Remote Utilization Management RN - Colorado
UCHealth
Aurora, CO
- Remote job
UCHealth in Colorado is seeking a Registered Nurse for a remote-capable role focused on utilization and case management. This fully remote opportunity requires residency in Colorado and adherence to payer guidelines and documentation standards. The role emphasizes medical necessity reviews, discharge planning, and collaboration with clinical teams to balance quality care with cost efficiency. Expect strong critical thinking, minimal supervision, and a fast-paced environment. #J-18808-Ljbffr UCHealth
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management RN - Colorado in Aurora, CO vacancy
$84.56k - $126.84k
...Regular Job Overview The Utilization Review RN participates as a member of... ...Department Name: Utilization Management Job Status: part time, 24... ...position will be primarily remote but there may be occasions... ...of the Children's Hospital Colorado locations so all candidates...Remote workTemporary workPart timeLive inImmediate startRelocationRelocation packageShift workWeekend workAfternoon shift- ...Utilization Manager Registered Nurse (UMRN) Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
Spectrum Healthcare Resources
United States2 days ago - CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports... ...management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities include...Remote jobWork from home
$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
Phoenix, AZ1 day ago- A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include evaluating healthcare...Remote workContract workTemporary work
The Judge Group
Chicago, IL1 day ago - ...Humana, Inc. seeks a Manager for Utilization Management Nursing. This role coordinates medical services and benefit determinations, applying advanced... ...initiatives across the department. Requires an active RN license with eNLC, 2+ years of leadership and clinical experience...Remote work
Humana Inc
Atlanta, GA1 day ago $70k - $75k
...AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections... ...on a better path!! Job Description The Utilization Management Registered Nurse is responsible for performing...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
Chicago, ILa month ago$100k
...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 conducting... ...maintain an active, unrestricted Registered Nurse (RN) license in the applicable state or possess a...Remote workContract workWork experience placementYour IT & Corporate Recruiter
United States2 days ago$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation... ..., no holidays, no telehealth/remote work Minimum Qualifications... ...full, active, and unrestricted RN license Certifications:...Remote workContract workImmediate startMonday to FridayJ Edward Staffing LLC
Aurora, CO4 days ago- Netsmart is seeking a Registered Nurse with solid utilization management experience to perform ED utilization reviews and admissions screening using established criteria. The role requires adept EMR review, strong clinical judgment, and collaboration with ED physicians...Remote job
- A healthcare management organization is seeking a Utilization Management Nurse to oversee health service utilization while... .... This role requires an active LPN/RN license, and candidates should have... ...benefits package including remote work options. #J-18808-Ljbffr Healthcare...Remote job
- ...seeking a Registered Nurse for a temporary Utilization Management role. You will ensure prior... ...care programs. Required are an active CA RN license and at least five years in patient... ...substitute for experience. Hybrid work and remote- interview options are offered. #J-188...Remote jobTemporary work
$41.72 - $105.65 per hour
...the healthcare team. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Educates patients regarding... ...demand it. Additional Job Details (if applicable) Remote Type Remote Work Location 265 Charles Street Scheduled...Remote workHourly payDaily paidWork at officeShift workMass General Brigham
United States3 days ago- ...Job Description Job Description The utilization review and management (UM) component program ensures that external healthcare services provided... ...5 pm with one hour for lunch This is an in-office, no remote work capability position Travel ~ Some travel may be...Remote workWork at office
MedTrust LLC
Oklahoma City, OK5 days ago $39 - $40 per hour
...the job poster from The Judge Group Lead Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the following states: IL, TX, NM, OK, MT, TN Schedule:...Remote workDaily paidContract workTemporary workMonday to FridayShift workWeekend workThe Judge Group
Chicago, IL1 day ago- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, full-time role open to CST zone candidates. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring appropriate care levels within...Remote jobFull time
- Molina Healthcare seeks an experienced RN to support Arizona Plan clinical member services... ...active AZ RN license and experience with utilization management, prior authorization, and both inpatient and outpatient settings. Remote position, must reside in Arizona, with...Remote job
- Elevance Health is seeking a Wound Care Utilization Management RN for a virtual, full-time role. The position focuses on pre-certification and authorization for Home Health wound care services and coordinating care across providers. Hybrid work is available with some in...Remote jobFull time
- UnitedHealth Group is seeking an Utilization Management & Clinical Validation RN to accurately review medical records and extract case details, crafting defensible appeal letters using evidence-based literature and coding knowledge. You will work from anywhere in the U....Remote jobFlexible hours
- A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote jobFlexible hoursWeekend workDay shift
$92.3k - $120k
...Registered Nurse (RN), Home Health Utilization Management Remote - USA At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and...Remote workWork at officeLocal areaFlexible hoursClover Health
United States1 day ago- ...clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated.... ...Orientation is needed 3-4 days for first week. This role will be remote BUT regular meetings/trainings require being onsite at the...Remote workReliefWeekend work3 days per week
Children's Healthcare of Atlanta
United States5 days ago - A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Remote jobHourly payDaily paidDay shift
$75.3k - $135.4k
...Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate... ...years of experience in a related field, along with an active RN license in California. This position offers a salary range...Remote job- ...community resources in a team We are seeking a bilingual and remote care manager to join our rapidly growing team at Preventel Health... ...and referral Requirements: Must be mininally licensed RN COLORADO Must have good customer service skills Prefer Bilingual...Remote workWork at office
Pharmko
New York, NYa month ago - CVS Health is seeking a Utilization Management Nurse Consultant for a fully remote role. You will apply clinical judgment to determine coverage, coordinate care, and... ...holidays. The role requires 3+ years of Med/Surg RN experience, active RN license, and ability to work across...Remote jobAfternoon shift
- Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote jobFlexible hours
- ...Healthcare Alliance is seeking a Nurse Manager for Utilization Management to supervise daily UM operations... ...and reporting. Requirements include RN license, 3+ years in healthcare, and 3+... ...leadership with UR/case management. Remote work options with occasional travel and...Remote jobContract work
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role available to candidates in the MST/PST time zones. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring...Remote jobFull time
$75.3k - $135.4k
...professional on our Medical Management/Health Services team. Centene... ...Supervises day-to-day activities of utilization management team.... ...principles preferred. RN - Registered Nurse - State Licensure... ...flexible approach to work with remote, hybrid, field or office work...Remote workFull timePart timeWork at officeFlexible hoursCentene Corporation
United States4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management RN - Colorado. Be the first to apply!
