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

Remote Utilization RN - Case Review & Care

Freelanceshop

CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will possess strong clinical knowledge and critical thinking skills, be RN licensed in the U.S., and have a minimum of 2–3 years of clinical experience. Competitive salary and comprehensive benefits are offered. #J-18808-Ljbffr

Vacancy posted 15 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization RN - Case Review & Care in New York, NY vacancy
  • $32 - $48 per hour

     ...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary...  ...Hybrid (combination of in person and remote considered) GENERAL SUMMARY The...  ...disciplinary teams ensures safe transitions of care. GIBSON AREA HOSPITAL & HEALTH... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Relocation package
    Shift work

    Gibson Area Hospital

    Gibson City, IL
    3 days ago
  • American Traveler is seeking an experienced RN Case Manager for an acute care hospital position in South Florida, requiring a minimum of 3...  ...Powerchart, CarePort (Allscripts), and Epic A separate remote Utilization Review (UR) team handles formal UR, while the in‑house case... 
    Remote work
    Local area
    Monday to Friday
    Shift work
    Weekend work
    Day shift
    Weekday work

    American Traveler

    Deerfield Beach, FL
    1 day ago
  •  ...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 work
    Flexible hours

    Harris Health

    Houston, TX
    4 days ago
  •  ...Santa Barbara Cottage Hospital is seeking a Case Manager responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing medical...  ...and a Registered Nurse license. This is a remote position with a Tuesday to Saturday schedule... 
    Remote work
    Local area

    Santa Barbara Cottage Hospital

    New York, NY
    2 days ago
  • $35 - $45 per hour

     ...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX...  ...Description of Project: Managing a case load for healthcare members...  ...will include 80% travel. Remote role. Will require a driver’...  ..., and need for services for care plan development. Monitor... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Immediate start
    Shift work
    3 days per week

    Mindlance Health

    Corpus Christi, TX
    20 days ago
  • $35 - $45 per hour

     ...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX...  ...Description of Project: Managing a case load for healthcare members...  ...will include 80% travel. Remote role. Will require a driver’...  ..., and need for services for care plan development. Monitor... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Immediate start
    Shift work
    3 days per week

    TravelNurseSource

    Corpus Christi, TX
    20 days ago
  •  ...love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning...  ...where your strategic vision transforms care coordination into measurable results and...  ...decision support, virtual nursing, and remote monitoring; clear investment in clinician... 
    Remote work
    Weekend work

    Clinical Management Consultants

    Berkeley, CA
    1 day ago
  •  ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports...  ...collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or... 
    Remote work

    NeuroPsychiatric Hospitals

    Indiana, PA
    15 hours ago
  • COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the...  ...of 3 years of direct patient care experience. The role involves applying...  ...collaborating with physicians for complex cases. A supportive remote work... 
    Remote work
    Full time

    Comagine Health

    Seattle, WA
    15 hours ago
  •  ...optimal health, access to care and appropriate utilization of resources, balanced with...  ...negotiation with a payer on a case by case basis. This...  ...delegated to Central Utilization Review LVN/LPN Case Manager and/or...  ...Tuesday thru Saturday schedule. Remote, but you must live locally... 
    Remote work
    Work at office

    Santa Barbara Cottage Hospital

    New York, NY
    2 days ago
  • $2,210 per week

     ...personalized managed health care, focused on what's...  ...Work-life balance. Remote/hybrid setting (once...  ...individual will utilize clinical knowledge...  ...decision to a second level reviewer. This individual interfaces with case managers and disease...  ...is not limited to RN, LMSW, LMHC.... 
    Remote work
    Full time
    Temporary work
    Part time
    Casual work
    Work at office
    Work from home
    All shifts
    Monday to Friday
    Flexible hours

    Hines

    Freeport, IL
    4 days ago
  •  ...are seeking an experienced Utilization Review Nurse to join our team in a...  ...Nassau County (Hybrid: In Office/Remote) Schedule: Monday to Friday,...  ...standards. Participate in case management and care coordination meetings. Qualifications Active RN license in the state of New... 
    Remote work
    Work at office
    Monday to Friday
    Flexible hours

    6AM City

    New York, NY
    4 days ago
  •  ...experienced Registered Nurse (RN) – Utilization Management / Case Management (Medicare) with...  ...across multiple Managed Care functions, including...  ...involve a mix of clinical review, prior authorizations, appeals...  ...weeks depending on role) Remote/hybrid flexibility available... 
    Remote work
    Contract work
    Local area

    Talent Software Services

    Columbia, SC
    17 hours ago
  • $35 - $45 per hour

     ...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment...  ..., accurate, and compliant care decisions in accordance with...  ...reviewers to support case review processes. Assist with...  ...working independently in a remote or office-based setting. Working... 
    Remote work
    Weekly pay
    Contract work
    Work at office
    Monday to Friday

    Neier Inc

    Sacramento, CA
    3 days ago
  • $34 - $52.7 per hour

     ...facility. This job is REMOTE. FTE: 0.500000 Standard...  ...status type and level of care. Refers cases to the physician advisor, PA...  ...moonlighter, for a second level review as needed. Facilitates...  ...experience is required; Prior utilization management or case management... 
    Remote work
    Hourly pay
    Temporary work
    Shift work

    Froedtert Health

    Menomonee Falls, WI
    19 minutes ago
  • $51.43 - $79.84 per hour

     ...Overview Description – This is a remote role. You MUST live in the...  ...(WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical...  ...certification upon hire. ~1 year of Case Management experience.... 
    Remote work
    Daily paid
    Live in
    Shift work
    Day shift

    Providence Swedish Medical Center

    Seattle, WA
    4 days ago
  •  ...To Apply for this Job Click Here  Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - SIGN ON BONUS Location: Alamogordo...  ...and escalates cases involving potential quality of care concerns, questionable admissions, or extended lengths of stay... 
    Work at office
    Relocation package

    i4 Search Group

    Alamogordo, NM
    4 days ago
  •  ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position...  ...and communicate with medical teams to ensure appropriate care levels. Ideal candidates will have at least one year of utilization... 
    Remote work
    Contract work
    Work from home

    Medix

    New York, NY
    17 hours ago
  • $30 - $38 per hour

     ...solutions, and comprehensive care navigation together in one...  ...Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time...  ...and refer potential cases to case management, wellness...  ...to successfully perform in a remote healthcare environment. Ability... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Monday to Friday
    Weekend work

    Santa Barbara Cottage Hospital

    New York, NY
    2 days ago
  •  ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the...  ...cost-effective patient care. Working collaboratively within...  ...meetings to discuss cases, discharge plans, and barriers...  ...for facility based staff; optional for remote staff.
    Remote work
    Work at office

    Nexus Health Systems

    Houston, TX
    3 days ago
  • $69.38k - $92.28k

     ...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid...  ...are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent... 
    Remote work

    MVP Health Care

    Schenectady, NY
    3 days ago
  • A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions...  ...experience in utilization review or case management. Strong communication skills and... 
    Remote work
    Contract work

    IntePros

    Phoenix, AZ
    4 days ago
  • $75.77k - $113.66k

     ...company is looking for a Medical Management Nurse to review complex cases and utilize nursing judgment to determine medical necessity....  ...'s degree in nursing, at least 4 years of care management experience, and an active RN license. The salary range for this position is between... 
    Remote work

    Elevance Health

    Tampa, FL
    4 days ago
  •  ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant...  ...position offers the flexibility of remote work while supporting professional... 
    Remote work

    Guidehealth

    Chicago, IL
    4 days ago
  •  ...seeking a skilled professional to provide utilization review and coordinate care for members in California. The...  ...Nursing school degree and a California RN License. Key responsibilities include...  ...healthcare. Experience in utilization and case management is preferred. Providence... 

    Providence Health Plan Group

    California, MO
    3 days ago
  •  ...Village Center for Care, Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position located in the New York Tri-State Area. The successful candidate will be responsible for assessing member needs and ensuring high-quality... 
    Remote work
    Full time

    Village Center for Care, Inc.

    New York, NY
    4 days ago
  •  ...Administration, Inc. is seeking an RN Clinician to provide utilization management services in a remote role from Virginia. The ideal...  ...license and over 3 years of acute care experience. Responsibilities include prior authorization reviews, care coordination, and managing... 
    Remote work

    170 Sentara Health Administration, Inc.

    Virginia, MN
    3 days ago
  •  ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence... 
    Remote work

    IntePros

    New York, NY
    4 days ago
  • $77.91k

     ...LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position...  ...inpatient admissions, coordinating care, and ensuring quality and...  ...have a minimum of 3 years in case management and licensing as an LVN or RN in California. The role... 
    Remote work

    E2E Alignment Healthcare USA, LLC

    California, MO
    4 days ago
  •  ...Confluence Health is seeking a Utilization Review Specialist to ensure compliance with state regulations...  ...three years of experience in an acute care setting and an Associate's degree in...  ...position allows for flexibility between remote and in-office work. #J-18808-Ljbffr... 
    Remote work
    Work at office

    Confluence Health

    Wenatchee, WA
    17 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization RN - Case Review & Care. Be the first to apply!