Remote Utilization Management Nurse - Part-Time
Santa Barbara Cottage Hospital
- Remote job
nirvanaHealth is seeking a part-time Utilization Management (UM) Nurse to join our remote team. The UM Nurse will perform prospective, concurrent, and retrospective medical necessity reviews, determine level of care, and participate in initial clinical review to ensure high-quality, cost-efficient care within regulatory standards. This remote role accounts for 12 hours per week, with 4 hours on Friday evening and 4 hours on Saturday and Sunday. #J-18808-Ljbffr Santa Barbara Cottage Hospital
- ...Utilization Management RN (Part-Time, Remote) Position Overview Under the direction of a designated manager, the Utilization Management RN... ...Discharge Planning Case Management Inpatient Acute Care Nursing Care Coordination Telephonic Clinical Review...Part timeRemote workMonday to Friday
$39.83 - $59.74 per hour
...Memorial Health, you’re part of an inclusive health... ...program. Most part-time and all full-time positions... ...This Position The Utilization Management RN, under the supervision... ...and care teams (nursing, social services, therapies... ...Requirement: None Remote or On-site: Hybrid Remote...Part timeRemote workFull timeContract workLive inShift workWeekend work$39.83 - $59.74 per hour
...Utilization Management RN Robbinsdale, MN Posting Date: Sep 18... ...Memorial Health, you’re part of an inclusive health... ...Forgiveness program. Most part-time and all full-time... ...and care teams (nursing, social services, therapies... ...Requirement: None Remote or On-site: Hybrid...Part timeRemote workFull timeContract workFor contractorsFor subcontractorLive inWork at officeShift workWeekend work- ...offer medical and pharmacy benefit management solutions that run on the same... ...mindset. Job Summary: The Utilization Management (UM) Nurse will have well-developed knowledge... ...clinical review. NOTE: This is a Part-Time REMOTE position for 4 Hours on Friday Evening...Part timeRemote jobWeekend workAfternoon shift
$75.3k - $135.4k
...-to-day activities of utilization management team. Monitors and... ...retrospective clinical review nurses and ensures compliance... ...reimbursement, paid time off plus holidays, and... ...approach to work with remote, hybrid, field or... ...including full-time or part-time status. Total...Part timeRemote workFull timeWork at officeFlexible hours$35.23 - $80.67 per hour
...Working with department manager, the RN - Shift Lead I... ...professionalism. This position is part time, day shift Scope... ...the oncoming Charge Nurse about census, staffing,... ...-Expected to lift and utilize full range of movement... .... If applying for a remote or hybrid role, this...Part timeRemote workHourly payWork at officeShift workNight shiftWeekend workDay shift- ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to join our remote team. This 100% work-from-home role serves members across the CST zone, ensuring safe, appropriate care and timely approvals. You will review clinical documents, collaborate...Remote workWork from home
- ...Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care such as SNF, Home Health, and DME. You will report to the Manager of Utilization Management and collaborate with...Remote work
- ...Akron Children’s Hospital is seeking a Utilization Management Nurse to perform medical necessity reviews and ensure proper use of hospital resources. The role supports staff with utilization practices and collaborates across teams to authorize patient days and discharge...Remote work
- ...Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management... ...patients receive appropriate, timely, and high-quality services. The... ...(LCD/NCD policies). This is a fully remote opportunity requiring discipline, accuracy...Remote work
$58.24k - $72.8k
ERM is seeking a Remote Utility Project Support Specialist to assist with customer inquiries regarding utility line projects. This part-time role involves managing a high volume of calls and ensuring customer satisfaction. The ideal candidate will possess strong communication...Part timeRemote job$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing... ..., and internal teams to ensure timely, compliant, and high-quality... ...transparency and collaboration as part of our commitment to excellence. As...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$40 per hour
...them navigate day-to-day health management. Why Join Cecelia... ...Dependable Hours: Count on consistent part-time work of at least 20 hours per... ...physician. Provide remote patient monitoring for... ...preferred. Proven experience utilizing motivational interviewing to...Part timeRemote workHourly payFull timeFor contractorsLive inLocal areaHome officeFlexible hours- Virtua Health in New Jersey seeks a part-time Per Diem RN for Utilization Management and denial management. You will apply medical necessity tools, document... ..., and Case Management certification within one year. Remote work options may apply; competitive hourly rate...Part timeRemote jobHourly payDaily paid
- ...Full Time 40 hours/week remote Summary: The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources and serving as a resource to the hospital staff on utilization management practices...Remote workFull time
$1,966 per week
...first 25 applicants Nurses - are you looking... ...from home 50% of the time once trained? Check... ...in personalized managed health care, focused... ...Work-life balance. Remote/hybrid setting (once... ...This individual will utilize clinical knowledge... ...Registered Nurse - Part Time Utilization...Part timeRemote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hours- ...Job Title Utilization Management Team Leader Job Description The Utilization... ...evenings and weekends as part of rotating on-call schedule... ...~ Associate Degree in Nursing required ~ Bachelor of Science... ...to work virtually full-time, however employees will be expected...Part timeFull timeContract workWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift2 days per week
$29.1 - $62.32 per hour
...safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$68.89k - $92.14k
...Pay Plan Title: Utilization Management Nurse Working Title: Utilization Management Nurse – Physical Health... ...$68,890 - $92,138 Office Location: Remote within North Carolina. POSTING... ...Spending Accounts ~24 days of Paid Time Off (PTO) plus 12 paid holidays in your...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours$71.1k - $97.8k
...About This Role The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation... ...Pay : $71,100 - $97,800/year Location : Remote, LA Department/Unit : Care Management Schedule : Full-time, Monday through Friday, 8:00 AM to 5:00 PM...Remote workFull timeTemporary workMonday to Friday$143.1k - $165.05k
...Utilization Management Nurse Burlingame, CA 94010 Overview Salary Range $143,098.80 - $165,04... ...medical necessity criteria. Facilitates timely implementation of hospital discharge... ...'s home which may be in understaffed/remote areas, in the presence of pets or...Remote workWork at office$26.01 - $56.14 per hour
...and quality in everything we do. Join us and be part of something bigger - helping to simplify health... ...care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | Central Time Zone Preferred...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$32.01 - $68.55 per hour
...everything we do. Join us and be part of something bigger - helping to... ...one family and one community at a time. Registered Nurse (RN) - Utilization Management Join a dynamic healthcare team... ...holidays (based on business needs). Remote/office-based environment with...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- The Utilization Management Nurse supports the Case Management Department by performing a variety of utilization... ...and initiatives. Schedule Full-time Shift: 11:00 a.m. - 7:30 p.m. with rotating... ...coverage Hybrid Position - Primarily remote/work-from-home, with an expectation to...Remote workFull timeWork from homeShift work
$52.4k - $92.16k
Location Remote Pay Range $52,395.20 - $92,... ...disease specific management, a working knowledge... ...in real time in the electronic... ...managed patients. Utilize and provide resources... ...an accredited RN Nursing program required.... ...to full‑time and part‑time staff members...Part timeRemote workFull timeLocal areaFlexible hours- To support effective utilization management, the part-time Senior Utilization Review Specialist will conduct concurrent and retrospective reviews of hospital... ...while collaborating with clinical teams in a fully remote capacity. Key Responsibilities Perform concurrent and...Part timeRemote 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 and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote jobWeekend work$60.2k - $107.4k
...health outcomes through innovative care and technology. The Utilization Management Nurse will review patient records and craft defensible appeal... .... The salary ranges from $60,200 to $107,400 annually, reflecting full-time employment and benefits. #J-18808-Ljbffr NHSHPRemote jobFull timeMonday to Friday$32.01 - $68.55 per hour
...everything we do. Join us and be part of something bigger – helping to simplify... ...one family and one community at a time. Utilization Management is a 24/7 operation and work... ..., holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule - 4x10's- Thursday,...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$72.8k - $130k
...scheduling and there is an occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role... ...(state of Massachusetts) at least 90% of the time (some weeks will require 100% as business...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area
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