Remote Utilization Management Nurse Consultant (RN)
$26.01 - $62.32 per hour4062 Aetna Resources, LLC
4062 Aetna Resources, LLC is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to work remotely. The role involves reviewing clinical information and coordinating treatment plans to ensure quality care. Candidates must have an active RN license and at least 3 years of experience, with a preference for those holding a BSN. This full-time position includes evening hours, a 4-day work week, and eligible for bonuses. Pay range is between $26.01 and $62.32 per hour. #J-18808-Ljbffr
Vacancy posted 13 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse Consultant (RN) in Wausau, WI vacancy
$26.01 - $68.55 per hour
4062 Aetna Resources, LLC is seeking a Medicare Precertification Utilization Management Nurse Consultant to work remotely. The role requires an active RN license and a minimum of 3 years of RN experience. Responsibilities include reviewing clinical information, making...Remote workHourly payFull time4062 Aetna Resources, LLC
New York, NY1 day ago$26.01 - $68.55 per hour
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Saint Paul, MN12 hours ago$32.01 - $68.55 per hour
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Albany, NY1 day ago$26.01 - $68.55 per hour
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New York, NY1 day ago$26.01 - $62.32 per hour
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Wausau, WI13 hours ago$26.01 - $62.32 per hour
...Utilization Management Nurse Consultant (Medicare / Spine) Remote | Full-Time | Mon‑Fri, 9:00 AM‑6:00 PM (local time) May include evenings, holidays, and occasional... ...efficiency What You Bring – REQUIRED Active, unrestricted RN license in the state of residence 3+ years of RN...Remote workHourly payFull timeTemporary workWork at officeLocal areaAfternoon shiftHispanic Alliance for Career Enhancement
Raleigh, NC12 hours ago$26.01 - $62.32 per hour
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...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...and Description of Project: Managing a case load for healthcare members with... ...contact and will include 80% travel. Remote role. Will require a driver’s license....Remote workHourly payFull timeContract workImmediate startShift work3 days per weekMindlance Health
Corpus Christi, TX12 days ago$74 per hour
...RN Care Coordinator – Full-Time Professionally... ...considered). Location: Some remote work and some in-... ...Position Summary The Case Management Consultant provides consultative... ...approaches to nurse care managers, and participate... ..., and coordinate utilization of community resources...Remote workFull timeTemporary workPart timeInterim roleWork at officeLocal areaShift workInterim HealthCare
Bloomington, MN12 hours ago$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...and Description of Project: Managing a case load for healthcare members with... ...contact and will include 80% travel. Remote role. Will require a driver’s license....Remote workHourly payFull timeContract workImmediate startShift work3 days per weekTravelNurseSource
Corpus Christi, TX12 days ago- ...The Peer-to-Peer (P2P) Utilization Review Nurse is an integral member of the MGB Central Utilization Management team, specializing in identifying... ...reconsideration (CONI) processes through RN-to-RN collaboration with... ...and Work Model ~ Remote / Work from Home. ~32...Remote workWork from home
Mass General Brigham (Enterprise Services)
Somerville, MA4 days ago - ...A leading healthcare facility in the United States seeks a Clinical Product Consultant for Utilization Management. The role involves providing clinical insights, ensuring product accuracy, and managing implementation milestones. Candidates should have a BSN, extensive...Remote workFlexible hours
Santa Barbara Cottage Hospital
New York, NY4 days ago - ...Rehabilitation Therapy and Nursing. Job Description... ...are comprised of network management, clinical coverage, and policies. · Utilizes clinical skills to coordinate... ...program. Requires an RN (consideration for LCSW)... ...and benefit utilization · Consults and lends expertise to other...Work at officeWeekend work
Integrated Resources
Downers Grove, IL13 hours ago $47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting... ...claims examiners. Candidates must have a current RN license and at least four years of clinical...Remote workCare Options For Kids
Fort Worth, TX1 day ago$71.03k
...Care Management Nursing Consultant Job No: 540542 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Healthcare... ...health and safety issues utilizing standardized processes.... ...Arizona medical license (RN or higher) or Arizona Behavioral...Remote workFull timePart timeInternshipWork at officeImmediate startWork from homeFlexible hoursWeekend workArizona Department of Administration
United States4 days ago$34.98 - $42.85 per hour
...Clever Care is hiring a UM Nurse I - RN to conduct clinical reviews of authorization requests in California. The role involves... ...of three years of clinical experience, preferably in utilization management. This remote position offers a wage range of $34.98 to $42.85 per...Remote workHourly paySanta Barbara Cottage Hospital
New York, NY4 days ago- ...experience with Medcompass. Must have prior authorization utilization experience. Managed Care/Medicare experience preferred. MUST HAVE... ...Milliman/MCG. MUST HAVE 6 months of Prior Authorization. RN with current unrestricted state licensure. US Tech Solutions...Remote work
US Tech Solutions
United States4 days ago - ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected... ...the utilization/benefit management program. Requires an RN (consideration for LCSW) with unrestricted active license...Work at officeWeekend work
Careers Integrated Resources Inc
Downers Grove, IL28 days ago - ...A prominent healthcare provider in Bellaire is seeking a PRN Utilization Management Review Nurse. This role involves evaluating medical services, ensuring appropriate care levels, and collaborating with healthcare teams. Candidates must hold a Bachelor's in Nursing and...Remote workReliefShift work
Direct Jobs
United States1 day ago $26.01 - $74.78 per hour
...Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will... ...utilization. Required Qualifications Registered Nurse (RN) with current unrestricted US licensure required. 2+...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hoursHispanic Alliance for Career Enhancement
New York, NY12 hours ago- ...Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be... ...(LPN) or Registered Nurse (RN) with strong critical thinking skills... ...computer skills, and the ability to manage multiple tasks efficiently. #J-18...Remote work
Alumni Ventures
Florida, NY1 day ago - ...access to care and appropriate utilization of resources, balanced with... ...medical necessity. This position manages medical necessity process for... ...of an accredited school of nursing. Certifications: Active... ...Tuesday thru Saturday schedule. Remote, but you must live locally in...Remote workWork at office
Santa Barbara Cottage Hospital
New York, NY4 days ago $30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart timeSanta Barbara Cottage Hospital
New York, NY4 days ago$45 - $45.5 per hour
...Overview Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months (Contract possibly Extension... ...the physician treatment plan. Utilizes clinical skills to assess, plan, implement... ...from more junior team members. RN and current unrestricted nursing...Remote workContract workImmediate startMonday to FridayAfternoon shiftMindlance
New York, NY4 days ago$30 - $34 per hour
...healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in... ...and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly payAstrana Health
California, MO2 days ago- ...Alignment Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing inpatient... ...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, MO13 hours ago $80.17 - $119.26 per hour
CommonSpirit Health is seeking a System Physician Advisor to conduct clinical case reviews in a remote capacity. This role entails ensuring effective utilization of healthcare services, communicating with medical staff, and making recommendations regarding patient care....Remote jobHourly pay- ...Are you an experienced Registered Nurse (RN) – Utilization Management / Case Management (Medicare) with a desire to excel? If so, then Talent Software... ...On-site training required (1–6 weeks depending on role) Remote/hybrid flexibility available post-training based on...Remote workContract workLocal area
Talent Software Services
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ETHEREUM TECHNOLOGIES LLC
San Francisco, CA1 day ago
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