Utilization Management RN I — Remote & Growth Opportunities
Healthcare Management Administrators
- Remote job
A healthcare management organization is seeking a Utilization Management Nurse to oversee health service utilization while collaborating with external entities. This role requires an active LPN/RN license, and candidates should have clinical experience and proficiency in electronic health records. The organization promotes work-life balance and offers a comprehensive benefits package including remote work options. #J-18808-Ljbffr Healthcare Management Administrators
$83k - $99k
...of personal development and growth opportunities. If you are looking for... ...Role and Responsibilities The Utilization Management Nurse collaborates with external... ...experience Active LPN/RN clinical license required 1... ...600 wellness reimbursement Remote work and continuing education...Remote workGrowth opportunityFull timeWork at officeFlexible hours$90k - $107k
...our employees have opportunities to learn and... ...work options, career growth opportunities, and... ...network providers. Utilizing clinical knowledge... ...authorization experience in a managed care setting and... ...Registered Nurse (RN) license required.... ...hire. This is a remote role with...Remote workGrowth opportunityWork at officeMonday to FridayFlexible hoursShift work$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential... ...growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health... ...with Branch Directors, Clinical Managers, and field clinicians Support...Remote workGrowth opportunityMonday to FridayWeekend workWeekday work- ...industry-leading revenue cycle management services for healthcare... ...are seeking to add an ABA Utilization Review (UR) Specialist to our... .... This is a fully remote or office/home hybrid position... ...and skilled individuals. ~ Growth opportunities ~ Benefits – Medical, Dental...Remote workGrowth opportunityWork at officeFlexible hours
$39.27 - $94.69 per hour
...The Registered Nurse manages all aspects of the nursing... ...of learning and growth opportunities. Understand organizational... ...). Clinical Practice: Utilizes the standards of... ...Credentials Registered Nurse [RN - MA] required... ...applicable) Per Diem Remote Type Onsite Work Location...Remote workGrowth opportunityHourly payDaily paidShift work$23.8 - $44.2 per hour
...Call Center Team Lead (RN) Inizio... ...This is your opportunity to join Inizio Engage... ...contributions ~ Continuous growth opportunities through... ...Supervisor and Client Account Management Team of all system... ...department to maximize utilization, including performing...Remote workGrowth opportunityLocal area$70 - $111 per hour
...Registered Nurse (RN) Director Behavioral... ...offer a hybrid or remote option Summary:... ...performance, growth, and process standardization... ..., complaint management, access,... ...services, growth opportunities, models of care, and... ...budgets, resource utilization, and data-informed...Remote workGrowth opportunityHourly payFull timeTemporary workLocal areaFlexible hoursShift work- ...Find your calling at Mercy! Overview Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial...Remote workRelief
$2,150 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts... ...AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people...Remote workTemporary workFor contractorsZero hours contractMonday to FridayShift work- ...currently seeking an RN Coordinator - Home Visiting... ...of the Site Nurse Manager, the RN Coordinator provides... ...patient tracking. Utilize registries and... ...skills and comfort with remote patient management. Familiarity... ...benefit package, growth opportunities and tuition reimbursement...Remote workGrowth opportunity
- ...Description Job Description The utilization review and management (UM) component program ensures that... ...data and trends to identify opportunities for improving efficiency and reducing... ...lunch This is an in-office, no remote work capability position Travel...Remote workWork at office
- ...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 workContract work
- ...Optum is a global organization dedicated to improving health outcomes through care and technology. The Utilization Management Nurse will extract details from patient records and craft persuasive appeal letters per guidelines, within required timeframes. The role offers...Remote workMonday to FridayFlexible hours
- ...Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document... ..., and ensuring timely decisions in a remote work environment. Ideal candidates hold an active IL RN license, have 3+ years in healthcare settings...Remote work
- ...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 workFlexible hoursWeekend workDay shift
$60.2k - $107.4k
...Optum is a global health services company focused on improving health outcomes through innovative care and technology. The Utilization Management Nurse will review patient records and craft defensible appeal letters per guidelines while adhering to HIPAA and company policies...Remote workFull timeMonday to Friday$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... ...salary ranging from $59,500 to $116,600 annually are offered, along with opportunities for career growth. #J-18808-LjbffrRemote workWeekend work- ...Plan in the United States is seeking an Inpatient Utilization Management Clinician to evaluate inpatient medical necessity,... ...discharge planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and experience with InterQual...Remote workFull time
- ...NeueHealth seeks a full-time Utilization Management (UM) Prior Authorization (PA) Nurse in California. You will review and authorize prior authorizations... ...and cost-effective outcomes. Requirements include California RN license, 2–3 years of clinical nursing with at least 1 year...Remote workFull timeContract work
- ...UnitedHealth Group's Optum unit seeks a Utilization Management Nurse to review medical records and craft defensible appeal letters with attention... ...anywhere in the U.S. and a competitive benefits package. Requires RN license, associate degree, and 3+ years bedside nursing in ED...Remote workMonday to Friday
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for... ...continued professional growth and education consistent with current... ...integrity as we navigate challenges and opportunities alike. Always Growing, Always...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Utilization Management Nurse This is a remote position in Utilization Management. Candidates must have a minimum of 2 years of experience... ...Assistance Program (EAP) ~ Career Growth and Professional Development Opportunities Benefits eligibility, accrual rates,...Remote workGrowth opportunityTemporary workLocumLocal area
- ...Seeking a full-time remote Utilization Management RN, the successful candidate will manage medical record reviews and denial documentation, develop clinical appeal letters, and utilize clinical judgment to support healthcare provider clients. Key Responsibilities Perform...Remote workFull time
$80k - $90k
...Description Job Details: Title: RN Case Manager – Hospice Location: Greer, SC 2... ...Hire Work Arrangement: Hybrid Remote Salary: $80,000–$90,000... ...Flexible scheduling ~ Professional growth and development opportunities If you are an experienced Hospice...Remote workGrowth opportunityFull timeFlexible hours- ...Utilization Management RN (Part-Time, Remote) Position Overview Under the direction of a designated manager, the Utilization Management... ...excellent customer service Report utilization trends and opportunities for process improvement Assist with provider...Remote workPart timeMonday to Friday
- ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified...Remote work
- ...Health Come explore career opportunities with Liberty Health , a dynamic leader... ...currently seeking an experienced: UTILIZATION MANAGEMENT RN JOB SUMMARY: Day-to-day... ...Clearly communicates instructions to remote users. Visit for more information...Remote workWork at office
$45 - $50 per hour
...in healthcare insurance, is seeking experienced Utilization Management RNs to play a vital role in reviewing prior authorization... ...diverse lines of business. This is an excellent opportunity to make an impact within a dynamic, remote environment where your expertise will support...Remote workContract workWork at office- ...Utilization Management RN Remote I'm currently working on a Utilization Management RN opportunity with a health plan client, supporting a temporary assignment during their Epic... ...InterSources Inc. Our teams also drive growth by refining technology-driven client experiences...Remote workContract workTemporary workMonday to FridayShift work
- Optum is seeking an Utilization Management & Clinical Validation RN to review medical records and extract key details for strong appeal letters. You will use ICD coding and evidence-based references to support decisions while adhering to HIPAA and policy guidelines. The...Remote job
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