Remote Utilization Management Nurse Consultant
$29.1 - $62.32 per hourHispanic Alliance for Career Enhancement
- Remote job
The Hispanic Alliance for Career Enhancement is seeking a Nurse Consultant for their Utilization Management team. This full-time remote role involves applying clinical judgment and evidence-based criteria to review services, collaborating with healthcare providers, and maintaining accurate documentation. Qualified candidates must hold an active RN license and have a minimum of five years of nursing experience. Key benefits include a competitive salary of $29.10 - $62.32 per hour, medical coverage, paid time off, and a commitment to training. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$26.01 - $68.55 per hour
...Medicare Precertification Utilization Management Nurse Consultant (Remote) We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...Remote workFull timeWork at officeLocal areaMonday to FridayAfternoon shift- Hispanic Alliance for Career Enhancement is seeking a Nurse Consultant to join their Utilization Management team. In this 100% remote role, you will apply your clinical judgement to review inpatient and outpatient services. Candidates should have an active RN license, a...Remote jobFlexible hours
$26.01 - $68.55 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 Consultant Fully Remote- WFH Standard Schedule 4x10's - Thursday- Sunday, 7A-5:30P in...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayFlexible hoursAfternoon shift- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...SuggestedWork at officeWeekend work
- ...Remote, RI Contract Job Description: Responsible for the review and evaluation of clinical information and documentation... ...with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred. Skills: MUST...Remote workContract work
- ...Research, Rehabilitation Therapy and Nursing. Job Description Location :... ...programs are comprised of network management, clinical coverage, and policies. · Utilizes clinical skills to coordinate,... ...Services and benefit utilization · Consults and lends expertise to other...Work at officeWeekend work
$26.01 - $68.55 per hour
...community at a time. Position Summary Utilization Management is a 24/7 operation and work schedules... ...Services and benefit utilization Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care setting...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hoursAfternoon shift$26.01 - $74.78 per hour
...compassionate. This position is with Utilization Management, a 24/7 operation where work schedules... ...Healthcare Services and benefit utilization. Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse Active current and unrestricted RN...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours$26.01 - $74.78 per hour
...do it all with heart, each and every day. Position Summary CVS Health Aetna has an opportunity for a full‑time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Hourly payFull timeTemporary workWork at officeLocal areaFlexible hours- ...A leading healthcare facility in the United States seeks a Clinical Product Consultant for Utilization Management. The role involves providing clinical insights, ensuring product accuracy, and managing implementation milestones. Candidates should have a BSN, extensive...Remote workFlexible hours
- ...Care Management Nursing Consultant This position will work independently applying clinical knowledge... ...employees participate in the State's Remote Work Program and are able to work remotely... ...care and/or health and safety issues utilizing standardized processes. Track, trend,...Remote workFull timePart timeWork at officeImmediate startWork from homeWeekend work
- A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...service eligibility and facilitating care. This remote role requires an RN license and clinical experience. Benefits...Remote jobWork from home
- ...Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to... ...precise and timely Utilization Review. In this role,... ...timeframes. Clinical Consultation & Collaboration Partner... ...aligned with Illinois nursing regulations and contemporary...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
- ...Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective... ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
- ...Summary The Registered Nurse - Stem Cell Processing Lab Quality Management Consultant functions as a clinical expert and executes position responsibilities that... ...identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for...Remote workPermanent employmentTemporary workSeasonal workImmediate startRelocation packageMonday to Friday
- ...Registered Nurse – Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 410... ...Qualifications: Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote workContract workShift work
- ...access to care and appropriate utilization of resources, balanced with... ...medical necessity. This position manages medical necessity process for... ...of an accredited school of nursing. Certifications: Active... ...Tuesday thru Saturday schedule. Remote, but you must live locally in...Remote workWork at office
- ...Health Care System is seeking a Quality Management consultant (infection Prevention/Patient Safety)... ...total rewards package: VA Nurse Total Rewards Pay: Competitive salary... ...that are not REAL ID compliant cannot be utilized as an acceptable form of identification...Remote workPermanent employmentFull timeTemporary workPart timeSeasonal workImmediate startRelocation package
- ...extension) *Note: Candidates can be remote but must have an active... ...RN, is a licensed Registered Nurse that is expected to function... ...role and is responsible for managing a clinically complex caseload... ...Precertification / Outpatient Utilization Management (UM) team and works...Remote workContract workWork at officeWork from home
$45.75 - $62.9 per hour
...This is a fulltime prior authorization nurse role; experience with health plan... ...a hybrid position with potential for remote work. JOB SUMMARY: Under the supervision... ...of the Supervisor, UM Clinical, the Utilization/Case Manager Nurse coordinates the delivery of care...Remote workFull time$74.16 - $107.75 per hour
...Utilization Review Nurse Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday-Friday 8am-4:30pm... ...is part of the Utilization Management Department at the Resnick Neuropsychiatric... ...appeals. Provides consultation to treatment team members...Remote workHourly payWork at officeMonday to Friday$40 per hour
...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through Saturday, 8:00 AM - 5:00 PM PST Compensation: $40 per hour...Remote workHourly payPermanent employmentTemporary workWork at office$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse 2 uses clinical nursing skills to support the coordination, documentation... ...MCG guidelines Additional Information Workstyle: Remote work at home Location: Must reside in and perform work...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayWeekend work$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required...Remote workContract workImmediate startMonday to Friday- The Arizona State Government is hiring a Quality Management Nursing Consultant to assess and coordinate service delivery within AHCCCS. This role... ...hybrid work environment, balancing in-office duties with remote opportunities. Responsibilities include monitoring compliance...Remote workWork at office
- ...Job Title: Registered Nurse - Utilization Review Location: Santa Rosa, CA Shift Details... ...in Utilization Review, Case Management, or similar role preferred Strong understanding... ...Ability to work independently in a remote environment Proficiency with EMR...Remote workContract workShift workDay shift
- ...Clinical Documentation Specialist is a remote position responsible for enhancing clinical... ..., coding teams, and healthcare management to facilitate appropriate documentation... ...and pass required certification exams. Utilize EPIC EMR, EPIC CDI software, and Solventum...Remote workFlexible hours
- ...A technology consulting firm is seeking a Techno functional Consultant with over 5 years of experience in Oracle Utilities applications for a remote opportunity. The ideal candidate will have a deep... ...billing, rating, and device management operations. The role emphasizes...Remote workHourly pay
$26.01 - $68.55 per hour
CVS Health is hiring for a Utilization Management position in Delaware. The role requires active RN licensure and 3+ years of clinical experience, focusing on reviewing clinical information for services requiring precertification. Candidates should possess strong computer...Hourly pay$74.16 - $107.75 per hour
...Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday... ...or enter keys to toggle section visibility The Utilization Management (UM) Nurse supports appropriate level-of-care determination, patient...Remote workHourly payWork at officeMonday to Friday
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