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 4 days ago
Similar jobs that could be interesting for youBased on the Utilization Management RN I — Remote & Growth Opportunities in Bellevue, WA vacancy
- ...some flexibility for remote work based on business... ..., unrestricted RN license in the state... ...experience ~ Experience in utilization management, medical record... ...team scheduling Opportunity to influence care quality... ...benefits, and career growth opportunities...Remote workGrowth opportunityWeekend workWeekday work
Optum
Boston, MA4 days ago $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- 4004 Aetna Medicaid Administrators is seeking a Utilization Management Nurse Consultant for a crucial role in a 24/7 operation based in Florida.... ...The ideal candidate will have clinical experience, an active RN license, and a commitment to high-quality healthcare service....Remote workWork from home
4004 Aetna Medicaid Administrators
Florida, NY3 days ago $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- ...Case Manager RN- Weekends Sign On Bonus Potential: 5,000 Randallstown... ...Saved Summary This is a remote role that requires an every... ...care outcomes, efficient utilization of health services and minimize... ...most vulnerable patients. Growth : Opportunities for professional...Remote workGrowth opportunityPart timeRelocation packageShift workWeekend workDay shiftAfternoon shift
LifeBridge Health
United States4 days 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... ...talented and skilled individuals. Growth opportunities Benefits – Medical, Dental,...Remote workGrowth opportunityWork at officeFlexible hours
Spectrum Billing Solutions
Skokie, IL2 days ago - ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is targeted at transitioning military service members or military spouses. Interns will conduct...Remote workInternship
Humana
Phoenix, AZ4 days ago - ...Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization Management team. This role involves... ...Bachelor's of Science in Nursing, an RN license, and extensive experience... ...utilization review. The position offers a remote work model with a flexible...Remote workFlexible hours
Santa Barbara Cottage Hospital
New York, NY4 days 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
Phoenix, AZ1 day ago$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse to support the coordination and documentation of medical services. This remote position requires a valid RN license and clinical experience. Responsibilities include interpreting medical information...Remote workHumana
Wyoming, OH3 days ago$71.1k - $97.8k
...Humana Inc is seeking a dedicated Utilization Management Nurse to join their team in Topeka, Kansas. In this role, you will use your clinical knowledge... ...to ensure optimal treatment. Candidates must have an active RN license, at least 3 years of experience in Medical Surgery,...Remote workFull timeWork at officeHumana
Topeka, KS16 hours ago$71.1k - $97.8k
...company in the United States is seeking a Utilization Management Registered Nurse to utilize clinical... ...determinations. Candidates should possess a Compact RN license and at least one year of clinical experience. The position offers a remote work option and includes a comprehensive...Remote workHumana
Charleston, WV2 days ago$175k - $225k
...is seeking a Senior Product Director Utility Market for North America. This remote role requires product market... ...such as developing market approaches, managing key stakeholder relationships, and identifying growth opportunities. A Bachelor's degree in Engineering...Remote jobGrowth opportunity- ...Module Sales to drive solar module sales in the Utility and Commercial & Industrial sectors. This remote role requires up to 65% travel and extensive industry... ...capitalizing on existing business, pursuing growth opportunities, and collaborating with the strategic sales team...Remote jobGrowth opportunity
$71.1k - $97.8k
...A healthcare solutions company is looking for a Utilization Management Registered Nurse to interpret and coordinate medical services. This fully remote position requires a Compact RN license and over a year of clinical experience. The role focuses on improving consumer...Remote workHumana
Augusta, ME3 days ago- ...A healthcare organization is looking for a Utilization Management Registered Nurse to work remotely in Cheyenne, Wyoming. You will utilize your clinical nursing... ...care levels. The ideal candidate will hold a Compact RN license and have over one year of clinical experience...Remote work
Humana
Cheyenne, WY2 days ago - ...Department: Utilization Management Schedule: M-F 8am-5pm Work Location: Remote Benefits for eligible positions generous paid time off paid parental leave Associate Assistance Program Tuition Reimbursement Program and more What You Will Do...Remote work
UAB Medicine
Birmingham, AL3 days ago - 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 workHourly payDaily paidDay shift
Providence Swedish Medical Center
Seattle, WA3 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
The Judge Group, LLC
New York, NY4 days ago $68.94 - $108.84 per hour
Clinical Program Manager RN Position: Full‑time 8‑hour... ...of experience in Utilization Management. Experience... ...incentives, or bonus opportunities. Equal Opportunity Employer... ...to inclusive growth and opportunity for all... ...Torrance Workplace Type: Remote #J-18808-Ljbffr...Remote jobGrowth opportunityHourly payFull timeShift workAfternoon shift- ...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... ...offers the flexibility of remote work while supporting professional growth and a comprehensive...Remote work
Guidehealth
Chicago, IL3 days ago $78.4k - $91.46k
...Care (TOC) Coordinator, RN supports high-risk... ..., reducing avoidable utilization, supporting ACO quality... ...a hybrid model with remote opportunities and onsite presence... ...discharge plans and symptom management strategies. Serve as... ...benefit package, growth opportunities and...Remote workGrowth opportunityContract workLocal areaFlexible hoursShift work- ...Healthier Communities Together. This is a remote position in which we are able to employ... ...experience: ~ ~ Health plan utilization management ~ Medicare and Medicaid rules and regulations... ...~ Current unencumbered Oregon RN License required within 90 days of hire...Remote work
Samaritan Health Services
Eugene, OR3 hours ago - ...healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role... ...referrals, and facilitate team meetings. A California RN license is required. This position offers a hybrid work environment...Remote work
Dignity Health
Rancho Cordova, CA1 day ago - ...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 workFlexible hours
Centene Corporation
California, MO3 days ago - ...to provide operational supervision of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant experience in patient care and medical management. The role focuses on quality oversight and staff development...Remote work
Council Of State and Territorial Epidemiologists
Albany, NY3 days ago - ...compassionate Registered Nurse (RN) looking to provide high-... ...work, performance management, training new staff, and ensuring... ...collaboration and compassion. Career Growth: Opportunities for professional development... ...telemedicine services and remote health monitoring to...Remote workGrowth opportunityShift work
EmergencyMD
Williamsburg, VA2 days ago $71.1k - $97.8k
Humana Inc is seeking a Utilization Management Nurse to leverage clinical expertise for optimal treatment and care for members. This role includes... ...office work model. The ideal candidate should hold an active RN license and have over 3 years of clinical nursing experience...Remote jobWork at officeWork from homeHome office- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high-quality care delivery... ...3 years of relevant experience. The position is remote, allowing work from any location in the U.S., and...Remote workFull time
Comagine Health
Jackson, MS2 days ago - ...Alignment Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing... ...leading a team of UM Nurses. This fully remote position demands strong communication skills and a valid California LVN or RN license. The role includes mentoring and...Remote work
Alignment Healthcare
California, MO2 days ago
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