Remote Utilization Management RN — Drive Care Efficiency
RXinsider LTD.
- Remote job
UnitedHealth Group is seeking a Utilization Management Nurse to ensure efficient administration of health services. You will assess member needs, determine medical necessity, and guide care levels across facilities such as SNFs and inpatient rehab. The role offers telecommuting from Pacific or Mountain time zones with autonomy and responsibilities affecting patient care. Requirements include RN license, 3+ years in managed care or clinical settings, and experience in utilization management. #J-18808-Ljbffr RXinsider LTD.
- UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient, evidence-based care across the continuum. This role focuses on prior... ...guidelines into practical decisions. You will work remotely within Pacific or Mountain Time Zones, enjoy...Remote job
- UnitedHealth Group is seeking a Utilization Management Nurse to help ensure high-quality, cost-efficient care across the continuum. You will assess member needs, interpret... ...care in collaboration with care teams. This remote role requires Pacific or Mountain Time Zone residence...Remote job
- ...Remote: Yes Area of Interest: Nursing... ....4 Department: Utilization Management Shift: Weekends... ...We are seeking an RN Utilization... ...utilization of health care resources, provision... ...of care and efficient use of resources.... ...driver’s license when driving any vehicle for...Remote workDaily paidTemporary workShift workWeekend work
$67.5 - $75 per hour
VetJobs is seeking a Utilization Review Case Manager in Los Angeles, CA to assess medical necessity and care levels using InterQual, MCG, and CMS Two‑Midnight Rule. You will collaborate... ...resources. The ideal candidate has an RN license, 3 years of acute nursing, and 2...SuggestedHourly payNight shift- ...Francis Hospital in Connecticut is seeking a Utilization Management (UM) Registered Nurse to review medical... ...cost-effective, high-quality patient care. You will collaborate with physicians,... ...with InterQual/Milliman criteria. CT RN license required; BSN preferred; 3+...Suggested
$100k
...Contract Industry Health Care Work Experience 1-3... ...Salary $100,000 Remote Job Job Description... ...remote position. The Utilization Management (UM) Nurse is... ...appropriateness, and efficiency of healthcare services... ...unrestricted Registered Nurse (RN) license in the...Remote workContract workWork experience placement- UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient and effective health services... ...guidelines, and recommending appropriate care levels to support healthier outcomes. This remote position is restricted to applicants located...Remote job
$80k - $95k
...Programs of All-Inclusive Care for the Elderly (PACE... ...health, and utilization management. IntusCare empowers teams... ...Interdisciplinary Team driving efficient and timely... ...experience. ~ Current RN license ~ Proven experience... ...: This is a fully remote role based in the United...Remote work- UnitedHealth Group is seeking a Utilization Management Nurse to ensure efficient and effective administration of... ...determine medical necessity of level of care, and guide care decisions in a remote setting. Baseline requirements include Compact RN license and 3+ years in managed...Remote job
$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- IntusCare is seeking a Utilization Management (UM) Manager to lead the UM nurse team supporting a PACE program. You will own end-to-end... ...clinical decision support criteria across cases to optimize care and efficiency. The role blends hands-on UM work (approx. 25%) with 75%...Remote job
- ...California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-... ...team meetings. A California RN license is required. This position... ...environment and focuses on improving patient care and operational efficiency. Join us in making a difference in...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services. You will assess member needs... ...professionals to plan care and discharge efficiently. You will work remotely within the Pacific, Mountain, or Central Time...Remote job
$39.83 - $59.74 per hour
...Utilization Management RN Robbinsdale, MN Posting Date: Sep 04 202... ...Create Impact. Empathy and care are at the heart of North's... ...of quality customer care as efficiently as possible. The RN has accountability... ...Call Requirement: None Remote or On-site: Hybrid Remote-...Remote workFull timeContract workPart timeFor contractorsFor subcontractorLive inWork at officeShift workWeekend work$75.3k - $135.4k
...professional on our Medical Management/Health Services... ...appropriate care to members.... ...day activities of utilization management team.... ...compliance, quality, and efficiency standards Collaborates... ...Certification: RN - Registered Nurse... ...to work with remote, hybrid, field or...Remote workFull timePart timeWork at officeFlexible hours- ...is seeking a skilled Utilization Review Nurse to join... ..., Outlook, and Teams efficiently. Qualifications... ...Friday, 8am-5pm. Fully remote position. Benefits... ...position within our Care Management division, a successful... ...residential address, driving, prescription and...Remote workMinimum wageTemporary workWork at officeLocal areaMonday to Friday
- ...Description Job Description The utilization review and management (UM) component program... ...the appropriate level of care, while supporting... ...opportunities for improving efficiency and reducing unnecessary costs... ...This is an in-office, no remote work capability position...Remote workWork at office
$29 - $52 per hour
...Utilization Management Nurse For those who want to invent the future of health care, here's your opportunity. We're going beyond... ...are administered efficiently and effectively. You... ...this position is remote, applicants must be... ...unrestricted compact RN licensure Function...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area$60.2k - $107.4k
...Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with... ...Management Nurse will accurately and efficiently review and extract pertinent case details from...Remote jobMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of... ...providing clinically efficient and effective Inpatient utilization management. Reviews inpatient... ...flexibility to work remotely* as you take on some...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift work$83k - $99k
...our decisions, and drive our results. What... ...hire people that care deeply about others... ...Responsibilities The Utilization Management Nurse collaborates... ...responsible for efficient utilization of... ...experience Active LPN/RN clinical license... ...wellness reimbursement Remote work and...Remote workFull timeWork at officeFlexible hours$41.2 - $62.17 per hour
...Profile Summary The RN Hospital Care Manager I delivers... ...stakeholders to ensure efficient, effective, and patient... ...in case management, utilization review, value-based... ...For roles requiring driving: Expected to drive a... .... If applying for a remote or hybrid role, this...Remote workHourly pay$68 per hour
...Job Title: Utilization Management Specialist (RN) Location: Baltimore, MD Type: Contract... ...100,500/yr Work Model: Remote – offsite... ...authorization, appropriateness of care, and benefit coverage.... ...communicate findings accurately and efficiently throughout the review process...Remote workContract workTemporary workLocal area- ...Utilization Manager Registered Nurse (UMRN) Spectrum Healthcare Resources has a need for a Utilization... ...Nurse (UMRN). These will be completely remote positions, working entirely from the... ..., educating patients on appropriate care and managing health care costs for the...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- ...Case Manager, RN- Utilization Review Under the general supervision of the Utilization... ...most appropriate level of care based on nationally... ...denial management, and support efficient patient flow. All duties... ...collaboration in a remote or hybrid work environment....Remote workFull timeMonday to FridayShift work
- ...integrating, and monitoring the utilization of behavioral health (... ...closely with Case Management to address member... ...plan benefits, and efficient care delivery processes. Ensures... ...degree and active NYS RN license required.... ...may be opportunity for remote work within all jobs posted...Remote workContract workWork at office
- An established industry player in healthcare is seeking a dedicated Utilization Management Nurse to enhance patient care efficiency. In this vital role, you will review patient files and treatment methods, ensuring that every patient receives the necessary treatments and...Relocation package
$75.3k - $135.4k
...Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will supervise day-... ...experience in a related field, along with an active RN license in California. This position offers a salary...Remote work- ...Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented... ...supporting transitions of care and ensuring patients receive... ...). This is a fully remote opportunity requiring discipline... ..., appropriateness, and efficiency using evidence-based...Remote work
- ...Utilization Management – Care Management Shift options: 8:00–16:30 PST or 9:00–17:30 PST. Every third weekend rotation required. Must commit to... ..., New Year's Day. Assignment Details This is a 100% remote position. Requirements ~3 years of acute medical Care...Remote workShift workWeekend work
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