Remote Utilization Management RN - Care Outcomes Advocate
QuickCruit, Inc.
- Remote job
QuickCruit, Inc. is seeking a Utilization Management RN to collaborate with the Medical Director and Health Plan Manager. You will drive reductions in care variance, ensure timely discharges, and refer members to plan resources to meet care conditions. In this remote U.S. role, you will contribute to care management review processes and educate stakeholders, supporting an integrated medical management team focused on optimal patient outcomes. #J-18808-Ljbffr QuickCruit, Inc.
- ...services provider is seeking a dedicated Case Manager to offer exceptional case management services focusing on quality care and positive outcomes. Responsibilities include developing... ...prior clinical care experience. This remote role is a great opportunity to make a positive...Remote work
- Guidehealth, a fully remote healthcare company, is seeking a Utilization Management Registered Nurse to perform reviews, apply medical necessity criteria, and document... ...role emphasizes AI integration into daily workflows and high-quality care. #J-18808-Ljbffr GuidehealthRemote job
- ...seeking a Telephonic Medical Case Manager, RN to provide comprehensive remote and hybrid case management from... .... Responsibilities include utilization review, care coordination, and collaboration... ...adjusters to drive appropriate medical outcomes. Qualified candidates hold an...Remote job
- ...States is seeking an Inpatient Utilization Management Clinician to evaluate... ...support discharge planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and... ...timely reviews, document outcomes, and maintain regulatory compliance...Remote workFull time
- ...Utilization Management RN (Part-Time, Remote) Position Overview Under the direction of a designated manager... ...recommends alternative levels of care when appropriate. This role... ...setting while maintaining quality outcomes Communicate with attending physicians...Remote workPart timeMonday to Friday
$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$45 - $50 per hour
...delivering quality patient care and navigating complex healthcare... ..., is seeking experienced Utilization Management RNs to play a vital role in... ...an impact within a dynamic, remote environment where your expertise... ...support improved patient outcomes and streamline clinical...Remote workContract workWork at office- ...Behavioral Health Utilization Manager Behavioral Health Utilization Manager... ...in the appropriate level of care. Notifies Medical Director... ...Provides timely responses of the outcome to the provider based on... ...systems Work Schedule: Remote Other Requirements: Able to...Remote workContract workWork experience placement
$39.83 - $59.74 per hour
...Utilization Management RN Robbinsdale, MN Posting Date: Sep 18 2... ...rooted in our values: Advocate Courageously, Rally Together... ...Impact. Empathy and care are at the heart of... ...quality clinical outcomes, and appropriate resource... ...Requirement: None Remote or On-site: Hybrid...Remote workFull timeContract workPart timeFor contractorsFor subcontractorLive inWork at officeShift workWeekend work- ...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
- PharmaCord LLC is seeking a Remote Registered Nurse (RN) Case Manager to enhance patient care through education and advocacy. This role involves collaborating with... ...your expertise will directly impact patient outcomes. #J-18808-Ljbffr PharmaCord LLC. “PharmaCord,” “...Remote job
- Duly Health and Care in Downers Grove, IL is seeking a RN, Case Manager - Nephrology for a full-time role. You will collaborate with physicians, patients, and families to promote quality outcomes for nephrology patients and manage a caseload across care settings. The ideal...Remote jobFull time
- ...Health is seeking an RN Integrated Care Coordinator (UM) to provide... ...and drive quality outcomes across the care continuum... ...-quality care in a remote environment, with rotating weekend utilization review coverage. The candidate... ...years in utilization management, 3-5 years clinical...Remote job
- Position Title: Case Manager, RN - Utilization Review - PRN Department... ...Job Description: Remote Eligibility: Candidates... ...receive appropriate care, working closely with... ...financial reimbursement outcomes. Evaluates... ...regulatory guidelines. Advocates for and Demonstrates...Remote workFull timeReliefLocal areaWork from homeRelocationShift work
$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- ...patients receive high-quality care while efficiently utilizing medical resources. Reviews... ...on maximizing patient outcomes and optimizing resource allocation... ...: ~ Registered Nurse (RN) licensure in the state of... ...to the on-site care management teams when appropriate. Reviews...Remote jobWork experience placement
$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization... ...that delivers care, aided by... ...directly improve health outcomes by connecting... ...opportunity for remote work based on business... ..., Field Care Advocates) to identify appropriate... ...Nurse (RN) with a current,...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$39.83 - $59.74 per hour
...rooted in our values: Advocate Courageously, Rally... ...Impact. Empathy and care are at the heart of North... ...This Position The Utilization Management RN, under the supervision... ...ensuring quality clinical outcomes, and appropriate... ...Call Requirement: None Remote or On-site: Hybrid...Remote workFull timeContract workPart timeLive inShift workWeekend work$63.1k - $94.65k
...enabled revenue cycle management solutions for... ...have current compact RN license, or be... ...nurses with experience caring for neonatal,... ...Information: Our Utilization Review team provides... ...necessity review outcomes to in-house care management... ...: This is a remote role which...Remote workTemporary workWork at officeLocal areaFlexible hoursShift work- ...experienced registered nurse for pediatric oncology/hematology care in Mesa, AZ. The role involves administering treatments, monitoring... ...and coordinating care with multi-disciplinary teams to optimize outcomes. You will educate patients and families, maintain thorough...
$112.7k - $193.2k
...the nation's leading health care organizations and build your... ...operational oversight for all Utilization Management functions, including... ...DegreeActive Texas Registered Nurse (RN) license or valid multistate... ...and improves health outcomes - an enterprise priority reflected...Remote jobMinimum wageFull timeContract workWork experience placementLocal area- Elevance Health is seeking a Wound Care Utilization Management RN to work primarily virtually with periodic in-person training sessions. The role requires an active RN license, WOCN or CWS certification, and at least 3 years in diverse health care settings. The RN will...Remote jobWork from home
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred Are... ...help ensure members receive the right care at the right time through evidence-... ...to improve quality of care, member outcomes, and healthcare utilization Connect...Remote workHourly payFull timeTemporary workWork from homeAfternoon shift- ...The Care Advocate Nurse oversees initiatives surrounding assessing... ...goals of the Claims Management department and of CorVel. This is a remote role. ESSENTIAL... ...aptitude with the ability to utilize Microsoft Office... ...nursing Current unencumbered RN Licensure in state of residency...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours
- ...a Friend Back Remote Work from Home Share... ...Plans (JHHP) is the managed care and health services... ...AM - 5:00 PM As a Utilization Review Registered Nurse... ...Registered Nurse (RN) license in Maryland (... ...quality and better health outcomes for our members and...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift
- ...Overview This remote position in Utilization Management requires a Registered Nurse with 2 years of experience. Responsibilities include working... ...is subject to background screening through the Florida Care Provider Background Screening Clearinghouse . Pursuant...Remote workWeekly payMonday to FridayWeekend work
$26 - $28 per hour
...times. Qualifications MUST HAVE Utilization Management experience MUST BE a Registered Nurse... ...) Workplace Type This is a fully remote position. Application Deadline... ...building tomorrow by delivering business outcomes and making positive impacts in our global...Remote workContract workTemporary workWork from home$77.91k - $116.86k
...Delegation Oversight Auditor Utilization/Case Management (LVN/RN Required) RemoteApply: Fully Remote: Anywhere in the U.S.: Full time... ...mold in conventional health care, committed to serving seniors... ..., compliance, and performance outcomes across delegated clinical functions...Remote jobFull timeWork at office- ...Overview Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial components; promoting integration...Remote workRelief
$26.01 - $56.14 per hour
...surrounded by passionate colleagues who care deeply, innovate with purpose, hold... ...at a time. Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations... ...to improve quality of care, health outcomes, and benefit utilization Connect...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management RN - Care Outcomes Advocate. Be the first to apply!


