Remote Utilization Management RN - Care Coordination
$71.1k - $97.8kHumana
- Remote job
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 on established criteria, and communicating with healthcare providers and members. The job offers a salary range of $71,100 - $97,800 annually, along with a comprehensive benefits package including medical, dental, and 401(k). #J-18808-Ljbffr Humana
$71.1k - $97.8k
...organization is seeking a Utilization Management Registered Nurse. In this remote role, you will use your... ...skills to support the coordination of medical services. You... ...based on information from care providers, and ensuring... ...need to hold a Compact RN license and have over a...Remote job$71.1k - $97.8k
...in the United States seeks a Utilization Management Registered Nurse to coordinate medical services and benefit determinations. This remote position requires a Compact RN license and over one year of clinical... ...in a hospital or acute care setting. The role involves using...Remote job$71.1k - $97.8k
...organization is seeking a Utilization Management Registered Nurse to support the coordination and determination of... ...and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess... ...experience. The position is remote with a salary range of...Remote job$71.1k - $97.8k
...company is seeking a Utilization Management Registered Nurse to utilize... ...nursing skills for coordinating medical services and... ...determinations. This remote position requires clinical... ...and a Compact RN license. Responsibilities include making care determinations, excellent...Remote job- A healthcare organization is seeking a Utilization Management Registered Nurse to utilize clinical nursing skills in coordinating medical services. This remote role requires a Compact RN license and over a year of clinical experience. Responsibilities include interpreting...Remote job
$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse based in New... ...service determinations and coordinate care. Applicants should possess a Compact RN license and over a year of clinical experience. This remote position offers a competitive salary...Remote job$71.1k - $97.8k
...health organization is seeking a Utilization Management Registered Nurse to support coordination and documentation of medical... ...candidate holds a Compact RN license and has over one... ...criteria and facilitating member care. The role offers a remote work option, a competitive...Remote job$71.1k - $97.8k
A leading health care organization is seeking a Utilization Management Registered Nurse to help coordinate medical services and support benefit determinations... ...nursing skills within a remote work environment, making... .... This role requires an RN license and over one year of...Remote job$71.1k - $97.8k
...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... ...members, and ensuring coordinated care. The role offers a salary...Remote job$71.1k - $97.8k
...organization is seeking a Utilization Management Registered Nurse to utilize nursing skills in coordinating medical services and... ...benefit determination. This remote position requires a Compact RN license and over a year... ...and facilitating care. The role offers a pay range...Remote job$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- ...Nurse for a clinical role focusing on utilization review and care coordination. The ideal candidate will have 5+... ...healthcare, a strong understanding of managed care processes, and be proficient in Microsoft 365. This role offers remote work and a comprehensive benefits...Remote work
- ...experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license and significant experience in healthcare. The...Remote workWork from home
- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including prior authorization and... ...and Washington. This role encompasses care coordination and discharge planning, along with various...Remote work
- ...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 workContract work
$45.75 - $62.9 per hour
...hybrid position with potential for remote work. JOB SUMMARY: Under... ...Supervisor, UM Clinical, the Utilization/Case Manager Nurse coordinates the delivery of care through assessment, planning, facilitation... ...of experience California RN License Knowledge of common...Remote workFull time$39 - $40 per hour
...The Judge GroupUtilization Management Registered Nurse (RN)Type: 6-Month Contract W2Location: Remote - but MUST reside in one of... ...hourSummary: We are seeking a Utilization Management RN to join our... ...healthcare services, coordinating care, and ensuring members receive...Remote workDaily paidContract workMonday to FridayShift workWeekend work- ...healthcare analytics firm is seeking a Registered Nurse for a remote role focused on utilization review and clinical determinations. The position requires... ..., 5+ years of varied healthcare experience, and an active RN license in Illinois. Responsibilities include conducting...Remote work
- ...Utilization Management RN - Pediatrics (Remote) | New York RN License Required | 110K+ • Fully remote opportunity... ...health systems and managed care organizations. Position Summary... .... Through clinical review and coordination, this role supports appropriate levels...Remote workFull timeContract workWork at office
$34.98 - $42.85 per hour
...Remote in California only Are you ready... ...Clever Care was created to meet... ...The UM Nurse I - RN performs clinical... ...This role conducts utilization review activities... ...discharge planning coordination as assigned. • Ensure... ...year in utilization management or case management...Remote workHourly payWork at office- ...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 job
$116.3k - $264.6k
..., USA Onsite or Remote Flexible Hybrid... ...patient care. Take your career to... ...UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll... ...management to a team of UM coordinators and nurses. You'll... ...unrestricted RN licensure in CA required...Remote workMonday to FridayFlexible 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- ...Case Management Coordinator We are currently hiring for a Case Management... .... In this role, care management... ...:00pm EST and will be remote in South Carolina.... .../surgery. Or, 4 years utilization review/case management... ...active, unrestricted RN license from the United...Remote workFull timeContract workWork experience placementSecond jobCurrently hiringWork at officeMonday to Friday
- ...is designated as a regional Coordinated Care Organization (CCO) for... ...Communities Together. This is a remote position in which we are... ...experience: Health plan utilization management Medicare and Medicaid... ...Current unencumbered Oregon RN License required within 90...Remote work
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Gibson City, IL 60936 Overview... ...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$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$40.21 - $74.74 per hour
...an innovative health care leader and multi-specialty... ...transitional care coordination to ensure safe transitions... ...: Location : Remote (MA residents only) Department : Utilization Management Schedule: 40HRS... ...If you are MA licensed RN, you will have the...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaWeekend work$25 per hour
...IntellaTriage is seeking a compassionate Registered Nurse (RN) to provide remote after-hours triage support for hospice patients and their families. The role involves assessing patient needs and coordinating care while maintaining professionalism and empathy. The...Remote workHourly payWork from homeFlexible hours- ...Department: Managed Services Please make sure you read the following details carefully before making any applications. This position... ...for this role. The Utilization Management (UM) RN performs utilization review... ...This position is hybrid with remote and in-office assignment....Remote workWork at officeWork from homeRelocation package
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