RN Utilization Management Consultant
$26.01 - $68.55 per hourHispanic Alliance for Career Enhancement
The Hispanic Alliance for Career Enhancement is seeking a full-time Registered Nurse for Utilization Management in the United States, Delaware. This role involves assessing and facilitating appropriate healthcare services for members, requiring strong clinical experience and communication skills. With responsibilities that include coordinating healthcare services and collaborating with healthcare providers, candidates must have a valid RN license and at least 2 years of acute care experience. A comprehensive benefits package is provided, along with a competitive pay range of $26.01 - $68.55 per hour. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$26.01 - $68.55 per hour
...Enhancement is seeking an experienced Registered Nurse for a full-time Utilization Management role in Georgia. This position involves assessing and... ...hours. The ideal candidate will have a minimum of 2 years RN experience in an acute care setting and a current RN license....SuggestedHourly payFull timeWeekend workAfternoon shift$26.01 - $68.55 per hour
...for Career Enhancement is looking for a Registered Nurse for Utilization Management. Responsibilities include assessing and coordinating healthcare... ...an adult acute care or critical care setting, and an active RN license in Kentucky. This full-time position requires working...SuggestedHourly payFull timeAfternoon shift$26.01 - $68.55 per hour
...for Career Enhancement is seeking a Registered Nurse for our Utilization Management team. This full-time position involves coordinating healthcare... .... Ideal candidates will have strong clinical skills, active RN licensure, and excellent communication abilities. Offering competitive...SuggestedHourly payFull time$29.1 - $62.32 per hour
...experienced Registered Nurse for a remote position focusing on Utilization Management. The role offers a flexible work schedule requiring weekend... ...services for members. The selected candidate must possess active RN licensure and at least 3 years of nursing experience,...SuggestedHourly payRemote workFlexible hoursWeekend work$26.01 - $74.78 per hour
...Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will... ...utilization. Required Qualifications Registered Nurse (RN) with current unrestricted US licensure required. 2+...SuggestedHourly payFull timeTemporary workWork at officeLocal areaFlexible hours$26.01 - $68.55 per hour
...one family and one community at a time. Utilization Management is a 24/7 operation and work schedules... ...Services and benefit utilization. Consults and lends expertise to other internal and... ...Must have active current and unrestricted RN licensure in state of residence....Hourly payFull timeTemporary workWork at officeLocal areaAfternoon shift- ABOUT THIS POSITION The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical... ...Bachelor of Science in Nursing (BSN) or equivalent (with RN licensure). 8+ years of clinical experience in acute care...Live outLocal areaRemote workFlexible hours
- Senior Business Development Manager - Utility and OEMs Role Overview You will act as business development lead for the utility and original... ...professional services. Previous experience in engineering consulting would be an asset. Proven ability to lead high-value negotiations...Full timeContract workRemote work
$67.6k - $127k
Luminare Health Benefits Inc. is seeking a Clinical Advisor responsible for client support and collaboration with healthcare teams. This role is vital for ensuring that client needs are met in a dynamic environment. The ideal candidate should have a Registered Nursing License...Remote job- Oracle Utilities Techno-Functional Consultant (CC&B, C2M, MDM) We’re hiring a Oracle Utilities (CC&B) Techno Functional Consultant Join Galent and help us deliver high-impact technology solutions that shape the future of digital transformation Contract | Location: Remote...Contract workRemote work
- ...Mass General Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization Management team. This role involves evaluating payer denials... ...will have a Bachelor's of Science in Nursing, an RN license, and extensive experience in clinical nursing...Remote workFlexible hours
- ...client for a long-term contract position. Job Title: Change Management Consultant Location: Remote Duration: 12+ Months GENERAL SUMMARY: The... ...OCM manager is responsible for driving adoption, increasing utilization of changes, and achieving positive outcomes for the...Long term contractContract workWork at officeImmediate startRemote work
- 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 workFlexible hoursWeekend workDay shift
- ...Job Title: Organizational Change Management (OCM) Consultant Location: NYC, NY (Hybrid) Job Type: 2 years Contract Client:... ...4.At least 7 years working on IT driven OCM projects, utilizing industry change management lifecycle methodologies and standards...Contract workLocal area
$89.8k - $110.2k
...Company Description Sia is a next-generation, global management consulting group. Founded in 1999, we were born digital. Today our strategy... ...modalities based on customer experience best practices Utilize Project Management frameworks and methods in a variety of roles...Work at officeLocal areaImmediate startWorldwide3 days per week- ...multidisciplinary teams to promote the Molina care model. Adhere to utilization management (UM) policies and procedures. Required Qualifications At... ...of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice...Work at office
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Contract workRemote workWork from home
- ...tobacco‑free campus. Job Summary and Responsibilities As our Utilization Management Nurse, you will be a critical guardian of healthcare efficiency... ...regarding review outcomes. Collaborates with facility RN Care Coordinators to ensure progression of care. Engages the...
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
- ...opportunities. The ideal candidate has a Bachelor's degree and at least 3 years' experience in a similar position, particularly in utility or power systems environments. Strong analytical and communication skills are essential for success in this role. #J-18808-Ljbffr...
$70.35k - $205.8k
...We are: Accenture Consulting. We work with C-suite executives, leaders, and boards of... ...technology, data, analytics, AI, change management, talent and sustainability capabilities... ...business and technology transformations by utilizing deep industry expertise in Med Tech and...Live inWork at officeLocal area$75k
...Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...teams to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The...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...Hourly payPart timeRemote work$30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time... ...to advance review or senior care consultants. Process appeals for non‑certification... ...and refer potential cases to case management, wellness, chronic disease and Nurturing...Hourly payFull timePart timeWork at officeRemote workMonday to FridayWeekend work- SAP Integration Lifecycle Management (ILM) Consultant - 100% Remote Responsibilities Collaborate with business stakeholders to gather requirements... ...retention and deletion strategies to optimize storage utilization and ensure regulatory compliance. Provide expertise in...Remote jobFull time
$80k - $100k
...Account Manager The Utilities Sector In Ny/Long Island The company provides energy solutions so communities can thrive, and businesses can grow. They bring power, heat, and cooling to customers and communities wherever they need it. Perks and rewards: competitive compensation...$210k - $350k
Senior Managing Consultant - Finance Location: Hybrid, NYC Salary: $210,000-$350,000 About the Opportunity A leading corporate finance and... ...consultants and maintaining exceptional quality standards. Utilize AI‑enabled technologies and advanced analytics to improve workflows...Work at office- ...Management Consultant With over 35 years of cross-industry management consulting experience, DeWolff, Boberg & Associates has successfully... ...organizational decision-making Thoroughly understand client resource utilization to identify waste in time and resources to provide...Daily paidTemporary workWorldwideWeekend work
- ...Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis.... ...Days tool in the Utilization software program.* Consults with medical staff, care team and case managers as necessary to resolve immediate progression of care...Full timeTemporary workPart timeWork at officeLocal areaImmediate startFlexible hoursNight shift
- WellSense Health Plan is seeking a full-time remote Licensed Utilization Clinician. The role involves evaluating inpatient medical treatments... ...effective discharge planning. Candidates must have an active RN license, nursing degree, and at least 2 years of relevant...Remote jobFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Consultant. Be the first to apply!
- rn relocation bonus New York, NY
- private practice rn New York, NY
- new grad rn residency New York, NY
- flex rn New York, NY
- charge registered nurse New York, NY
- ccu rn New York, NY
- international registered travel nurse New York, NY
- picu rn New York, NY
- registered nurses covid-19 New York, NY
- interventional radiology rn New York, NY

