Remote Utilization Management Coordinator Healthcare Support
Mindlance
Humana is seeking a remote Utilization Management Administration Coordinator 2 to support provider inquiries, authorizations, and access to care. This hourly, work-from-home role includes weekend/holiday shifts and a training period 8:00 AM–4:30 PM CST for the first month, with potential for permanent hire based on performance.
Responsibilities include handling 30–50 inbound calls daily, guiding callers through UM processes, ensuring accuracy and compliance, and navigating multiple systems to
#J-18808-Ljbffr- ...Integrated Management Strategies, LLC is seeking an... ...experienced Sr Review Coordinator for our healthcare consulting practice. This fully remote role within the... ...United States focuses on utilization review of plans of... ...community-based programs, supporting non-clinical...Remote workWork from home
- ...Category: Case Management Shift: Day... ...Case Management Remote Monday - Friday 7... ...largest nonprofit healthcare systems, our culture... ...Network Manager for Utilization Management,... ...position primarily supports UM operations and... ...position supports Care Coordination department...Remote workWork at officeMonday to FridayShift work
$40k - $52.3k
...community Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin... ...provide non-clinical support for the policies and procedures... ...workstyle is defined as remote but will use Humana... ...personal wellness and smart healthcare decisions for you and your...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$45 per hour
...Job Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s... ...Utilize your clinical expertise to support quality, cost-effective healthcare in a fully remote managed care setting...Remote workContract workTemporary workMonday to FridayWeekend work$50k
...the forefront of maternal healthcare innovation, we've... ...specialized therapy, peer support, and medication management to effectively treat perinatal... ...for our Provider Support Coordinator . We're seeking a detail-... ...built Details Full-time; remote The salary for this position...Remote workFull timeWork at officeWork from home$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health... ..., implement, and evaluate healthcare services for members. This... ...: $29 - $62/hour Location: Remote, TX Residency: Must reside... ...clinical experience to assess and coordinate healthcare services for...Remote workWork at officeWork from homeAfternoon shift- Concentra, Inc. is seeking a Referral Management Coordinator to support referral requests and authorizations, collaborating with physicians, employers... ..., and accurate documentation. Must be a Texas resident; remote in Texas with local travel for orientation. The position...Remote workFull timeLocal area
$29.1 - $62.32 per hour
...community at a time. Utilization Management Nurse Consultant... ...Medicare Home Care) Remote | Full-Time | Weekday... ...an exciting new role supporting home care requests for... ...and care teams to coordinate a smooth transition... ...care coordination and healthcare quality, we’d love to...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$29.1 - $62.32 per hour
...community at a time. Utilization Management Nurse Consultant -... ...Precertification RN (Medicare) Remote | Full-Time | Monday... ...care teams to support treatment planning... ...impact on healthcare quality and member outcomes... ...quality, and care coordination to improve member outcomes...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...Yoh, a Day & Zimmermann company, is seeking an Utilization Management Nurse Coordinator (RN) for a remote contract opportunity based in Fairfield/Redding, CA. Training is onsite for 3 weeks, then remote with regular weekday hours and one weekend per month. The role...Remote workContract workWeekend workWeekday work
$26.01 - $56.14 per hour
...Utilization Management Nurse Consultant (RN) - RemoteMust Reside in Oklahoma... ...medical necessity, coordinate care, support discharge planning, and make... ...requirements.Schedule100% Remote (Oklahoma based)Monday-... ...planningCommunicate with providers and healthcare teams to facilitate...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayWeekend work- ...CVS Health is seeking a qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration...Remote workAfternoon shift
$26.01 - $62.32 per hour
...community at a time. RN Utilization Management Nurse Consultant (... ...Medicare - Joint Procedures) Remote | Full-Time | Monday-... ...and care teams to coordinate appropriate treatment plans... ...care quality and optimize healthcare utilization Support care integration by connecting...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...Molina Healthcare seeks an experienced healthcare services leader to oversee utilization management, care management and behavioral health programs for Washington state, aligning... ...cost-effective, high-quality care delivery while supporting PST hours. #J-18808-LjbffrRemote work
- ...CVS Health is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members. This role requires a skilled... ...and utilization management, offering remote work in California and a full-time...Remote workFull timeAfternoon shift
$26.01 - $62.32 per hour
...community at a time. Utilization Management Nurse Consultant... ...Precertification RN (Medicare) Remote | Full-Time | Weekday... ...and care teams to coordinate appropriate treatment... ...clinical judgment to support utilization and... ...coordination and healthcare quality, we’d love to...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- ...is a rapidly growing healthcare SaaS company on a mission... ...and workforce management. We are builders, executors... ...an Impleme ntation Coordinator/ Analyst who wants to... ...***This role is FULLY REMOTE, though you MUST reside... ...in direct support of customer requirements...Remote workFull timeHome officeFlexible hours
- ...seeking a Registered Nurse for Utilization Management to assess and coordinate healthcare services for members, applying clinical... .... Collaboration with providers supports care pathways and program... ...effective communication in a full-time, remote setup requiring residency in...Remote workFull time
$26.01 - $62.32 per hour
...Medicare Precertification Utilization Management Nurse Consultant (RN) Remote | Full-Time | Weekends... ...about improving healthcare outcomes? Join our Utilization... ...information to support coverage determinations... ...providers and care teams to coordinate treatment plans Identify...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend workAfternoon shift- Case Manager - Hamilton & Surrounding Counties... ...Type: Full Time | Remote with Field Visits Industry: Healthcare / Social Services... ...high-quality care coordination. We are currently... ...Clinical Services Utilization Supervisor to join... ...essential services and supports. You’ll be part of...Remote workFull timeLocal areaWork from home
- ...Degree 2 Year Degree Manage Others No Contact information... ...for a UM Clinical Support Specialist to join our... ...the leadership of the Utilization Management team by... ...140 Phoenix, AZ 85020 Remote Essential Functions Works... ...Associate degree in healthcare administration, business...Remote jobFull timeWork at officeLocal areaWork from home
- ...seeks a Registered Nurse to assess, plan, implement, and coordinate healthcare services and benefits for members. You will render... ...programs and serve as a clinical resource to internal and external stakeholders in utilization/benefit management. #J-18808-Ljbffr CVS HealthRemote job
$15.61 - $23.82 per hour
The CareIQ Scheduling Coordinator provides... ...providers, and claims management by scheduling ancillary healthcare appointments. Utilizing proprietary systems and... ...customer needs. This is a remote position. ESSENTIAL FUNCTIONS... ...and written customer support services. Documents...Remote workHourly payMinimum wageFull timeLocal areaFlexible hours- ...A leading healthcare organization is seeking a Senior Specialist, Talent Acquisition. This 100% remote position requires candidates to reside in MD, DC, or VA. You will manage high-volume inbound calls, process medical... ...preferred. Join us to support our vital clinical teams...Remote work
- ...Evolent is seeking a Coordinator, Intake Utilization Management to serve as the point of contact for processing prior authorization requests in line with departmental policies, regulatory requirements, and client contracts. Schedule: 9:30 am - 6 pm Pacific with rotating...Remote work
- ...Sedgwick is seeking an Utilization Review Coordinator to support UR processes from a telecommuter role in Florida. You will assign UR cases, verify information... ..., and maintain data integrity within clinical management systems. The ideal candidate has a High School...Remote work
$26.01 - $68.55 per hour
## Utilization Management Nurse ConsultantApply: Remote: IL - Work from home: Work At Home-Idaho: Work... ..., plan, implement, coordinate, monitor and evaluate options... ...facilitate appropriate healthcare services/benefits for... ....• Troubleshooting & Support: Ability to resolve...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...registered nurse to join our care coordination team in the EST region. You... ...plan, implement and monitor healthcare services and benefits for... ...criteria and judgment to support coverage decisions. You will... ...opportunities, and promote efficient utilization and quality care. This full-...Remote jobFull time
- ...Nurse to assess, plan, implement, coordinate and evaluate healthcare services for members. You will apply... ...and collaborate with providers to support care decisions and referral... ...opportunities while maintaining high-quality utilization management practices. The role requires an...Remote jobWeekend workAfternoon shift
- ...organized and dependable Utilization Management Assistant to support clinical and insurance teams... ...clinical-review side of healthcare without a license,... ...documentation gathering, and review coordination across payer systems. You will work remotely, coordinate with UM teams...Remote work
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