Remote Utilization Management RN — Mon-Fri 9-6 ET
HealthCare Strategies
- Remote job
HealthCare Strategies is seeking a Utilization Management RN to work from a HOME OFFICE. This full-time position runs Monday–Friday, 9am–6pm ET, offering a 40-hour workweek and remote work from anywhere in the United States. The role requires an active RN license, at least 1 year of hospital experience, and comfort with InterQual criteria and MS Office. Strong communication and independent work skills are essential to success. #J-18808-Ljbffr HealthCare Strategies
- HealthCare Strategies, Inc. is seeking a Utilization Management RN to work from a home office. This full-time role runs Monday to Friday, 9am-6pm ET, offering 40 hours per week and a home-based schedule. The RN will perform telephonic clinical assessments, collect information...Remote jobFull timeWork from homeHome officeMonday to Friday
$23 per hour
Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri/no wknds (REMOTE) Hospice Telephone Triage RN- FT 6:30a-4p Mon... ...home health providers since 2008. Utilizing best-in-class technology,... ...leveraging our outsourced team of nurses to manage after-hours care delivery. Our triage...Remote workHourly payFull timePart timeLive inWork from homeMonday to FridayShift workNight shiftWeekend workDay shiftAfternoon shiftWeekday work- 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 work
$35 - $40 per hour
...LLC, a leader in healthcare transformation, seeks an RN Utilization Management Reviewer for a fully remote role. You will perform timely clinical decision... ...judgment to determine medical necessity. Hours are Mon-Fri 9:00 AM-5:30 PM Eastern; compensation is hourly $35....Remote jobHourly pay$45 per hour
Utilization Management Nurse Coordinator(RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’smanaged care health plan client based out of Fairfield... ...with this being 100% remote and primarily Mon-Fri Work at a company that focuses on mission-driven...Remote jobContract workTemporary workMonday to FridayWeekend work$39 - $40 per hour
...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... ...PM EST Shift) East Chicago, IN $1,800.00-$9,000.00 5 days ago East Chicago, IN $1,8...Remote workDaily paidContract workMonday to FridayShift workWeekend work$29.1 - $62.32 per hour
...and able to work Monday through Friday, 9-6 PM ET with a 1 hour lunch or 930 -6 PM ET... ..., with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules... ...Must have active current and unrestricted RN licensure in state of residence ~1+ years...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shift- At Red River Managed Services, we provide a welcoming and positive... ...role will operate on the Fri-Mon (7:30 PM - 6:00 AM) shift Service Desk &... ...technologies & tools (anti-virus, remote tools, backups, firewalls,... ...-workers throughout the day utilizing Red River approved and/or...Remote workFull timeWork at officeFlexible hoursShift workNight shiftAfternoon shift
$35 - $40 per hour
Sagility is hiring an RN Utilization Management Reviewer to perform day-to-day clinical and service authorization... ...a clinical setting; CCM a plus. This fully remote US-based role offers competitive benefits, M-F 9:00-5:30 ET, and a salary of $35-$40 hourly, with potential...Remote jobHourly payShift workWeekend work- ...Job Title: Care Manager (RN) Location: Remote (TX/FL) Duration: 6 months (Possibility to extend or convert) Schedule: Mon-Fri (9 - 5:30 PM EST) Team Culture: Collaborative... ...Home Infusion Nursing utilizing contracted Home Infusion Providers...Remote workWork at office
- Centene Management Company LLC is seeking a remote RN reviewer to perform concurrent reviews, determine appropriate... ...RN license; typical hours are Mon-Fri 8:30 AM-5:00 PM ET, with a one-hour lunch.... ..., and educating providers on utilization processes to ensure high-...Remote job
$82.68k - $96.46k
...Part A will be part of the Utilization Management team, responsible for inpatient... ...: This is a full-time, remote position working five 8-... ...schedules: Tuesday – Saturday, 9:00 AM – 6:00 PM ET Sunday – Thursday, 9:00... ...: ~ Unrestricted RN license with a minimum of 4...Remote workFull timeContract workInternshipMonday to Friday- ...to join our Product Support team based remotely across the United States! The Product Support... ...hours from Monday to Friday; 12:00 PM - 9:00 PM ET. The ideal candidate will have a passion... ...tickets Create, respond to, and manage tickets via email, voicemail, or phone call...Remote workMonday to Friday
- ...operational staff to serve as a trusted SME and mentor. This remote role follows a Monday-Friday ET schedule, offering opportunities to apply clinical... ...setting without direct patient care. You’ll leverage your RN license and ED/ER experience to deliver training materials...Remote jobMonday to Friday
$68k - $120.5k
...of Specialty and Payer Management, the Clinical Reviewer... ...healthcare reimbursement and utilization management to reduce... ...payer portal systems. 6. Excellent written and... ...and nursing services. 9. Records patients’... ...Type Staff Work Model Remote Background Check Requirements...Remote workFull timeWork at office$15.25 - $16 per hour
...team! Labcorp Revenue Cycle Management Division (RCM) is seeking individuals... ...company and patients Utilize tools to verify eligibility,... ...thinking skills preferred Remote Work: Dedicated are to... ...Schedule: Monday-Thursday 9 AM to 6 PM EST, Friday 8 AM to 5 PM...Remote jobMinimum wagePart timeWork experience placementCasual workReliefWork from homeFlexible hours- Humana is seeking a Utilization Management Nurse 2 to support coordination, documentation, and communication of medical services and benefit... .... The position operates Monday-Friday, 8:00am-5:00pm ET, with remote/work-from-home options and occasional travel to Humana offices...Remote jobWork from homeMonday to Friday
$70k - $75k
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated... ...Our 401(k) plan includes a 3% employer match to your 6% contribution. Have Peace of Mind: We provide...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00 PM Position Type: Full-Time Position Overview We are seeking an experienced Utilization...Remote workFull timeMonday to Friday
$54.1k - $116.77k
...person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN Remote | Full-Time | Weekday Schedule Are you a... ..., Excel) ~ Ability to work Monday–Friday, 9:00 AM–6:00 PM in your time zone. Utilization Management...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$30 - $48 per hour
...RN - Med/Surg/Obs/ICU Weekday Mon-Fri 7a-7p Gibson City, IL 60936 Overview... ...a caregiver and care manager. In the caregiver role... ...continuous manner by utilization of and adherence to pre... ...protocols. 6. Performs documentation... ...existing standards. 9. Performs efficiently...Hourly payFull timeTemporary workFlexible hoursShift workWeekday work$68.81k - $120.72k
...and regulatory requirements and manages concurrent and pre-bill denials... ...for in-house patients, utilizing daily commercial authorization... ...templated schedule includes 5 out of 6 weekends per 6 week schedule rotationWork... ...Nurse (RN) [Required]Accredited Case Manager...Remote workLocal areaShift workWeekend work- ...resources to meet their care conditions. Reports to the Health Plan Manager of Utilization Management. This position will be an integral member of the... ...improve processes and build network relationships. 6. Works collaboratively with other members of the medical management...Remote workCasual workWork at officeShift work
$60.53k - $129.63k
...one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you... ...-time schedule Monday through Friday from 9:00 AM to 6:00 PM EST. Flexibility to support a 24...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$65k - $68k
...Utilization Management RN (M-F FROM YOUR HOME OFFICE) HealthCare Strategies Description Do you want to work from the comfort of your own HOME... ...0-hour/week Position Monday - Friday Hours: 9am - 6pm ET . JOB DESCRIPTION: * Responsible for the collection...Remote workFull timeWork at officeHome officeMonday to Friday- ...disability and workers compensation regulations, and collaboration with case managers. Experience in mental health or substance abuse is required; 3+ years of acute care practice is preferred. A remote setting is offered within a nationwide team, with a salary- and benefit-...Remote jobMonday to Friday
- ...Saginaw, MI is seeking a Registered Nurse Case Manager to support case management and home-based... .... The ideal candidate holds a Michigan RN license, is willing to travel, and can... ...and insurance are required; schedule is Mon-Fri 8:30 am-4:30 pm with on-call rotation optional...Work from home
- Humana is seeking an Utilization Management Nurse 2 to apply clinical nursing skills in coordinating, documenting, and... ...outcomes, with standard hours 8:00am-5:00pm ET. Qualifications include Associate Degree in nursing, RN license in a compact state, 3+ years of clinical...Remote job
$46.23 per hour
...Medicine seeks a Lead Registered Nurse for the Orthopedic Operating Room. This full-time role is a lead RN position with Ortho experience, a weekday schedule (Mon-Fri), 6:45AM - 3:15PM, five 8-hour shifts, no weekends or holidays, in an Ortho surgical environment....Full timeShift workDay shiftWeekday work- ...Job Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between... ...and administrative compliance. Unlike remote roles, this position relies heavily on... ...-site UM Nurse is a Registered Nurse (RN) responsible for performing admission...Remote workFull timeImmediate startShift work
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