Remote Utilization Management Nurse - Part-Time
Santa Barbara Cottage Hospital
New York, NY
- 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
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse - Part-Time in New York, NY vacancy
- ...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 workWeekend workAfternoon shift
Rxadvance Corporation
Southborough, MAa month ago - ...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
The Judge Group
Philadelphia, PA2 days ago $63.1k - $94.65k
...enabled revenue cycle management solutions for... ...the most important part of who we are. By... ...Information: Our Utilization Review team... ...rotating basis. Part-Time Schedule Options... ...with the physicians, nurses, multidisciplinary... ...: This is a remote role which requires...Part timeRemote workTemporary workWork at officeLocal areaFlexible hoursShift work- ...Shift Job Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between the... ...floor and administrative compliance. Unlike remote roles, this position relies heavily on real-time, face-to-face interaction with doctors, patients...Part timeRemote workImmediate startShift work
$90.86k - $153.64k
...Your Role The Utilization Management Concurrent Review team reviews the inpatient... ...Concurrent Review Nurse will report to the Utilization... ...employees to work virtually full-time, however employees will be expected... ...- roles involving part to full time schedule in Office...Part timeRemote workFull timeContract workWork at officeLocal areaWork from homeHome office2 days per week- ...CVS Health is seeking an experienced Registered Nurse to support utilization management from a remote home-based setting across the United States. The role involves assessing patient needs, planning and coordinating care, and collaborating with providers to render coverage...Remote workWork from homeWeekend work
4062 Aetna Resources, LLC
Columbia, SC3 days ago - ...Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations... ...and make critical patient-care decisions. This full-time, remote position offers a competitive salary and comprehensive...Remote workFull time
Humana
United States3 days ago - ...Job Title This is a remote position but will... ...reimbursement for all full-time and part-time colleagues... ...Collaborate with physicians, nursing staff, and... ...appropriate resource utilization and care planning... ...utilization review, case management, or payer review experience...Part timeRemote workFull timeWork at officeLocal areaShift workDay shift
Trinity Health Grand Haven
Mishawaka, IN5 days ago - ...Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to join our Clinical Services team. This remote role supports members in Oregon, Washington, Idaho or Utah, conducting prospective, concurrent and retrospective reviews to ensure medical necessity...Remote work
Cambia Health Solutions
United States1 day ago - ...CVS Health is seeking a Utilization Management Nurse Consultant for a remote Texas position. The role uses clinical nursing experience to assess, plan, implement and evaluate services for members, with a strong focus on utilization management and care coordination....Remote workAfternoon shift
CVS Health
United States5 days ago - ...CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals who thrive in a fast-paced environment and are looking to make a clinical impact without direct patient care....Remote work
CVS Health
United States3 days ago - ...Care is a cutting-edge remote monitoring and management system, connecting... ...skilled Registered Nurse (RN) to join our team... .... Technology Utilization: Incorporate healthcare... ...Innovative Environment: Be part of a collaborative... ...Quality, making timely, informed decisions....Part timeRemote jobRotating shift
- ...CVS Health is seeking a remote Utilization Management Nurse Consultant (Medicare) to apply clinical expertise beyond the bedside and ensure members receive the right care at the right time. You will review cases, collaborate with providers, and use evidence-based guidelines...Remote workFull timeLocal areaMonday to FridayAfternoon shift
CVS Health
Coloma, MI18 hours ago $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 workWeekend workkozmetickesluzby.vecnakraska.sk - Jobboard
United States3 days ago- ...CVS Health Corporation is seeking a Nurse Consultant to join our Utilization Management team. The role focuses on applying clinical judgment and evidence-based criteria to review inpatient and outpatient services, authorizing care, and escalating cases when needed....Remote work
CVS Health
United States1 day ago - ...Cambia Health Solutions seeks an Utilization Management Nurse to conduct reviews (prospective, concurrent, retrospective) and ensure medical necessity and policy compliance. You will consult with physician advisors and collaborate with interdisciplinary teams to improve...Remote work
Cambia Health Solutions
United States3 days ago $70k - $75k
...Utilization Management Registered Nurse (RN) - Remote ~ Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company... ..., we value transparency and collaboration as part of our commitment to excellence. As your primary...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
United States2 days ago- ...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
Appworks
United States5 days ago - ...CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN) to work remotely on a full-time Weekday schedule. You will review cases, determine coverage, and collaborate with care teams to ensure appropriate treatment, while applying...Remote workFull timeWeekday work
CVS Health
United States2 days ago - ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage determinations for Medicare beneficiaries. This remote, full-time role follows a weekday schedule, leveraging your RN expertise to ensure appropriate care and outcomes...Remote workFull timeWeekday work
CVS Health
United States2 days ago - ...CVS Health is hiring a Nurse Consultant for a 100% remote Utilization Management role. You will apply clinical judgment to review inpatient and outpatient services, authorize care, and collaborate with providers while maintaining precise documentation. The position...Remote workFlexible hours
Pennsylvania Psychological Association
Phoenix, AZ1 day ago - ...CVS Health is seeking a qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration...Remote workAfternoon shift
Anacalifornia
United States5 days ago - ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to remotely review authorizations and assess medical necessity across multiple... ...to ensure compliant, evidence-based reviews and timely decisions that support quality care and member outcomes...Remote work
CVS Health
Oklahoma City, OK3 days ago $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 | 24/7 Operations Are you an...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shiftCVS Health
Home, KS3 days ago- ...CVS Health is seeking an Utilization Management Nurse Consultant to review clinical cases and make coverage decisions in a remote, full-time role. You will collaborate with providers and care teams, apply clinical judgment, and support utilization and benefit management...Remote workFull timeWork at office
CVS Health
United States2 days ago $29.1 - $62.32 per hour
...quality in everything we do. Join us and be part of something bigger – helping to simplify... ..., one family and one community at a time. Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you a...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- Saint Francis Health System seeks an Utilization Management Coordinator to provide administrative and clinical support in patient care reviews, ensuring proper placement and discharge planning within a behavioral health context. The role requires licensure as an RN, LCSW...Part timeRemote job
$36.8 - $49.8 per hour
...Utilization Management Nurse Work from home within Oregon, Washington, Idaho or Utah. Preference will... ...health) and at least 3 years (or full time equivalent) of direct clinical care.... ...Cambia Working at Cambia means being part of a purpose-driven, award-winning culture...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursCambia Health Solutions
United States1 day ago- Providence California Regional Services seeks a Senior Utilization Management Assistant to support the Care Management team. This REMOTE, part-time role offers 8-hour Evening shifts under the supervision of the Regional Director of Care Management. You will perform complex...Part timeRemote jobAfternoon shift
- ...The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases... ...necessity criteria. Facilitates timely implementation of hospital discharge... ...'s home which may be in understaffed/remote areas, in the presence of pets or family...Remote workFull timeWork at office
North East Medical Services
Burlingame, CA4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Nurse - Part-Time. Be the first to apply!
Related searches
- software engineering manager remote New York, NY
- remote recruitment consultant New York, NY
- remote data manager New York, NY
- business intelligence analyst remote New York, NY
- benefits specialist remote New York, NY
- junior angular developer remote New York, NY
- remote video game New York, NY
- remote typing work New York, NY
- remote construction estimator New York, NY
- remote fashion New York, NY