Remote NICU Utilization Nurse Consultant
Santa Barbara Cottage Hospital
CVS Health is seeking a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations. The role involves clinical review, care coordination, and evidence-based decision-making across remote settings.
You will collaborate with neonatologists, hospitals, and care teams to ensure appropriate levels of care while maintaining regulatory compliance. You will review medical records, apply criteria such as MCG, and contribute to discharge planning and seamless transitions of
#J-18808-Ljbffr$1,966 per week
...among the first 25 applicants Nurses – are you looking for a change... ...Paid Holidays Work-life balance. Remote/hybrid setting (once trained)... ...: This individual will utilize clinical knowledge and communication... ...Registered Nurse RN, JBH NICU - Seeking experienced NICU RNs...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours$39.83 - $59.74 per hour
...Children Care, with a Level III NICU, and is the largest Family... ...bias. About this position The Utilization Management RN, under the... ...the medical and care teams (nursing, social services, therapies,... ...hours Call Requirement: None Remote or On-site:Hybrid Remote- Must...Remote workFull timeContract workFor contractorsFor subcontractorLive inWork at officeShift work- ...growing clinical operations team, the full-time Nurse Consultant II will provide professional nursing care remotely, focusing on member assessment, planning,... ...health metrics to develop and sustain targeted Utilization Management and Care Management initiatives Assesses...Remote workFull time
$63.1k - $94.65k
...license, or be willing to obtain* NICU and/or Pediatric nursing experience is strongly preferred. We... .... Schedule Information: Our Utilization Review team provides coverage seven... ...and Abilities Required: This is a remote role which requires access to high speed...Remote workTemporary workWork at officeLocal areaFlexible hoursShift work$63.1k - $94.65k
...Ensemble Nursing Opportunity Ensemble is a leading provider of technology-enabled revenue... ...RN license, or be willing to obtain* NICU and/or Pediatric nursing experience is... ...apply. Schedule Information: Our Utilization Review team provides coverage seven days...Remote workWork at officeFlexible hoursShift work$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Work nights, earn... ...accredited or state board of nursing approved Registered/Professional... ...practice in direct patient care utilizing the nursing process Values... ...Birth Center, Women's Care and NICU AWHONN and AACN practice...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...US:CO:Aurora Department: NICU Neonatal Care Work Schedule... ...and does not offer a hybrid or remote option Work nights, earn more... ...accredited or state board of nursing approved Registered/... ...practice in direct patient care utilizing the nursing process Values...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Work nights, earn... ...accredited or state board of nursing approved Registered/Professional... ...practice in direct patient care utilizing the nursing process Values... ...Birth Center, Women's Care and NICU AWHONN's and AACN's...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$34.14 - $54.46 per hour
...Responsibilities As our RN Lactation Consultant, you will assess and manage... ...diagnosis, and initiation of nursing processes and procedures.... ...Manages lactation issues and utilizes appropriate resources to... ...problems for inpatients (OB, NICU, and PEDS populations) and for...All shiftsFlexible hoursShift work- ...Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees...Remote workWork from homeMonday to Friday
- ...CVS Health seeks an RN for Utilization Management in a fully remote role. The candidate will assess and coordinate healthcare services for members, applying clinical criteria to determine coverage and communicating with providers to facilitate treatment. Requires 3+ years...Remote workWork at officeWork from home
- ...Remote, RI Contract Job Description: Responsible for the review and evaluation of clinical information and documentation.... ...experience with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred....Remote workContract work
- ...Humana is seeking a Manager, Utilization Management Nursing to lead coordination and interpretation of medical services and benefit determinations in a remote, home‑based role. You will apply advanced nursing knowledge, guide teams, and collaborate across departments to...Remote workWork from home
- ...Senior Consultant SSP is seeking a Senior Consultant to help us continue our practice of... ...portfolio of clients within the energy and utility industries. The role will have the... ...experience, and project budget tracking. This is a remote work from home position...Remote workWork experience placementWork from homeShift work
$33.73 - $79.17 per hour
...Description: The Registered Nurse (RN) is a professional... ...care of patients. The staff RN utilizes the nursing process by use of... ...Mom/Baby - Nursery included NICU Previous OB NICU or L&D experience... .... If applying for a remote or hybrid role, this includes...Remote workHourly payFull timeShift workNight shiftDay shift$35 - $55 per hour
...Colorado) is seeking a Registered Nurse (RN) Maternal - Newborn for a... ...does not offer a hybrid or remote option Minimum Requirements... ...practice in direct patient care utilizing the nursing process Values... ...Center, Women's Care and NICU AWHONN and AACN practice standards...Remote workHourly payFull timeTemporary workLocal areaFlexible hoursShift workWeekend work$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients,...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Optum is seeking an experienced Utilization Review Nurse (RN) to support inpatient care management in a remote-capable role. You will review admissions and preauthorizations using evidence-based criteria and collaborate with Medical Directors. The position requires an...Remote work
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical... ...offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...UnitedHealth Group is seeking a Utilization Management Nurse to help ensure high-quality, cost-efficient care across the continuum. You will assess... ...levels of care in collaboration with care teams. This remote role requires Pacific or Mountain Time Zone residence. You...Remote work
- ...s largest private employer of Registered Nurses, we’re honored by the trust of over 100,0... ...and Qualifications The Lactation Consultant is a Registered Nurse who champions and serves... ...Level III Neonatal Intensive Care Unit (NICU) with 30+ private rooms, 10+ rooms for...Temporary workFlexible hours
- ...UnitedHealth Group is seeking a Utilization Management Nurse to ensure efficient and effective health services delivery across care settings. You... ...decisions to help members live healthier lives. This role offers remote work with time-zone requirements in Pacific or Mountain...Remote work
- ...Devoted Health is seeking a Clinical Guide for our Outpatient Utilization Management team. You will perform timely clinical reviews of outpatient... ...medical necessity and appropriate setting. This full-time, remote role supports CMS and Medicare Advantage requirements while...Remote workFull time
- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Remote workFull timeCasual workMonday to Friday
- ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
- ...Humana Inc. is seeking an Utilization Management Nurse 2 to apply clinical nursing skills in coordinating, documenting, and communicating medical... ...independent decisions aligned with organizational strategy. Remote-friendly, standard hours, with occasional travel. #J-18808...Remote work
- A healthcare staffing agency seeks a Utilization Management RN to evaluate clinical conditions through medical record reviews. The position is remote, requiring candidates to reside in PA, DE, or NJ. Key duties involve applying criteria for medical necessity, collaborating...Remote work
- ...UVA Health is seeking a Registered Nurse (RN) in Utilization Management for a remote role. You will leverage acute care experience to navigate complex clinical scenarios, determine medical necessity, and collaborate with interdisciplinary teams. This position offers a...Remote workRelocation packageMonday to FridayWeekend work
- ...Plan Holding Company, Inc. is seeking a UM Nurse to support network adequacy review and... ...for ACO, HMO, and EPO products. Remote role with occasional onsite meetings in... ...Requires MA RN license and 2–3 years of utilization review experience. You will review authorization...Remote work
- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Minimum of 3 years acute medical Care...Remote work
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