Utilization Management RN I — Remote & Growth Opportunities
Healthcare Management Administrators
Bellevue, WA
- 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
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Management RN I — Remote & Growth Opportunities in Bellevue, WA vacancy
$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- ...to join our Care Advisor team in a remote, nationwide capacity. You will conduct... ...health education, and support utilization management for diverse callers. Role requires... ...alternating weekends. Competitive benefits and growth opportunities are offered. #J-18808-LjbffrRemote workGrowth opportunityWeekend workAfternoon shift
Carenet Health
San Antonio, TX14 hours ago $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 workConcierge Home Care
United States1 day ago- ...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
Spectrum Billing Solutions
Skokie, IL1 day ago - ...RN Clinical Consultant Titanium is a healthcare... ...'s Enhanced Care Management (ECM) program,... ..., reducing avoidable utilization, and supporting members... ...This position is remote and is based out of California... ...of yourself ~ Growth: opportunities to develop and grow your...Remote workGrowth opportunityTemporary workWork at officeMonday to FridayFlexible hours
Titanium Healthcare, Inc.
United States2 days ago - ...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
- ...seeking a Pre-Authorization Registered Nurse for a remote, full-time role based in Virginia. The RN will review prior authorization requests,... ...appropriate care settings, and educate providers on utilization and management processes. Requirements include an active RN...Remote workFull time
Humana
United States4 days ago - ...Humana is seeking an Utilization Management Registered Nurse to interpret and coordinate medical services... ...for post-acute care. You will work remotely, reporting to the Manager of Utilization... .... Requirements include an active RN license in your state and 1+ year of clinical...Remote work
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Florida, NY19 hours ago - ...Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to join our Clinical Services team. This remote role supports members in Oregon, Washington, Idaho or Utah, conducting prospective, concurrent and retrospective reviews to ensure medical necessity...Remote work
Cambia Health Solutions
United States2 days ago - ...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
Well Sense Health Plan
United States3 days ago - ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00... ...transfers, and discharge plans, and identify opportunities for timely, appropriate care transitions....Remote workFull timeMonday to Friday
Medix™
New York, NY1 day ago - ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN...Remote work
Cleveland Clinic
New York, NY1 day 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... ...salary ranging from $59,500 to $116,600 annually are offered, along with opportunities for career growth. #J-18808-LjbffrRemote workWeekend workkozmetickesluzby.vecnakraska.sk - Jobboard
United States4 days ago- ...Care (TOC) Coordinator, RN supports high-risk... ..., reducing avoidable utilization (reducing total cost... ...a hybrid model with remote opportunities and onsite presence at... ...discharge plans and symptom management strategies. Serve... ...benefit package, growth opportunities and...Remote workGrowth opportunityContract workLocal areaFlexible hours
GLFHC
Methuen, MA20 days ago - ...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
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The Judge Group
United States19 hours ago - ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within...Remote work
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Austin, TX2 days ago - ...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
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United States1 day ago - ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to remotely review authorizations and assess medical necessity across multiple specialties. You will collaborate with care teams to ensure compliant, evidence-based reviews and timely decisions...Remote work
CVS Health
United States2 hours ago $70k - $75k
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United States3 days ago- ...CVS Health Corporation is seeking a Remote UM Nurse Consultant RN Precertification for Telework. This role involves reviewing clinical information... .... You will operate in a high-volume, computer-based setting and support utilization management from home. #J-18808-Ljbffr...Remote workFull time
CVS Health
New York, NY4 days ago - ...CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote Utilization Management team. This full-time role focuses on ensuring appropriate care coverage and optimizing member outcomes within a 4‑day weekend schedule...Remote workFull timeWeekend work
4062 Aetna Resources, LLC
United States3 days ago $72.8k - $130k
...benefits and career development opportunities. Come make an impact on the... ...occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Springfield MA Regional... ...Must be a Registered Nurse (RN) with a current, active,...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaOptum
Charlton, MA1 day ago$92.3k - $166.85k
...experienced Senior Project Manager to join our Power Delivery Solutions... ...supporting electric utility clients throughout the Northern... ..., and Values.This role has remote and hybrid-working... ...encourage career development and growth opportunities, including:Project Management...Remote workGrowth opportunityFull timeContract workFor subcontractorFlexible hoursLeidos
Peoria, IL3 days ago- ...seeking an Account Director, Utility to manage and grow a strategic utility... ...priorities, identify opportunities, and support the successful... ...customer initiatives and business growth opportunities.Identify, prioritize... ...Carolina, United States; Remote - Missouri, United...Remote workGrowth opportunityFull timeLocal areaFlexible hours
Hitachi
Raleigh, NC1 day ago $26 - $28 per hour
...times. Qualifications MUST HAVE Utilization Management experience MUST BE a Registered Nurse... ...Workplace Type This is a fully remote position. Application Deadline This... ...to take advantage of a new world of opportunity. We are a team of 80,000 strong, working...Remote workContract workTemporary workWork from homeTEKsystems
United States2 hours ago- ...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
MedTrust LLC
Oklahoma City, OK4 days ago - ...CVS Health is seeking an experienced RN for a fully remote Precertification Nurse role within Utilization Management. Virginia residents are preferred, with a compact RN license and at least 3 years of nursing experience. You will review requests, gather documentation...Remote work
CVS Health Corporation
Richmond, VA14 hours ago - ...RN – Utilization ReviewSeven Healthcare are seeking a dedicated... ...in Fort Myers, FL. This remote position requires expertise in utilization management, making it an excellent opportunity for experienced nurses to... ...balance between career growth and vibrant lifestyle with...Remote workWork experience placementFlexible hours
Seven Healthcare
Fort Myers, FL4 days ago - ...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
The Judge Group
Philadelphia, PA3 days ago
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