Remote Utilization Management RN - Impact Healthcare Delivery
Altais
- Remote job
Altais is seeking a Utilization Management RN to drive efficient authorization processes and advocate for patient-centered care. You will collaborate with Ambulatory, Network Management, and Quality Improvement teams to review medical necessity and ensure accurate documentation in Tapestry using ICD-10, CPT, HCPCS codes. The role is remote and offers a competitive base salary with comprehensive benefits. The qualified candidate will have California RN licensure, 2+ years UM experience, and #J-18808-Ljbffr Altais
- A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience... ...a dynamic team and make a meaningful impact in patient advocacy while maintaining...Remote workContract work
$70k - $75k
...powered, performance-driven healthcare company dedicated to... ...Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization... ...Description The Utilization Management Registered... ...including review of cases impacting performance metrics...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$39 - $40 per hour
...poster from The Judge Group Lead Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of... ...Ready to make a meaningful impact—without sacrificing work-life balance...Remote workDaily paidContract workMonday to FridayShift workWeekend work- Texas Health Resources is seeking an Utilization Management RN - Clinical Review to support remote admissions reviews across THR facilities. You will assess initial admission status for inpatient, observation, and outpatient settings, using medical necessity criteria and...Remote job
- Optum, part of UnitedHealth Group, is seeking an Utilization Management Nurse to review patient records and craft defensible appeal letters per guidelines... ..., and ensure accuracy and compliance. The role requires RN licensure, a relevant associate degree, and 3+ years bedside...Remote jobMonday to Friday
$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization... ...opportunities. Come make an impact on the communities we... ...opportunity for remote work based on... ...~ Registered Nurse (RN) with a current, active... ...medical insurance and/or healthcare industries ~ Experience...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area- ...Utilization Manager Registered Nurse (UMRN)Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate... ...compact preferred), and at least 2 years of RN UM experience (remote/hybrid preferred)....Remote jobWork from homeMonday to Friday
- 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
$71.1k - $97.8k
...caring community The Utilization Management Nurse 2 utilizes... ...your skills to make an impact Required Qualifications... ...Registered Nurse (RN) in the state of Ohio... ...: While this is a remote position, occasional... ...personal wellness and smart healthcare decisions for you and...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$71.1k - $97.8k
...communities? As a Utilization Management (UM) Nurse, you... ...and cost-effective healthcare solutions. This... ...make a meaningful impact, navigate complex... ...care and service delivery. Use your skills... ...Registered Nurse (RN) in Illinois with... ...Workstyle: This is a remote position...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$71.1k - $97.8k
...caring community The Utilization Management Nurse 2 utilizes clinical... ...skills to make an impact Required... ...Licensed Registered Nurse (RN) with at least 3 years... ...Travel: While this is a remote position, occasional... ...personal wellness and smart healthcare decisions for you and...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayShift work- ...Utilization Management CNADubuque, Iowa, United StatesUtilization Management... ...Dubuque, IA. Also accepting remote applicants.Are you passionate... ...Assistant to join our healthcare team. We are looking for individuals... ...to make a meaningful impact behind the scenes. If you are...Remote workWork at office
- ...To support effective utilization management, the full-time remote Utilization Review RN will examine medical records, develop clinical reviews for authorization,... ...Nurse Licensure Compact (eNLC) Three years of healthcare clinical experience Knowledge of medical terminology...Remote workFull time
- ...patient's discharge planning needs with members of the healthcare team.Resolves patient problems and needs by utilizing multidisciplinary team strategies.Educates... ...demand it.Additional Job Details (if applicable)Remote TypeRemoteWork Location265 Charles StreetScheduled...Remote workDaily paidWork at office
- ...experience, and license requirements. Remote Eligibility: Candidates must reside... ...in due to the nature of the work The RN Care Manager Utilization Review I is an entry level position... ...receive appropriate care while adhering to healthcare regulations. This work is performed...Remote workFull timeLocal areaWork from homeRelocation package
- A healthcare management organization is seeking a Utilization Management Nurse to oversee health service utilization while collaborating... ...This role requires an active LPN/RN license, and candidates should... ...benefits package including remote work options. #J-18808-Ljbffr...Remote job
- ...applicable patients as stated in system utilization management plan. Oversees Clinical Review... ...days for first week. This role will be remote BUT regular meetings/trainings require... ....Experience3 years of experience in a healthcare setting; pediatrics preferredPreferred...Remote workReliefWeekend work3 days per week
- ...Utilization Management Clinical ReviewerMass General Brigham Health... ...to be within the healthcare industry. As a member... ...CredentialsMassachusetts Registered Nurse (RN) license... ...-awareness; monitor impact on others; be... ...after hire.This is a remote role with occasional...Remote workWork at officeFlexible hours
- 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
- Harris Health System, Inc. is seeking a Utilization Management Review Nurse to evaluate medical necessity, appropriateness, and efficiency of services, ensuring care aligns with evidence-based guidelines. The role involves partnering with Care Management, Physician Advisors...Remote jobFlexible hours
- Mass General Brigham Health Plan Holding Company, Inc. is seeking an RN-based Utilization Management Nurse to support network adequacy reviews and authorization decisions for ACO, HMO, and EPO products. The role emphasizes medical necessity assessment and robust payer knowledge...Remote job
$26.01 - $62.32 per hour
...one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday... ...Registered Nurse ready to make an impact beyond the bedside? Join... ...with care coordination and healthcare quality, we’d love to hear...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$29 - $52 per hour
...Utilization Management Nurse RNOptum Insight is improving the flow... ...Management Nurse RN is responsible for performing... ...appropriate use of healthcare services, compliance... ...flexibility to work remotely from anywhere within... ...committed to mitigating our impact on the environment...Remote workHourly payDaily paidMinimum wageFull timeWork experience placementLocal areaShift workWeekend workWeekday work$42 per hour
...Ascension Texas Utilization Management Department (Fully Remote) Provides health care services regarding admissions, case management, discharge planning... ...and coordinates discharge planning needs with healthcare team members. May prepare statistical analysis and...Remote job$68.13k - $119.52k
...regulatory requirements and manages concurrent and pre-bill... ...for in-house patients, utilizing daily commercial... ...models and trends and their impact. Previous experience... ...Schedule: ~ Fully remote position, four 10-hour... ...Registered Nurse (RN) [Required] Accredited...Remote workFull timeWork experience placementLocal area10 hours per weekShift work$38.91 - $60.31 per hour
...Colorado For This Fully Remote Opportunity Location... ...criteria. Provides case management and/or consultation... ...needs with members of the healthcare team. Within scope of... ...a Registered Nurse (RN). 3 years of relevant... ...Preferred: 3 years of utilization or case management experience...Remote workFull timeTemporary workLocal areaFlexible hoursShift work- 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...Remote job
$71.1k - $97.8k
...caring community The Utilization Management Registered Nurse uses... ...skills to make an impact Required Qualifications... ...Registered Nurse (RN) license in your... ...Experience working in a fully remote, metrics-focused role... ...wellness and smart healthcare decisions for you and...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office
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