Remote Utilization Management Nurse Consultant (RN)
NurseRemotely
CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% remote role available to CST Zone residents in the United States. You will review medical necessity, coordinate care, and ensure timely, appropriate services while meeting state and federal requirements.
Requirements include an active RN license and 2+ years of acute hospital experience. ADN is required, BSN preferred. This full-time position offers comprehensive benefits and a structured schedule.
#J-18808-Ljbffr- ...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
- ...CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote position. You will review medical necessity, facilitate discharge planning, and... ...experience, UR/Managed Care experience, and an active RN license. The role involves coordinating care and...Remote work
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive...Remote workHourly payFull timeTemporary workWork from homeAfternoon shift$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a... ...benefit management program. Requires an RN with unrestricted active license.... ...(UM) Nurse Consultant role is 100% remote and the candidate can live in any state...Remote workHourly payFull timeTemporary workWork experience placementLive inMonday to FridayShift workAfternoon shift$26.01 - $56.14 per hour
...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 experienced Registered Nurse looking to apply your clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$32.01 - $68.55 per hour
...with heart, each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$26.01 - $56.14 per hour
...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 Are you an experienced Registered Nurse looking to expand your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift- ...Blue Cypress Consulting is building its Pacific Northwest (PNW) practice, and we are looking for a Senior Utility Management Services (UMS) Consultant to help lead that growth from the... ...This is a hybrid position (in office/remote). We offer a telecommute option to work...Remote workFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and Guidehealth policies. This role applies...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$66.58k - $142.58k
...alignment with relevant project plans. • Manages and coordinates specific workplans for... ..., and/or facilitating research utilization to improve clinical care and outcomes.... ...technical writing skills • Registered Nurse (RN) required. Adept at problem solving and...Remote workHourly payFull timeTemporary workWork experience placementLocal areaWork from homeMonday to Friday- ...support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-... ...determinations Analyze clinical documentation for completeness and manage a caseload based on urgency and member impact Required...Remote workFull time
$26.01 - $68.55 per hour
...information from providers. Precertification nurses use specific criteria to authorize... ...Must have active, current and unrestricted RN licensure in state of residence with at least... ..., lock a computer screen when unattended, manage strong passwords, and recognize suspicious...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from homeMonday to FridayRotating shift$2,220 per week
...Care Career is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers... ...~ Employment Type: Travel REMOTE POSITION Facility: Lee Health... ...RN – Utilization Review / Utilization Management Contract: 13 weeks Guaranteed:...Remote workWeekly payContract workWork experience placementMonday to FridayShift workWeekend work$2,065 per week
...Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers, Florida. Job... ...Review Extension (UR EXT) specialist for a remote position. This role involves conducting utilization management activities, requiring collaboration...Remote workTemporary workZero hours contractMonday to FridayShift workWeekend work$1,851.96 per month
...Travel Offering Nursing Profession Registered Nurse (RN) Specialty Utilization Review Job ID 38... ...Utilization Management RN Schedule 8-hour days... ...have some experience with remote work. Responsibilities...Remote workWeekly payContract workLocal areaMonday to FridayShift workWeekend 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- ...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
$134.6k - $230.8k
...quality organization supporting utilization management operations across a large,... ...the flexibility to work remotely * from anywhere within the U... ...stakeholders across physician, nursing, and operational teams to... ...Qualifications:Active M.D., D.O., RN clinical credential/...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- ...Position Summary: The RN Integrated Care Coordinator... ...required to address utilization review cases. Roles... ...emphasis on utilization management, discharge planning,... ...current, unrestricted Texas nursing license or Compact... ...This is a remote position. Our whole company...Remote workLive inFlexible hoursWeekday work
- ...APRN - Utilization Management/Physician Advisor Services Join the team that... ...Title: Advanced Practice RN UM/PAS Responsibilities:... ...Advanced Practice Registered Nurse obtaining graduate education... ...this team member be working remotely? Always Equal Opportunity...Remote workFull timeShift workWeekend work
- Company DescriptionProSidian is a Management and Operations Consulting Services firm that delivers value to clients... ...099 Contract: No Overtime Pay Basis Remote (within USA - W/ On-Site Meetings... ...Industry (Oil, And Gas/Power, And Utilities) Sector Experience (functional and...Remote workFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
$20 - $25 per hour
...Change Management Consultant NTT DATA is a team of more than 190,000 diverse professionals, operating... ..., finance, industry, utilities, energy, public administration and health... ...Change Management Consultant to work remotely in LATAM with our global clients. Rate...Remote workFor contractors$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology... ...there is an occasional opportunity for remote work based on business needs. As a... ...Qualifications: ~ Must be a Registered Nurse (RN) with a current, active, unrestricted...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area- ...client challenges.You are:An experienced Epic Tapestry Certified - Utilization Management - ConsultantThe Work:Depending on the client engagement, the Epic Tapestry Certified - Utilization Management - Consultant will be responsible for overseeing the collaboration of...Full timeWork experience placementLive inWork at officeLocal area3 days per week
- ...our Water Business Group, you’ll help shape how communities manage water for generations to come. From delivering safe... ...progress, and leave a lasting legacy.HDR is looking for a Utility Management Consultant to join our North Carolina Water Business Group. This position...Contract workLocal area
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
- ...Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute... ...in the right setting. The role requires a compact RN license, 1+ year of clinical RN experience, and a passion...Remote work
- Bring your energy to Aggreko as a Senior Business Development Manager (SBDM) - Utilities IPP LATAM role supporting our Utilities and Independent... ...class events that last a few weeks to mining operations and remote communities who rely on us for decades.What you’ll do as Senior...Remote workFull time
$112.94k - $188.24k
...currently seeking a IT Governance & Portfolio Management Consultant - SECRET Clearance to join our team in... ...and effectiveness in full utilization of resources and delivering quality products... ...’s needs. While many positions offer remote or hybrid work options, these...Remote workFull timeTemporary workFlexible hours$98k - $163k
Job Family:Management ConsultingTravel Required:Up to 25%Clearance Required... ...management activities for utility clients, with a focus on... ...organizational readiness, or related consulting roles.Total work experience... ...to thrive in a fast-paced, remote, or hybrid delivery...Remote workPermanent employmentFull timeWork experience placementWork at officeFlexible hours
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