RN - Remote Inpatient Utilization Management
Palo Verde Community College District
- Remote job
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 active RN license, California licensing within 90 days, 3+ years in acute care and 1+ year in Utilization Management, plus proficiency in Word and Excel. #J-18808-Ljbffr Palo Verde Community College District
- CVS Health is seeking a Utilization Management Nurse Consultant (RN) for a remote role. You will perform concurrent reviews for acute inpatient admissions and support timely transitions of care. Required RN license, 5+ years acute care, 2+ years UM/Case Management experience...Remote job
- Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical necessity criteria. The role involves day-to-day clinical reviews, documentation, and collaboration with Medical Leadership across...Remote job
- Optum, part of UnitedHealth Group, is seeking a Utilization Review Nurse, RN, to perform inpatient utilization management. The role requires clinical expertise,... ..., and adherence to medical necessity criteria. Remote work is available for PST/MST while weekend shifts...Remote jobShift workWeekend work
- Devoted Health is seeking a Clinical Guide Part A to support inpatient, behavioral health, and post-acute utilization review in alignment with CMS guidelines. This remote, full-time role requires a licensed RN with several years of UR experience and familiarity with...Remote jobFull time
- UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria,... ...Directors for complex cases. The position may offer remote work options and requires working a Monday-...Remote jobMonday to FridayWeekend work
$29 - $52 per hour
UnitedHealth Group's Optum unit is seeking a Utilization Review Nurse, RN to perform inpatient utilization management with evidence-based guidelines and medical necessity... ...coordinate patient care. The position offers remote work options for those in Pacific or Mountain...Remote jobHourly payWeekend work- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services. You will assess member needs, interpret requirements... ...care and discharge efficiently. You will work remotely within the Pacific, Mountain, or Central Time Zone...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure appropriate utilization of health services and coordinate plans of care. This role offers remote work and requires strong clinical nursing experience and an RN license. You will collaborate with...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and coordinate... ...plans of care. This role supports remote work within the Pacific, Mountain... .... The ideal candidate holds an RN license and has 3+ years of clinical...Remote jobWork at office
$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology... ...efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute... ...have the flexibility to work remotely* as you take on some tough challenges...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift workWeekend work- Optum is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and preauthorization requests. The role requires documentation of clinical... ...criteria, and coordinating with Medical Directors. Remote options are available for eligible candidates. The...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to join our remote-first team. You will assess patient needs, apply evidence-based criteria, and... ...downstream partners. Qualifications include an active RN license, 3+ years of clinical nursing, and proficiency...Remote job
$41.2 - $62.17 per hour
...Job Description: The RN Hospital Care Manager I delivers comprehensive care management... ..., including both Inpatient and Outpatient areas. Shift... ...experience in case management, utilization review, value-based care,... .... If applying for a remote or hybrid role, this includes...Remote workHourly payShift workWeekend work$100k
...years Salary $100,000 Remote Job Job Description This... ...is a remote position. The Utilization Management (UM) Nurse is responsible for... ...utilization review of inpatient, outpatient, and ancillary services... ...Registered Nurse (RN) license in the applicable state...Remote workContract workWork experience placement$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities... ...treatment plans, Intensity and duration of inpatient or outpatient services, Quality of care concerns....Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Utilization Management RN There's no place like Liberty Health Come explore career opportunities... ...guidelines Monitor members both inpatient/outpatient – provide updates to Director... ...Clearly communicates instructions to remote users. Visit for more...Remote workWork at office
- ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential... ...utilization review of outpatient and ancillary services as well as inpatient and post-acute services when indicated. Determines...Remote work
- Optum is a global health services company seeking an Inpatient Care Management Nurse. You will assess member needs, identify... ...collaborate with medical directors to ensure appropriate utilization of health services. Remote work options are available across Pacific, Mountain...Remote job
- ...click here. Job Summary Utilization Management Nurse performs clinical... ...exceptions, benefit inquiries, inpatient medical/surgical admissions... ...Registered Nurse (RN) with active, current, unrestricted... ...works in an office setting or remotely, periodically has lifting and...Remote workWork at office
- UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient, evidence-... ...review for skilled nursing, inpatient rehabilitation and LTAC, translating guidelines... ...practical decisions. You will work remotely within Pacific or Mountain Time Zones,...Remote job
- Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with...Remote job
- UnitedHealth Group's OptumCare seeks a Utilization Management Nurse to oversee utilization... ...nursing facilities, acute inpatient rehab, and long-term acute care.... ...production-driven environment. This remote position requires a Compact RN license, 3+ years in Managed Care...Remote job
- ...Detroit, Michigan Registered Nurse (RN) Contract We are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan. Job... ...concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services...Remote workContract workLocal areaFlexible hours
- Optum is seeking an experienced Utilization Review Nurse (RN) to perform inpatient utilization management and medical necessity determinations. You will review admissions and preauthorization requests, applying MCG/InterQual guidelines and contract terms to ensure cost-...Remote jobContract workWeekend work
- Optum is seeking an Utilization Review Nurse, RN, to support inpatient utilization management. The role reviews admissions and preauthorization requests using evidence-... ...focus on patient outcomes. The position allows remote work for those in PST/MST, with a Monday-Friday...Remote jobMonday to FridayWeekend work
- UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services and identify solutions for members to live healthier... ...clinicians, and supporting discharge planning within a remote-capable framework. You will work with a team to...Remote job
$45 - $45.5 per hour
Overview Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months (... ...treatment plan. Utilizes clinical skills to assess... ...retrospective reviews for inpatient acute care, rehabilitation... ...more junior team members. RN and current unrestricted...Remote workContract workImmediate startMonday to FridayAfternoon shift- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services. You will assess member needs, interpret requirements... ...members live healthier lives. The role offers remote work flexibility across Pacific, Mountain, or...Remote job
- UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure appropriate utilization of health services. Assess and interpret member needs, identifying solutions... ...supports clinical and business collaboration and remote work within US time zones. You will review...Remote job
$29 - $52 per hour
...Utilization Management Nurse For those who want to invent the future of health... ...**Although this position is remote, applicants must be located... ...unrestricted compact RN licensure Function is responsible... ...nursing facility, acute inpatient rehabilitation and long-term...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN - Remote Inpatient Utilization Management. Be the first to apply!

