Remote Utilization Management RN - Driving Care Outcomes
Colorado Psychiatric
- Remote job
UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient, evidence-based care across the continuum. This role focuses on prior authorization review for skilled nursing, inpatient rehabilitation and LTAC, translating guidelines into practical decisions. You will work remotely within Pacific or Mountain Time Zones, enjoy autonomy, and help members live healthier lives while leveraging tools and resources in a dynamic, production-driven environment. #J-18808-Ljbffr Colorado Psychiatric
- ...Manager Of Rn Utilization Management It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights:... ...cost-effective patient care. As the Manager of RN Utilization... ...the right time while driving exceptional outcomes across the continuum of...Remote workWork at officeLocal areaMonday to FridayShift workDay shift
$70k - $75k
...Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to... ...healthcare focused on outcomes and value inside and outside... ...Description The Utilization Management Registered... ...services Quality of care concerns Interfacing...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient and effective health services... ...guidelines, and recommending appropriate care levels to support healthier outcomes. This remote position is restricted to applicants located in...Remote job
$45 - $45.5 per hour
...Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months... ...appropriate health care services in... ...physician treatment plan. Utilizes clinical skills to assess... ...healthcare outcomes for members. Ensures... ...junior team members. RN and current unrestricted...Remote workContract workImmediate startMonday to FridayAfternoon shift$29 - $52 per hour
...Utilization Management Nurse For those who want to invent the future of health care, here's your opportunity. We're going beyond... ...this position is remote, applicants must be... ...unrestricted compact RN licensure... ...and improves health outcomes - an enterprise priority...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of... ...services, coordinating care, and ensuring members receive... ...monitor care options for optimal outcomes Conduct utilization reviews...Remote workDaily paidContract workMonday to FridayShift workWeekend work$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions... ...directly improve health outcomes by connecting... ...Inpatient utilization management. Reviews inpatient... ...flexibility to work remotely* as you take on...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift workWeekend work$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions... ...directly improve health outcomes by connecting people... ...occasional opportunity for remote work based on... ...~ Registered Nurse (RN) with a current, active...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area- ...(Community) is a non-profit managed care organization (MCO), licensed... ...SUMMARY: Behavioral Health Utilization Manager will perform... ...Provides timely responses of the outcome to the provider based on... ...telephone systems Work Schedule: Remote Other Requirements:...Remote workContract workWork experience placement
- ...Description Job Description The utilization review and management (UM) component program... ...the appropriate level of care, while supporting... ...initiatives to enhance patient care outcomes and operational efficiency... ...This is an in-office, no remote work capability position...Remote workWork at office
- ...Utilization Manager Registered Nurse (UMRN) Spectrum Healthcare Resources has a need for a Utilization... ...Nurse (UMRN). These will be completely remote positions, working entirely from the... ..., educating patients on appropriate care and managing health care costs for the...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- CVS Health seeks a NICU Utilization Management Nurse Consultant to support... ...clinical review, care coordination, and evidence... ...based decision-making. This remote role requires an active RN license, NICU nursing... ...across teams to improve outcomes. Join a mission-driven environment...Remote jobWork from home
$100k
...Type Contract Industry Health Care Work Experience 1-3 years Salary $100,000 Remote Job Job Description This is a remote position. The Utilization Management (UM) Nurse is responsible for... ...unrestricted Registered Nurse (RN) license in the applicable state...Remote workContract workWork experience placement$71.1k - $97.8k
...Become a part of our caring community The Part... ...Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical... ...in improved member outcomes, operational efficiencies... ...Registered Nurse (RN) with compact license... ...rotation. This is a remote position. This role...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend workWeekday work- 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
- ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified...Remote work
- Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical necessity criteria. The role... ...Medicare/Medicaid guidelines, MCg/InterQual, and care coordination processes. #J-18808-Ljbffr NHSHPRemote job
$80k - $95k
...of All-Inclusive Care for the Elderly (... ...population health, and utilization management. IntusCare... ...operations and improve outcomes for dual-eligible... ...Team driving efficient and timely... ...experience. ~ Current RN license ~... ...This is a fully remote role based in the...Remote work- ...click here. Job Summary Utilization Management Nurse performs clinical... ...facilitates and promotes appropriate care and quality toward cost... ...Registered Nurse (RN) with active, current, unrestricted... ...works in an office setting or remotely, periodically has lifting...Remote workWork at office
- ...This role is part of a multidisciplinary team focused on member care within a managed care framework. The position requires R.N. licensure in NC, five years of clinical experience, including acute care and utilization management experience. #J-18808-Ljbffr Vaya HealthRemote job
- ...Utilization Management RN There's no place like Liberty Health Come explore career opportunities... ...planning opportunities to lower levels of care Assist the Director of Utilization... ...Clearly communicates instructions to remote users. Visit for more...Remote workWork at office
$29.1 - $62.32 per hour
...passionate colleagues who care deeply, innovate with purpose... ...one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Commercial) Remote | Full-Time | Weekday Schedule... ...care quality and member outcomes Serve as a clinical resource...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- 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... ...utilization reviews, support transitions of care, and ensure compliance with Medicare Advantage regulations...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...Remote job
- ...UnitedHealth Group, is seeking a Utilization Review Nurse, RN, to perform inpatient utilization management. The role requires clinical... ...to medical necessity criteria. Remote work is available for PST/MST... ...should have 3+ years in acute care and 1+ year in utilization management...Remote jobShift workWeekend work
- UnitedHealth Group is hiring a Utilization Management Nurse for a remote role open to those in Pacific or Mountain Time zones. You will... ...driven environment. Requirements include a compact RN license and 3+ years in managed care or clinical settings. Strong MS Office skills...Remote jobFlexible hours
- Harris Health is seeking a Utilization Management Review Nurse to assess medical service necessity and optimize care across a large network in Texas. The role partners with Care... ...care levels and cost-efficient outcomes. The UMRN will review denials, assist with...Remote jobFlexible hours
- ...recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an... ...include evaluating healthcare services and coordinating care for members. Join a dynamic team and make a meaningful impact...Remote jobContract work
$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 health services... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate will...Remote jobWeekend work- ...and Dignity Health. With more than 700 care sites across the U.S., from clinics and... ...Summary and Responsibilities As our Utilization Review RN, you will play a pivotal role in optimizing... ...care transitions. Your expertise in managed care environments and CMS standards...Remote work
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