Remote Utilization Management Supervisor (RN)
Centene Corp.
- Remote job
Centene Corp. is seeking a Supervisor, Utilization Management to lead the clinical review teams in a remote Missouri capacity, overseeing prior authorization, concurrent and retrospective review for members. You will mentor staff, monitor performance to ensure quality and compliance, and collaborate with providers and leadership to improve utilization management processes. Qualified candidates hold a nursing degree, RN licensure, and 4+ years of UM experience, with strong knowledge of regulatory #J-18808-Ljbffr Centene Corp.
- ...Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote workFlexible hours
- ...A healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role requires... ...referrals, and facilitate team meetings. A California RN license is required. This position offers a hybrid work...Remote work
$75.3k - $135.4k
...professional on our Medical Management/Health Services team. Centene... ...Supervises day-to-day activities of utilization management team. Monitors and... .... License/Certification RN - Registered Nurse - State... ...flexible approach to work with remote, hybrid, field or office work...Remote workFull timePart timeWork at officeFlexible hours- CommonSpirit Health is seeking a Supervisor of Utilization Management (UM). This remote position requires overseeing the Pre-Authorization team while ensuring compliance with guidelines. Your leadership will be essential in promoting quality patient care. The ideal candidate...Remote job
$77.96k - $120.37k
Santa Barbara Cottage Hospital is seeking a Utilization Review Supervisor RN to direct operations within the department. This remote role requires a leader adept in managing a team, ensuring service quality, and handling human resources matters. The ideal candidate will...Remote job- CorVel Corporation is looking for a Utilization Review Supervisor RN to direct operations in Rancho Cucamonga. The role includes managing day-to-day operations, ensuring quality service, and handling HR matters. This remote position requires strong communication skills,...Remote job
$75.3k - $135.4k
Fultonmontgomeryny is seeking a Clinical Review Supervisor for its Medical Management/Health Services team in New York. The role involves overseeing the utilization management team, ensuring quality and... ...must have a nursing degree and valid RN licensure, along with at least four...Remote jobFlexible hours$77.96k - $120.37k
...Utilization Review Supervisor RN The Utilization Review Supervisor RN is responsible for directing the operations of their designated... ...human resources, customer service, and limited sales management. This is a remote position. Essential functions and responsibilities...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift$85k - $95k
...of using the platform. The RN Supervisor, Clinical Operations leads and... ..., reporting to the Director/Manager of Clinical Operations, and... ...guidelines. Prior Authorization or Utilization Management experience.... ...and training in a remote work environment. Availability...Remote workHourly payFlexible hours- ...Documentation Integrity Supervisor The Outpatient... ...will be accountable for managing a team of CDI specialists... ...This Position is 100% Remote; can work from anywhere... ...this position requires an RN licensure with three years... ...health records and utilize AI/NLP technologies...Remote jobWork at office
$70.3k - $87.87k
...MI, U.S. Job Summary The Supervisor of Utilization Review (UR) oversees the development... ...also participates in management meetings, workgroups, and... ...(LMFT) Registered Nurse (RN) Must maintain Child Diagnostic... .... Hybrid (onsite/remote) work schedule available....Remote workFull timeWork at office- Cambia Health Solutions is seeking a Supervisor Utilization Management in Vancouver, WA. This hybrid position involves leading a team in the clinical services department to ensure cost-effective and quality care. The successful candidate will have a nursing background and...
- Cambia Health Solutions is seeking a Supervisor Utilization Management to lead a team in Portland. The role involves overseeing team activities to ensure... ...leadership experience, and be a current Registered Nurse (RN). This hybrid position offers competitive pay and numerous...
- Cambia Health Solutions is seeking a Supervisor Utilization Management to lead a team dedicated to improving health care delivery. This hybrid role requires leadership skills and clinical expertise to ensure quality care through effective utilization management programs...
$75.3k - $135.4k
...Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will... ...experience in a related field, along with an active RN license in California. This position offers a salary range...Remote work$102.18k
...Requisition ID: 13160 Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management...Full time$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$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 workWeekend work$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 healthcare organization is seeking a Utilization Management Registered Nurse to support the coordination and documentation of medical services. This remote position requires a valid RN license and clinical experience. Responsibilities include interpreting medical information...Remote work$71.1k - $97.8k
...Humana Inc is seeking a dedicated Utilization Management Nurse to join their team in Topeka, Kansas. In this role, you will use your clinical knowledge... ...to ensure optimal treatment. Candidates must have an active RN license, at least 3 years of experience in Medical Surgery,...Remote workFull timeWork at office- ...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
- Cadence in Seattle is seeking an RN Supervisor to oversee a remote team of Registered Nurses in a high-volume triage environment. The role entails managing real-time patient alerts and ensuring clinical quality and operational performance. With a focus on proactive care...Remote work
- ...in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience... ...position offers the flexibility of remote work while supporting professional...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
- 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
- Cadence in Dallas, TX is seeking an RN Supervisor to lead a remote team of Registered Nurses in a high-volume triage environment. This role demands strong clinical judgment, operational management, and performance coaching to maintain quality care. Candidates should have...Remote work
- ...Healthier Communities Together. This is a remote position in which we are able to employ... ...experience: ~ ~ Health plan utilization management ~ Medicare and Medicaid rules and regulations... ...~ Current unencumbered Oregon RN License required within 90 days of hire...Remote work
$50 per hour
...pro... Show more $50.00 hourly Remote Full-time Mercor Text‑to‑... ...time Cath Lab Registered Nurse (RN) Job Summary and Responsibilities... ...more Full‑time Weekend RN Supervisor Join Our Team as a Weekend RN... ...more Remote Full‑time Project Manager The Project Manager manages and...Remote workHourly payFull timePart timeWeekend work- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high-quality care delivery... ...3 years of relevant experience. The position is remote, allowing work from any location in the U.S., and...Remote workFull time
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