Remote Utilization Management Review Nurse
Case Management Society of America (CMSA) ®
- Remote job
Case Management Society of America (CMSA) ® is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, Texas. The role involves evaluating the appropriateness of medical services while collaborating with healthcare professionals to enhance patient outcomes. The ideal candidate will hold a Bachelor’s in Nursing, be a Registered Nurse in Texas, and have significant experience in Case Management. Bilingual skills and familiarity with utilization review tools are preferred, contributing to a flexible work schedule and telecommute options. #J-18808-Ljbffr Case Management Society of America (CMSA) ®
- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
- ...tuition assistance, 403(b), remote work United States, Maryland... ..., MD 21076 Category: Nursing Schedule: Day Shift Employment... ...8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns... ...to use your clinical, managed care, utilization review, and...Remote workFull timeMonday to FridayDay shift
- ...00 FOR A 2 YEAR COMMITMENT**JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT – NurseDEPARTMENT: CASE MANAGEMENT (QUALITY... .... Hybrid (combination of in person and remote considered)GENERAL SUMMARYThe Utilization Review/Case Management Nurse is directly responsible for review of...Remote workFull timeSecond jobWork at officeRelocation packageShift work
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications... ...Utilization Management, Utilization Review, or Case Management Preferred Certifications...Remote workContract workImmediate startMonday to Friday- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote workContract work
- ...Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed. Description The Utilization Review...Remote workFull time
$85k - $105.34k
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT... ...healthier community. POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday- Astrana Health Management is seeking a CA-licensed UM Review Nurse to review outpatient medical services. Candidates should have 1+ years of outpatient Utilization Management experience, work remotely, and maintain availability for shifts 8 AM - 8 PM PST, Monday through...Remote jobShift work
- 340B Health is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, Texas. This role involves technical and administrative work to ensure efficient utilization of medical services while promoting quality care. The UMRN collaborates with various teams to achieve...Remote jobFlexible hoursWeekend work
- Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside in PA, DE,... ...an active PA license or a Nurse Licensure Compact to include... ...advanced clinical judgment to review medical records, validate...Remote workImmediate startWeekend workDay shift
$65k - $75k
Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to make high-quality care...Remote job- Description: Nurses – are you looking for a change?... ...leader in personalized managed health care, focused on... ...Work-life balance. ~ Remote setting ROLE DESCRIPTION... ...This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- ...Registered Nurse - Utilization Review (Nursing) Location: Aurora, CO. Location: Colorado Military Health System – Buckley AFB and Peterson AFB. Labor Category: Registered Nurse – Utilization Management. Current POP ends 11/30/25. TO POP ends 11/30/27. This assignment...Remote workContract workWork from homeMonday to FridayNight shift
- ...The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate the necessity, appropriateness, and efficiency of the utilization of medical services, procedures, and facilities. The UMRN supports the health system by applying...Remote workWork experience placementWork at officeFlexible hoursWeekend work
- ...Position Summary Job Family: 08 Nursing Ambulatory/Admin - Office for 3 months, then remote/hybrid Must have 3-5 year in a hospital setting doing utilization management. This job will require the... ...submission for Physician Advisor review Care coordination that includes...Remote workWork at officeLocal area
$40.12 - $62.19 per hour
...Utilization Review Nurse RN - NE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Weekend shifts - 8:00am-4:30pm ~RN OTHER ~95496 ~$40.12-$62.19 Experience based ~Posted: Yesterday Apply Now Save...Part timeShift workWeekend work- ...A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines... ...accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-...Remote workFull time
- ...great opportunity for a local remote position. Schedule PRN... ...: ~2 years of staff nurse experience performing care for... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...and resources to help you manage your physical, emotional,...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential... ...required timelines. Support case management activities and identify cases requiring... ...Comfortable working independently in a remote or office-based setting. Working...Remote workWeekly payContract workWork at officeMonday to Friday$78k - $92k
...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and outpatient services. Ideal for experienced RNs aiming to utilize their clinical expertise without direct patient care. The role involves...Remote work- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role... ...and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential...Remote workContract work
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
$85k - $105.34k
...Umpqua-Health seeks a Utilization Review Nurse to evaluate clinical service requests and ensure quality care. This role includes conducting prior authorizations, collaborating with healthcare teams, and ensuring compliance with regulations. The ideal candidate will have...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- ...Recruitment Manager @ Integrated Resources, Inc | Human... ...Location: 100% Remote Schedule: M-F 9:00... ...Summary Works with the Utilization Management team... ...necessity/utilization review and other utilization... ...unrestricted IL State Registered Nursing (RN) license in good...Remote workContract work
$40 per hour
...reside in TX Full time remote Candidates must be... ...in the insurance or managed care industry using medically... ...initial, concurrent review activities; discharge... ...information regarding utilization management requirements... ...facilities. Registered Nurse (RN) with valid,...Remote workFull timeContract workWork at office$88.85k
...income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical claims to ensure services were medically...Full time$41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX, NM,... ...assessments, health education, and utilization management. Key Responsibilities... ..., concurrent, and retrospective reviews for inpatient, rehab, referrals,...Remote work$77.08k - $119.47k
...Department/Unit: Care Management/Social Work Work Shift: Day (United... ...0 Responsibilities Completes Utilization Management and Quality Screening... ...While performing utilization review, identifies areas for... ...Minimum Qualifications Registered nurse with a NewYorkState current license...Shift work- ...applicants This is full-time remote, but candidates must reside in... ...in the insurance or managed care industry using medically... ...performing accurate and timely medical review of claims suspended for... ...prioritization skills. ~ Registered Nurse (RN) with unrestricted license...Remote workFull timeContract work
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