RN Utilization Management Supervisor - Hybrid/Remote
Dignity Health
A healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role requires 5+ years of clinical experience and 3+ years in utilization management. You'll manage staffing, coordinate referrals, and facilitate team meetings. A California RN license is required. This position offers a hybrid work environment and focuses on improving patient care and operational efficiency. Join us in making a difference in healthcare delivery. #J-18808-Ljbffr
$75.3k - $135.4k
Fultonmontgomeryny is seeking a Clinical Review Supervisor for its Medical Management/Health Services team in New York. The role involves overseeing the utilization management team, ensuring quality and... ...must have a nursing degree and valid RN licensure, along with at least four...Remote jobFlexible hours$75.3k - $135.4k
...professional on our Medical Management/Health Services team. Centene... ...day-to-day activities of utilization management team. Monitors and... ...preferred. License/Certification RN - Registered Nurse - State... ...approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hours- Cambia Health Solutions is seeking a Supervisor Utilization Management to lead a team dedicated to improving health care delivery. This hybrid role requires leadership skills and clinical expertise to ensure quality care through effective utilization management programs...Suggested
- Cambia Health Solutions is seeking a Supervisor Utilization Management to lead a team in Portland. The role involves overseeing team activities... ...experience, and be a current Registered Nurse (RN). This hybrid position offers competitive pay and numerous benefits....Suggested
- Cambia Health Solutions is seeking a Supervisor Utilization Management in Vancouver, WA. This hybrid position involves leading a team in the clinical services department to ensure cost-effective and quality care. The successful candidate will have a nursing background and...Suggested
- ...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
- CommonSpirit Health is seeking a Supervisor of Utilization Management (UM). This remote position requires overseeing the Pre-Authorization team while ensuring compliance with guidelines. Your leadership will be essential in promoting quality patient care. The ideal candidate...Remote job
$77.96k - $120.37k
Santa Barbara Cottage Hospital is seeking a Utilization Review Supervisor RN to direct operations within the department. This remote role requires a leader adept in managing a team, ensuring service quality, and handling human resources matters. The ideal candidate will...Remote job- Centene Corp. is seeking a Supervisor, Utilization Management to lead the clinical review teams in a remote Missouri capacity, overseeing prior authorization, concurrent and... .... Qualified candidates hold a nursing degree, RN licensure, and 4+ years of UM experience, with...Remote job
- CorVel Corporation is looking for a Utilization Review Supervisor RN to direct operations in Rancho Cucamonga. The role includes managing day-to-day operations, ensuring quality service, and handling HR matters. This remote position requires strong communication skills,...Remote job
$77.96k - $120.37k
...Utilization Review Supervisor RN The Utilization Review Supervisor RN is responsible for directing the operations of their designated... ...human resources, customer service, and limited sales management. This is a remote position. Essential functions and responsibilities...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift$75.3k - $135.4k
...Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will... ...experience in a related field, along with an active RN license in California. This position offers a salary range...Remote work$70.3k - $87.87k
...MI, U.S. Job Summary The Supervisor of Utilization Review (UR) oversees the development... ...also participates in management meetings, workgroups, and... ...(LMFT) Registered Nurse (RN) Must maintain Child... ...in an office environment. Hybrid (onsite/remote) work schedule available....Remote workFull timeWork at office- ...clinical interviews for incoming RN’s Conduct new hire... ...all visits/meetings (in person/remote/calls) and supervisions in Outlook... ...that is given access to the RN Supervisor by the DOE, ensure staff is... ...Retirement plan Work Location: Hybrid remote in Bronx, NY 10453...Remote jobLocal area
- ...Environmental Professional - Utilities to provide technical leadership... ...clients. This role offers a hybrid work environment that... ...in-office collaboration with remote flexibility. Candidates should... ...relevant degree, and strong client management skills. The position includes...Remote jobWork at office
- ...Centene Corporation in Missouri is seeking a supervisor for their Prior Authorization team within the Medical Management/Health Services department. The role ensures quality... ...of related experience, and have an active RN license. Benefits include competitive pay, health...Remote workFlexible hours
- Audit Supervisor (Woodland Hills hybrid) About the job Audit Supervisor (Woodland Hills... ...role in overseeing and managing audit engagements while also... ...flexibility of working fully remote, providing an opportunity... ...remote work environment. Utilize technology and virtual...Remote workFlexible hours
$85k - $95k
...of using the platform. The RN Supervisor, Clinical Operations leads and... ..., reporting to the Director/Manager of Clinical Operations, and... ...guidelines. Prior Authorization or Utilization Management experience.... ...and training in a remote work environment. Availability...Remote workHourly payFlexible hours$80.64k - $92.75k
...leading caregiving services company seeks an AP Supervisor to oversee accounts payable operations and lead remote teams. The role requires 3-5 years in accounts payable... ...while supporting month-end activities. This hybrid position involves coming into the El Segundo office...Remote workWork at office- ...Documentation Integrity Supervisor The Outpatient... ...will be accountable for managing a team of CDI specialists... ...This Position is 100% Remote; can work from anywhere... ...this position requires an RN licensure with three years... ...health records and utilize AI/NLP technologies...Remote jobWork at office
$75k - $100k
Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness,... ...experience. Work Location We are open to remote work in the following approved states:... ...Benefits ~ Remote and hybrid work options available ~ Performance...Remote workFor contractorsWork at officeLocal areaImmediate start- Two95 International Inc. is seeking a HIM Operations Supervisor in Philadelphia, PA. This hybrid position focuses on overseeing Health Information Management workflows, primarily related to patient identity and chart correction. The ideal candidate should possess supervisory...Remote job
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly... ...HOURS & SHIFT REQUIREMENTS: Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The...Remote workHourly payFull timeWork at officeRelocation packageShift work$140k - $170k
...have over 10 years of civil litigation experience and may have no-fault or insurance experience, although it's not required. This hybrid remote position involves 4 days in-office and 1 day remote each week with flexible hours. A competitive salary between $140k to $170k,...Remote workWork at officeFlexible hours1 day per week$92.7k - $125.4k
Hybrid role (3 days/week in office) at our Burlington... ...’s dedicated team of Utilization Management (UM) Leaders are... ...leadership team, our Supervisor Utilization Management... ...unrestricted Registered Nurse (RN) license in a state... ...locations or work remotely). Demonstrated...Remote workFull timeContract workWork at officeImmediate startWork from homeRelocationFlexible hours3 days per week- Position Summary Department: Managed Services. This position will be hybrid in the Dallas, Texas... ...Perform utilization review activities, including... ...Delegate initial reviews to UM RN and determine medical necessity... ...review. Work both remotely and in‑office as needed....Remote workWork at officeRelocationRelocation package
$71k - $90.5k
...RN Case Manager - Hybrid Cityblock Health Detroit, MI, US / Onsite/Remote The RNCM manages a panel of rising and high intensity members to support integrated chronic... ...(ICD or CPT) to validate gap closures. Utilize care facilitation tools, electronic health...Remote workWork experience placement$39.83 - $59.74 per hour
...Utilization Management RN Robbinsdale, MN Posting Date: Jul 10 2026 Requisition Number: 513995 Why North Memorial... ...: Every Other Weekend Call Requirement: None Remote or On-site: Hybrid Remote- Must live in MN or WI FLSA Status: Exempt...Remote workFull timeContract workPart timeFor contractorsFor subcontractorLive inWork at officeShift workWeekend work$95k - $120k
...Audit Manager Who: Ideal for experienced auditors with 5+ years of experience and leadership capabilities. What: Manage... ...in a stable, growth-oriented firm. Office Environment: Hybrid (3 days in office, 2 days remote) in a medium-sized firm focused on nonprofits and...Remote workWork at officeLocal area- ...Location : Chattanooga ,TN (Hybrid ), Local to TN Candidates only... ...3 + Months Social Worker Supervisor • Team Lead: Functions as... ...providers o Provide in-person or remote social needs screening/... ...community resources • Conduct case management activities o Work with...Remote workContract workWork at officeLocal area
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