seriously shaping the way health care... ...this position is remote, applicants must... ...unrestricted compact RN licensure... ...accountable for making decisions that directly...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area$29.1 - $62.32 per hour
...every individual — shaping a more connected, convenient... ...colleagues who care deeply, innovate... ...at a time. Utilization Management Nurse Consultant Clinical... ...Precertification RN (Commercial) Remote | Full-Time | Weekday... ...benefit management decisions Identify...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...seeking an experienced: UTILIZATION MANAGEMENT RN JOB SUMMARY: Day... ...services. Ability to work decision letters timely and... ...opportunities to lower levels of care Assist the Director of Utilization... ...instructions to remote users. Visit for...Remote workWork at office
$29.1 - $62.32 per hour
...Join Our Utilization Management Team We're building a world of... ...around every individual — shaping a more connected,... ...passionate colleagues who care deeply, innovate with... ...looking for a skilled RN to join our Utilization... ...to support coverage decisions Collaborate with providers...Remote workFull timeShift workAfternoon shift- ...Remote: Yes Area of Interest: Nursing FTE/Hours... ...: 0.4 Department: Utilization Management Shift: Weekends-days... ...We are seeking an RN Utilization Management... ...utilization of health care resources, provision of... ...team and to facilitate decision making. Requests secondary...Remote workDaily paidTemporary workShift workWeekend work
- ...Utilization Review And Management (Um) Component Program The utilization review and... ...the appropriate level of care, while supporting regulatory... ...data and make informed decisions regarding patient care and... ...This is an in-office, no remote work capability position...Remote workWork at office
$26.01 - $62.32 per hour
...Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) We're building a world... ...individual — shaping a more connected,... ...passionate colleagues who care deeply, innovate... ...at a time. Remote | Full-Time |... ...benefit management decisions Identify...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday work$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of... ...healthcare services, coordinating care, and ensuring members... ...team, work remotely, and help shape better healthcare outcomes...Remote workDaily paidContract workMonday to FridayShift workWeekend work$83k - $99k
...and Win Together, shape our culture, influence our decisions, and drive our results... ...hire people that care deeply about... ...Responsibilities The Utilization Management Nurse collaborates... ...experience Active LPN/RN clinical license... ...reimbursement Remote work and continuing...Remote workFull timeWork at officeFlexible hours$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions... ...Inpatient utilization management. Reviews inpatient... ...Director for a decision. The shift is Monday... ...to work remotely* as you take on some...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift workWeekend work$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions... ...occasional opportunity for remote work based on... ...clinical expertise to guide decisions and optimize patient... ...~ Registered Nurse (RN) with a current,...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$68 per hour
...Job Title: Utilization Management Specialist (RN) Location: Baltimore, MD Type: Contract... ...100,500/yr Work Model: Remote – offsite... ...authorization, appropriateness of care, and benefit coverage.... ...dollar services, to support decisions and recommendations to medical...Remote workContract workTemporary workLocal area- ...Utilization Manager Registered Nurse (UMRN) Spectrum Healthcare Resources has a need for a Utilization... ...Nurse (UMRN). These will be completely remote positions, working entirely from the... ..., educating patients on appropriate care and managing health care costs for the...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- ...and monitoring the utilization of behavioral... ...closely with Case Management to address member... ...benefits, and efficient care delivery processes... ..., additional decision making, and in some... ...degree and active NYS RN license required.... ...be opportunity for remote work within all...Remote workContract workWork at office
- CVS Health seeks a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making. This remote role requires an active RN license, NICU nursing experience, and familiarity...Remote jobWork from home
- ...Registered Nurse (RN) for Critical Incident Management Team Location Harrisburg... ...Industry Health Care Job Description... ...insights will help shape care decisions, improve service delivery... ...environment while utilizing technology to support remote and hybrid work functions...Remote workFull timeWork from home
$75.3k - $135.4k
...Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will supervise day-... ...experience in a related field, along with an active RN license in California. This position offers a salary...Remote work- CVS Health is seeking a Utilization Management Nurse Consultant (RN) for a remote role. You will perform concurrent reviews for acute inpatient admissions and support timely transitions of care. Required RN license, 5+ years acute care, 2+ years UM/Case Management experience...Remote job
$100k
...Type Contract Industry Health Care Work Experience 1-3 years Salary $100,000 Remote Job Job Description This is a remote position. The Utilization Management (UM) Nurse is responsible for... ...unrestricted Registered Nurse (RN) license in the applicable state...Remote workContract workWork experience placement- ...Utilization Management – Care Management Shift options: 8:00–16:30 PST or 9:00–17:30 PST. Every third weekend rotation required. Must commit to... ..., New Year's Day. Assignment Details This is a 100% remote position. Requirements ~3 years of acute medical Care...Remote workShift workWeekend work
$29.1 - $62.32 per hour
...around every individual — shaping a more connected,... ...passionate colleagues who care deeply, innovate with purpose... ...in collaboration with management to ensure adequate... ...Position Summary Utilize your clinical experience... ...Education: Diploma RN acceptable; Associate degree...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend work$71.1k - $97.8k
...Become a part of our caring community The Part... ...Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical... ...Registered Nurse (RN) with compact license... ...rotation. This is a remote position. This role... ...and smart healthcare decisions for you and your family...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend workWeekday work$58.66k - $142.45k
...Utilization Management Clinical Reviewer Mass General Brigham Health... ...and affordable care and coverage. Our work... ..., and render approval decisions, to determine the need... ...Massachusetts Registered Nurse (RN) license required... ...hire. This is a remote role with occasional onsite...Remote workWork at officeFlexible hours- UnitedHealth Group is seeking a remote Utilization Management Nurse located in the Pacific or Mountain Time Zones. The role focuses... ...rehabilitation settings, ensuring efficient, appropriate care decisions. Requires compact RN license, 3+ years in Managed Care or clinical...Remote job
- ...through compliance management. Here, you'll... ...the quality of care, and influence... ...Nurse (RN) license Strong... ...Experience in utilization review, case management... ...populations Remote work - enjoy... ...today and help shape the future of... ...utilization review decisions and clinical...Remote workFull timeTemporary workWork at officeWork from home
- ...MMQ in nursing facilities. The role requires close collaboration with clinicians to discuss patient care and justify decisions. Qualifications include an unrestricted MA RN license, MDS certification or proof, and experience in long-term care and healthcare. Significant...Remote job
- UnitedHealth Group is seeking a Utilization Management Nurse to ensure... ...delivery across care settings. You will assess... ...and support clinical decisions to help members live healthier... .... This role offers remote work with time-zone... ...hold a compact RN license, 3+ years in Managed...Remote job
$29.1 - $62.32 per hour
...around every individual — shaping a more connected,... ...passionate colleagues who care deeply, innovate with... ...community at a time. Utilization Management is a 24/7 operation... ...Nurse Consultant Fully Remote- WFH Schedule:... ...years of experience as an RN ~ Active and...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift
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