Remote RN: Utilization Review & Care Manager
Guidehealth
A leading healthcare provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in healthcare settings. Responsibilities include conducting reviews, documenting findings, and collaborating with providers. This position offers the flexibility of remote work while supporting professional growth and a comprehensive benefits package. #J-18808-Ljbffr
$2,250 per week
...Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort... ...hospital-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT – 1... ...provide quality patient care that continually evolves to make healthcare...Remote workTemporary workImmediate startShift workNight shiftWeekend work- ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote workWork at office
- ...Behavioral Health Case Manager Responsible for... ...and e-referral case review and authorization of services utilizing established mental... ...to provide quality care appropriate to clinical... ...is full-time, fully remote (work from home) and... ...clinical license (RN, LMSW, LP, LPC, or LLP...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
$23.76 - $51.49 per hour
...is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This role... ...with teams to promote effective care. Qualified candidates should... ...and $51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly pay$65k - $85k
...Santa Barbara Cottage Hospital is seeking a Utilization Review Specialist (RN) for a remote position, specifically for candidates based in Florida. The ideal candidate will possess a valid Florida RN License and certifications in OASIS and coding. The role involves thorough...Remote work$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart time$1,949.74 per month
...Specialty Utilization Review Job ID 1797... ...Utilization Review RN Weekly Pay... ...Job Description Remote Utilization Review RN... ...reviews, and utilization management using InterQual criteria... ...guidelines in an acute care setting. Client...Remote workWeekly payShift work- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical... ...proficiency in computer usage. Previous Utilization Management experience is preferred. Join a dynamic...Remote work
$65 per hour
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30)... ...No Locals accepted? No. Pending License accepted: No Fully Remote Position RTO Restrictions: Please include all RTO at the time...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend work$30 - $34 per hour
...healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in... ...and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly pay- ...POSITION SUMMARY - RN Utilization Review POSITION DUTIES -... ...CMCN ~2-5 years utilization management experience (hospital-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT... ...organizations provide quality patient care that continually evolves to...Remote workTemporary workShift workWeekend work
- ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements... ...Hybrid (combination of in person and remote considered) General Summary The... ...teams ensures safe transitions of care. Responsibilities Coordinate and facilitate...Remote workFull timeShift work
- ...discharge and providing proficient timely utilization management services to ensure that maximum... ...settings. Two years experience in Utilization Review, Utilization Management or Case... ...knowledge and skills necessary to provide care/service appropriate to the age of the patients...Full timeLocal area
$51.43 - $79.84 per hour
...Overview Description – This is a remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in...Remote workDaily paidLive inShift workDay shift- ...Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity... ...This full‑time position involves managing utilization reviews and ensuring compliance... ...clinical policies for quality care. Candidates should possess a BA/BS...Remote jobFull time
- ...Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time,... ...Job Requirements: Active RN license with Multi-State/Compact... ...nursing experience (acute care/hospital preferred)... ...medical necessity, utilization management, healthcare reimbursement,...Remote jobFull timeMonday to Friday
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range... ...Hybrid (combination of in person and remote considered) GENERAL SUMMARY The... ...disciplinary teams ensures safe transitions of care. GIBSON AREA HOSPITAL & HEALTH...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...Utilization Review Registered Nurse (UR RN) The Utilization Review Registered Nurse (UR RN... ...and cost-effective patient care. Working collaboratively... ...patient outcomes and resource management. This role demands a... ...based staff; optional for remote staff. Nexus Health...Remote workWork at office
$77.96k - $120.37k
...The Case Management Supervisor is responsible for directing... .... This is a remote position. ESSENTIAL... ...daily, weekly, monthly reviews of various reports, invoices... ...not unit manager is an RN) For Supervisors who... ...aptitude with the ability to utilize Microsoft Office...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift$30 - $38 per hour
...solutions, and comprehensive care navigation together in one... ...Summary We are seeking Utilization Review Nurse RN to join our team on a part‑... ...refer potential cases to case management, wellness, chronic disease... ...successfully perform in a remote healthcare environment. Ability...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work$65 per hour
...(Only QUALIFIED Healthcare Professionals accepted) Case Manager-RN - JOB TITLE (#25268): RN Case Manager | Utilization Review - Syracuse, NY Location: Acute Care|Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65|hour About Greenlife Healthcare...Hourly payFull timePrivate practiceMonday to FridayDay shift- ...RN Case Manager - Utilization Review At The CORE Institute, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following: ~ Competitive Health & Welfare Benefits ~ Monthly $43 stipend to use toward...Part time
- ...discharge and providing proficient timely utilization management services to ensure that maximum... ...settings. Two years experience in Utilization Review, Utilization Management or Case... ...knowledge and skills necessary to provide care/service appropriate to the age of the patients...Full timeLocal area
- ...of Experience: 5 Sub Specialty: Acute Care RN Case Manager Discharge Planning, Acute Care RN Case Manager Util Rev/Appeals & Denials, Acute Care RN Case Manager... ..., Acute Care RN Case Manager Utilization Review General Certifications:, N/A Nursing Certifications...Contract workShift work
$32 - $48 per hour
...Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center | Granite City, Illinois Gateway Regional Medical Center is... ...team. This role is ideal for an experienced acute care nurse who is ready to move into a more analytical,...Full timeWeekend workWeekday work$31.94 - $43.92 per hour
...Description Job Description Care Coordination Perform... ...assessments Create and manage discharge plans Coordinate... ...planning discussions Utilization Management Review medical necessity & admission... ...) OR Option 2: 3+ years RN in: Med/Surg...Relocation packageShift workWeekend workAfternoon shift- ...healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include... ...degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions... ...in utilization review or case management. Strong communication skills and flexibility...Remote workContract work
- 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 workHourly payDaily paidDay shift
$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... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work
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