Remote Utilization Management Nurse (PACE)
$42 per hourSanta Barbara Cottage Hospital
- Remote job
IntusCare is seeking a Contract Utilization Management Nurse to ensure high-quality, cost-effective, and compliant care for PACE participants. The role collaborates with interdisciplinary teams to review utilization, guide care decisions, and support transitions across care settings. The position is fully remote within the United States and offers a 1-year contract with potential extension. Compensation is $42.00 per hour, with sponsorship not available. #J-18808-Ljbffr Santa Barbara Cottage Hospital
- ...Job Description Job Description Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients...Remote workFull timeWork at office
- ...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity... ...benefit coverage while working remotely. Primary Responsibilities... .... • Adaptive to a high pace and changing environment- flexibility...Remote workContract workWork at office
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management Make a difference in healthcare from a clinical review and care coordination perspective. We are... ...activities Navigate multiple systems while managing a fast-paced, highly collaborative workload Required...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift- ...Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit... ...guidelines, and the ability to work independently in a fast-paced managed care environment. #J-18808-Ljbffr Santa...Remote job
$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are... ...Apply your clinical expertise in a collaborative, fast-paced environment. Help improve healthcare outcomes for members...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift- Valenz Health is seeking a Utilization Management Nurse to oversee and manage the UM process, ensuring the... ..., and other regulators. This fully remote role requires a US-based location, strong... ..., and ability to work in a fast-paced environment #J-18808-Ljbffr Vālenz HealthRemote job
- ...– from care navigation and management to payment integrity, plan... ...About This Opportunity: As a Utilization Management Nurse, you’ll oversee and manage... ...Ability to work in a fast-paced, detailed, deadline-driven... ...’ll Work: This is a fully remote position, and we’ll provide...Remote workFull timeImmediate startMonday to FridayFlexible hours
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management Remote | Afternoon/Evening Shifts Available | 24/7 Operations Are you an experienced RN looking to bring your clinical expertise to a fast-paced, collaborative Utilization Management team? Join us in helping ensure...Remote workHourly payFull timeTemporary workWeekend workAfternoon shift$32.01 - $68.55 per hour
...Utilization Management Position We're building a world of health around every individual — shaping... ...prioritize and effectively adapt to a fast paced changing environment. Position... ...2+ years of experience as a Registered Nurse in adult acute care/critical care setting...Remote workHourly payFull timeTemporary workWork at officeAfternoon shift$26.01 - $56.14 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual — shaping... ...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American... ...apply your clinical expertise in a fast-paced, desk-based environment where...Remote workHourly payFull timeMonday to FridayFlexible hoursShift work- MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure... ...Office and the ability to multitask in a fast-paced environment. The position operates Monday to Friday...Remote jobFull timeFreelanceWork at officeMonday to FridayWeekend work
$42 per hour
...Inclusive Care for the Elderly (PACE) programs deliver... ...adjustment, population health, and utilization management. IntusCare empowers teams to... ...Contract Utilization Management Nurse plays a critical role in... ...location : This is a fully remote role based in the United States...Remote workContract work$83k - $99k
...us at: Role and Responsibilities The Utilization Management Nurse collaborates with external entities such... ...and self-directed Enjoys the pace and rhythm of a deadline-oriented environment... ...incentive and a $600 wellness reimbursement Remote work and continuing education...Remote workFull timeWork at officeFlexible hours$92.3k - $120k
Registered Nurse (RN), Home Health Utilization Management Remote - USA At Clover Health, we are committed to providing high-quality, affordable, and easy-to-... ...expectations while managing multiple priorities in a fast‑paced remote environment. Participate in quality...Remote workWork at officeLocal areaFlexible hours$26.01 - $68.55 per hour
Utilization Management Nurse - Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking... ...while managing a high-volume workload in a fast-paced environment WHAT YOU BRING - REQUIRED Required Qualifications...Remote workHourly payFull timeTemporary workLocal areaWeekday work- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports utilization management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities...Remote jobWork from home
- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely, safe, and appropriate...Remote jobFull timeWork from home
- ...Seeking a California Licensed UM Nurse for a full-time remote position, who will review prior authorization... ...when additional expertise is needed Utilize CMS guidelines and Milliman Care... ...year of pre-service UM experience in a managed care environment Active, valid, and...Remote workFull time
- Netsmart is seeking a Registered Nurse with solid utilization management experience to perform ED utilization reviews and admissions screening using established... .../MCG guidelines, and proven ability to adapt in a fast-paced environment while maintaining #J-18808-Ljbffr NetsmartRemote job
$29.1 - $62.32 per hour
...care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule : Monday-Friday 10:30AM- 7:30PM...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- Valenz, a remote-first health services platform in the United States, seeks a Utilization Management Nurse to oversee the UM process for plan participants, ensuring appropriate, necessary, and cost-effective care. You will review prospective, concurrent, and retrospective...Remote job
$29.1 - $62.32 per hour
...health care one person, one family and one community at a time.Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse ConsultantFully Remote- WFHSchedule : Tuesday-Saturday 9:30am-6:00pmPosition SummaryUtilization...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon 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 and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote jobWeekend work- CVS Health seeks a Utilization Management Nurse Consultant to support a 24/7 operation. In this role you will assess, plan, implement, coordinate, monitor and evaluate healthcare options for members, using clinical guidelines to render coverage determinations. You will...Remote job
- ...Alliance for Health in California is seeking a Registered Nurse for a temporary Utilization Management role. You will ensure prior authorizations comply with... ...paths may substitute for experience. Hybrid work and remote- interview options are offered. #J-18808-Ljbffr...Remote jobTemporary work
- CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, full-time role open to CST zone candidates. You will coordinate, document, and communicate all aspects of utilization and benefit management, ensuring appropriate care levels within...Remote jobFull time
- Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant documentation and communications...Remote jobWork at office
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full‑time role serving candidates in the EST or CST zones. You will coordinate, document, and communicate utilization and benefit management activities to ensure appropriate...Remote jobFull time
- ...Utilization Review Registered Nurse Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine... ...-life balance - This is a remote role! Candidates in the... ...Health Plans, we are setting the pace for change within the...Remote workMonday to Friday
- We’re seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you’ll... ...regulations (LCD/NCD policies) . This is a fully remote opportunity requiring discipline, accuracy, and effective...Remote work
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