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$65k - $85k
...Utilization Review Specialist (RN) - Remote $65K-$85K | OASIS & Coding Certified | Florida RN License Required... ...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased... ...with Branch Directors, Clinical Managers, and field clinicians Support...Remote workGrowth opportunityMonday to FridayWeekday work- ...RN ICU The Medical ICU is a 20-bed mixed ICU/Step... ..., and aggressive fluid management. The unit sees hemodynamic... ...lines, are commonly utilized. NIH and TNK therapy may... ...Program (EAP) ~ Career Growth and Professional Development Opportunities Benefits eligibility...Remote workGrowth opportunityTemporary workLocumLocal areaImmediate startWeekend work
$85k - $95k
...RN SupervisorCohere's Service Operations team... ...report to the Director/Manager of Clinical... ...partners with exponential growth opportunities.What you'll do:Oversee... ...guidelinesPrior Authorization or Utilization Management... ...supervising and training in a remote work environment.Pay...Remote workGrowth opportunityHourly payFlexible hours- ...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
- ...RN Coordinator Home Visiting Program Established... ...of the Site Nurse Manager, the RN Coordinator provides... ...patient tracking. Utilize registries and... ...skills and comfort with remote patient management.... ...comprehensive benefit package, growth opportunities, and tuition...Remote workGrowth opportunity
- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports... ...management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities include...Remote jobWork from home
- ...Strategic Key Account Manager - Utilities About Sungrow: Sungrow Power... ...and utilities account target growth set on an annual basis. The... ...customers, identify growth opportunities within the assigned... ...and Status ~ Full time, remote location Compensation...Remote workGrowth opportunityFull timeContract workWorldwide
- Humana is seeking an experienced Utilization Management Nurse 2 to support medical necessity reviews,... ...with providers and members. The role is remote/work-from-home with weekend shifts and... ...few times annually; requires Kentucky RN license, 2+ years clinical experience,...Remote jobWork at officeWork from homeShift work
- ...Utilization Manager Registered Nurse (UMRN) Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
$40.12 - $62.19 per hour
...Utilization Review Nurse RN ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Full-time - Day shift - 8:00am-4:30pm ~RN... ...unresolved issues. Identifies opportunities for expedited appeals and... ...vulnerable patients. Growth: Opportunities for...Growth opportunityFull timeShift workDay shift- ...Group's Optum is seeking an experienced RN for Utilization Management & Clinical Validation. You will... ...literature and coding guidelines. This remote role supports telecommuting from... ...flexible scheduling, HIPAA compliance, and opportunities to contribute to enterprise goals...Remote jobFlexible hours
$128.86k - $286.36k
...Partner Manufacturing Energy/Utilities industry (Remote) to join our team in... ...your customers and drive growth.You will be joining a team... ...focus on strategic account management.You’ll collaborate closely... ...retention, and long-term growth opportunities.Manage portfolio P&L,...Remote workGrowth opportunityTemporary workWork at officeFlexible hours- ...seeking a Registered Nurse for a temporary Utilization Management role. You will ensure prior... ...care programs. Required are an active CA RN license and at least five years in patient... ...substitute for experience. Hybrid work and remote- interview options are offered. #J-188...Remote jobTemporary work
- ...Inc. seeks a Registered Nurse to coordinate and manage utilization management for behavioral health services across remote settings in the US. The role emphasizes medical... ...planning, and care coordination. The position requires RN license, 2+ years acute clinical experience, and...Remote job
- ...to help millions of people live healthier lives. The Utilization Management and Clinical Validation RN will review patient medical records, extract pertinent... ...process instructions and guidelines. This role is remote from anywhere in the U.S. with an unrestricted RN license...Remote job
- ...seeking a Land Solutions Project Manager to support a major energy utility client across a portfolio of land... ...term goals. While this role is remote, proximity to Michigan is a... ...the business side, you'll identify growth opportunities within the client relationship, follow...Remote workGrowth opportunity
- Elevance Health is seeking a Wound Care Utilization Management RN for a virtual, full-time role. The position focuses on pre-certification and authorization for Home Health wound care services and coordinating care across providers. Hybrid work is available with some in...Remote jobFull time
- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, full-time role open to CST zone candidates. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring appropriate care levels within...Remote jobFull time
$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... ...0 to $116,600 annually are offered, along with opportunities for career growth. #J-18808-Ljbffr kozmetickesluzby.vecnakraska....Remote jobWeekend work- Molina Healthcare seeks an experienced RN to support Arizona Plan clinical member services... ...active AZ RN license and experience with utilization management, prior authorization, and both inpatient and outpatient settings. Remote position, must reside in Arizona, with...Remote job
- UnitedHealth Group is seeking an Utilization Management & Clinical Validation RN to accurately review medical records and extract case details, crafting defensible appeal letters using evidence-based literature and coding knowledge. You will work from anywhere in the U....Remote jobFlexible hours
- 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
- Cincinnati Children's is seeking a Remote Utilization Management leader (RN) to guide the MU team, coordinate with Health Partners, Care Managers and Discharge Planners, and ensure compliance with federal, state and payor requirements. The role requires a BSN, 5+ years...Remote job
- CVS Health is hiring a Utilization Management Nurse Consultant (RN) for a fully remote role in the United States. You will review medical records, assess medical necessity, and support discharge planning to ensure cost-effective, quality care. The position emphasizes collaboration...Remote job
- A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Remote jobHourly payDaily paidDay shift
- CVS Health Corporation is seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. This remote role requires clinical expertise to review cases, assess medical necessity, coordinate care and ensure members receive appropriate,...Remote job
- ...applicable patients as stated in system utilization management plan. Oversees Clinical Review... ...days for first week. This role will be remote BUT regular meetings/trainings require... ...Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal...Remote workReliefWeekend work3 days per week
- Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote jobFlexible hours
- Humana seeks a qualified Utilization Management Nurse for National Medicaid Clinical Operations. The role reviews prior authorization requests for... ...the Manager, Utilization Management. The position requires RN licensure in Illinois (or willingness to obtain) and 3+ years...Remote job
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