Remote Utilization Management RN - Care Coordination
$71.1k - $97.8kHumana
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 experiences through effective documentation and communication. Responsibilities include making determinations based on established criteria and collaborating with care providers. The position offers a competitive salary ranging from $71,100 to $97,800, along with various employee benefits. #J-18808-Ljbffr
- ...organization is looking for a Utilization Management Registered Nurse to work remotely in Cheyenne, Wyoming. You... ...nursing skills to coordinate medical services and ensure appropriate care levels. The ideal candidate will hold a Compact RN license and have over one...Remote work
$71.1k - $97.8k
A healthcare company based in Arizona seeks a Utilization Management Registered Nurse to interpret and support the coordination of medical services. Responsibilities include... ...members. Required qualifications include a valid RN license and over a year of clinical nursing...Remote job- ...Health in Portland, Oregon, is hiring a Care Coordinator to manage treatment plans and ensure timely care... ...position requiring a valid Oregon RN license and at least 3 years of relevant... ...interacting with members and providers, utilizing internal systems to assess eligibility...Remote jobFull timeWork from home
$39 - $40 per hour
...Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the... ...responsible for evaluating healthcare services, coordinating care, and ensuring members receive high-...Remote workDaily paidContract workMonday to FridayShift workWeekend work- ...California is seeking a Supervisor of Utilization Management to oversee operations of the... .... You'll manage staffing, coordinate referrals, and facilitate team meetings. A California RN license is required. This... ...focuses on improving patient care and operational efficiency....Remote work
$71.1k - $97.8k
Humana Inc is seeking a Utilization Management Nurse to leverage clinical expertise for optimal treatment and care for members. This role includes coordination and communication with healthcare providers... ...candidate should hold an active RN license and have over 3 years of...Remote jobWork at officeWork from homeHome office$75k - $100k
Description Our Utilization Management RN (Registered Nurse) evaluates efficiency... ...Location We are open to remote work in the following... ...Services objectives of quality care and reasonable cost.... ...Demonstrated experience managing and coordinating care effectively for case...Remote workFor contractorsWork at officeLocal areaImmediate start- ...recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an... ...include evaluating healthcare services and coordinating care for members. Join a dynamic team and make a meaningful...Remote jobContract work
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936... ...combination of in person and remote considered) GENERAL SUMMARY... ...safe transitions of care. GIBSON AREA HOSPITAL &... ...AND RESPONSIBILITIES Coordinate and facilitate patient progression...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal... ...validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring...Remote workContract work
$60.52k - $129.62k
4062 Aetna Resources, LLC is looking for a Remote Case Manager RN to utilize a collaborative process in assessing and advocating for patients' health... .... You will perform comprehensive assessments, coordinate care, and actively engage with members to promote healthy lifestyle...Remote jobFull time- ...Administrators is looking for an Integrated Care Manager based in New Jersey. The role involves assessing, planning, and coordinating member care to enhance overall wellness. Candidates... ...3 years of clinical experience and a valid RN license in NJ. Offering a flexible work-from...Remote workWork from homeFlexible hours
$26.01 - $62.32 per hour
...Enhancement is seeking a full-time Utilization Management Nurse Consultant to support... ...for complex spine cases. This remote position requires an active RN license and a minimum of 3 years... ...responsibilities including evaluating care and coordinating services. Candidates should...Remote jobHourly payFull timeWork at office$40 - $45 per hour
...Immediate need for a talented RN Care Management Coordinator . This is a 03 months Contract opportunity with long-term potential and is Remote , but the candidate must be in PA, DE, NJ... ...advanced medical knowledge to cases, utilizing specified resources and guidelines to...Remote workContract workLocal areaImmediate start$45 - $45.5 per hour
...Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months... ...appropriate health care services in conjunction... ...treatment plan. Utilizes clinical skills to... ..., plan, implement, coordinate, monitor and evaluate... ...team members. RN and current unrestricted...Remote workContract workImmediate startMonday to FridayAfternoon shift- ...Humana is seeking a Utilization Management Administration Coordinator to provide non-clinical support for optimal treatment and care of members. This role works fully remote within the Home Solutions organization, and requires managing various administrative tasks including...Remote workWork at office
- ...Plan Group is seeking a Clinical Program Manager RN for a full-time evening shift. This... ...a liaison with providers and Ministry Care Coordination teams, ensuring patients are transitioned... ..., along with a strong background in Utilization Management. A comprehensive benefits...Remote jobFull timeAfternoon shift
- ...The Regional Care Coordinator (RCC) is assigned to a geographic region and is highly familiar with the region they service. The RCC is also... ...work from home and work in the physician's office position (remote). Succesful candidate will work autonomously in an exempt, Monday...Remote workWork at officeWork from homeMonday to Friday
$45 per hour
...Immediate need for a talented Care Coordinator RN . This is a 13 weeks... ...is located in PA, DE, NJ ( Remote ). Please review the job description... ...medical knowledge to cases utilizing specified resources and... ...such as; InterQual, Care Management Policy, Medical Policy and...Remote workContract workLocal areaImmediate startFlexible hours$2,250 per week
...is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing... ...stays, and services, while coordinating with providers and payers to... ...~ Skilled experience with remote work LENGTH OF ASSIGNMENT... ...provide quality patient care that continually evolves to...Remote workTemporary workShift workNight shiftWeekend work$34.98 - $42.85 per hour
...Utilization Management Nurse I, RN Huntington Beach Office - Huntington Beach, CA 9... ...Full Time Description Remote in California only Are... .... Who Are We? Clever Care was created to meet the unique... ...and discharge planning coordination as assigned. Ensure...Remote workHourly payFull timeWork at office$71.1k - $97.8k
...healthcare services company is seeking a Utilization Management Registered Nurse to work remotely from Alabama. The role involves supporting the coordination of care, communicating with healthcare... .... Candidates must have a Compact RN license and over one year of clinical...Remote work$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This... ...are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent...Remote work$63.5k - $90.72k
...providing a variety of Care Coordination services within the... ...empowering member’s self‑management skills and... ...resources. Care Coordinator, RN Competencies / Role‑Specific... ...software systems utilizing PHP Care Coordination... ...HIPAA compliant for all remote or telecommuting positions...Remote workHome office$41.71 - $105.65 per hour
...profit, we support patient care, research, teaching, and... ...SUMMARY OVERVIEW STATEMENT RN CARE COORDINATOR (CASE MANAGER) BWH CARE CONTINUUM... ...interdisciplinary team, the RNCC utilizes patient assessment, care... ...40HR VARIABLE ROTATING Remote Type Onsite Work...Remote workHourly payWork at officeFlexible hoursShift workRotating shift- ...healthcare organization is seeking a Utilization Management Registered Nurse to join... ...in Richmond, Virginia. This remote role requires an RN license and a minimum of one... ...experience in an acute care setting. Responsibilities include coordinating medical services, making determinations...Remote work
- ...As an RN Program Coordinator Cardiac Device PRN, your voice to influence patient care is valued and empowered at every turn –whether through... ...with your direct manager or more formal opportunities... ...Coordinator will support patients with remote monitoring, device implantation...Remote workTemporary workReliefFlexible hours
$71.1k - $97.8k
...healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills for coordinating medical services. This remote position involves assessing care needs, communicating... ...Candidates must possess a valid RN license and have over one year...Remote work- ...patients receive high-quality care while efficiently utilizing medical resources. Job... ...: ~ Registered Nurse (RN) licensure in the state of... ...to the on-site care management teams when appropriate. Reviews... ...stakeholders to ensure a coordinated and efficient care process...Remote jobPart timeWork experience placementRotating shiftWeekend workDay shift
- ...provider 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... ...position offers the flexibility of remote work while supporting professional...Remote work
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