Remote Utilization Management RN - InterQual Expert
The Judge Group Inc
- Remote job
A healthcare staffing agency seeks a Utilization Management RN to evaluate clinical conditions through medical record reviews. The position is remote, requiring candidates to reside in PA, DE, or NJ. Key duties involve applying criteria for medical necessity, collaborating with providers, and managing discharge planning. Candidates must have an active PA RN license and a minimum of three years in Medical/Surgical experience, along with proficiency in Microsoft's applications and InterQual criteria. #J-18808-Ljbffr The Judge Group
- A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information... ...of Medical/Surgical experience and proficiency with InterQual criteria. This position offers a day shift workload with...Remote workFlexible hoursWeekend workDay shift
- Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with...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- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports... ...collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or...Remote work
- ...integrity through compliance management. Here, you'll champion the needs... ...Registered Nurse (RN) license Strong clinical background... ...records Experience in utilization review, case management, quality... ...for vulnerable populations Remote work - enjoy the convenience...Remote workFull timeTemporary workWork at officeWork from home
- ...integrity through compliance management. Here, you'll champion the needs... ...Registered Nurse (RN) license Strong clinical background... ...records Experience in utilization review, case management, quality... ...for vulnerable populations Remote work - enjoy the convenience...Remote workFull timeTemporary workWork at office
$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one... ...Care Guidelines (MCG) or InterQual Criteria Strong... ...community knowledge in a new way. Experts add insights directly into...Remote workDaily paidContract workMonday to FridayShift workWeekend work$239k - $350k
A management consulting firm is seeking a Vice President, Utility Return on Equity & Cost of Capital Expert Witness. This role involves leading complex engagements, advising on regulatory... ...Marlborough, MA office and two days remote, with a competitive salary between $239...Remote workWork at office- Koantek is looking for a Resource Manager focused on optimizing consultant deployment in the Databricks ecosystem. This remote role requires strategic analysis to match elite... ...managing client relationships, monitoring utilization rates, and ensuring data integrity in systems...Remote job
$45 - $45.5 per hour
Overview Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months (... ...treatment plan. Utilizes clinical skills to assess... ...more junior team members. RN and current unrestricted... ...Required Qualifications MCG or Interqual Experience, 2 years of Utilization...Remote workContract workImmediate startMonday to FridayAfternoon shift- L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in Medi-Cal and Medicare managed...
- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote workWork from homeFlexible hours
$35 - $37 per hour
...poster from The Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate: $36-37/hr... ...national medical guidelines (MCG, Interqual, etc.), evaluating the clinical... ...No NPs, whether practicing or not. Utilization Review experience is helpful but not...Remote jobPermanent employmentFull timeTemporary workMonday to Friday$34.98 - $42.85 per hour
...Utilization Management Nurse I, RN Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary... ...Type Full Time Description Remote in California only Are you ready... ...using approved criteria (e.g., MCG, InterQual). Review outpatient and routine inpatient...Remote workHourly payFull timeWork at office$71.1k - $97.8k
...company in the United States is seeking a Utilization Management Registered Nurse to utilize clinical... ...determinations. Candidates should possess a Compact RN license and at least one year of clinical experience. The position offers a remote work option and includes a comprehensive...Remote work$71.1k - $97.8k
...leading healthcare organization is seeking a Utilization Management Registered Nurse to support the... ...members. Candidates should hold a Compact RN license and possess over a year of... ...clinical nursing experience. The position is remote with a salary range of $71,100 - $97,80...Remote work$87k - $101k
Job Description RN Case Manager - Los Angeles, CA Region Work from home + local field travel Salary: $87,000 - $101,000 annually Quarterly... ...worker/disabled individual and conferring with physicians. Utilizes clinical expertise and medical resources to interpret medical...Remote jobWork at officeLocal area- ...A healthcare organization is looking for a Utilization Management Registered Nurse to work remotely in Cheyenne, Wyoming. You will utilize your clinical nursing... ...care levels. The ideal candidate will hold a Compact RN license and have over one year of clinical experience...Remote work
$71.1k - $97.8k
...leading health insurance company is seeking a Utilization Management Registered Nurse to utilize clinical nursing skills... ...services and benefit determinations. This remote position requires clinical experience and a Compact RN license. Responsibilities include making care...Remote work$55.24 - $92.02 per hour
Utilization Review—RN US-Remote Requisition ID: 2026-39874 Position Category: Nursing - Care Management Job Type: ONA union represented Position Type: Regular Part-Time Posting... ...utilization management. Proficient in use of Interqual or MCG criteria. Understanding of the...Remote workHourly payFull timePart timeWork at officeNight shiftWeekend work3 days per week$85.7k - $128.54k
The Supervisor, Utilization Management (UM), reports to the Manager of UM and oversees the UM department... ...: Active, valid, and unrestricted RN or LVN license in California (non‑compact... ...proficiency with clinical criteria (MCG, InterQual, Apollo, CMS National & Local Coverage...Remote jobLocal area$71.1k - $97.8k
...A healthcare solutions company is looking for a Utilization Management Registered Nurse to interpret and coordinate medical services. This fully remote position requires a Compact RN license and over a year of clinical experience. The role focuses on improving consumer...Remote work$71.1k - $97.8k
...A leading health organization is looking for a Utilization Management Registered Nurse to coordinate medical services and benefit administration. This remote role requires a Compact RN license and over a year of nursing experience. Responsibilities include utilizing clinical...Remote work$71.1k - $97.8k
...leading healthcare company is looking for a Utilization Management Registered Nurse to utilize nursing... ...benefit administration. You will be part of a remote team handling post-acute care services. The ideal candidate must have an RN license, relevant experience, and be...Remote work$71.1k - $97.8k
...A healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills in coordinating medical services. This remote position requires a Compact RN license and over a year of clinical experience. Responsibilities include making benefit determinations...Remote work$71.1k - $97.8k
...A health services organization is seeking a Utilization Management Registered Nurse in Maryland. This remote position requires a Compact RN license and over a year of clinical experience. Responsibilities include coordinating medical services, making determinations based...Remote work- A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Remote workHourly payDaily paidDay shift
- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is targeted at transitioning military service members or military spouses. Interns will conduct...Remote workInternship
- ...A healthcare organization is seeking a Utilization Management Registered Nurse to support medical service coordination and documentation. This remote position requires an RN license and over a year's clinical nursing experience. Responsibilities include utilizing clinical...Remote work
$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse to coordinate medical services... ...appropriate care. Must have a Compact RN license and at least one year of clinical experience. The position offers a remote work option while requiring occasional...Remote work
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