Remote Utilization Management RN — Care Continuity
Truman Medical Centers
- Remote job
Truman Medical Centers is seeking a Utilization Management RN for a part-time position working from home. The role involves partnering with interdisciplinary teams to optimize patient care and resources, ensuring compliance with regulatory standards. Applicants should have a BSN or a Nursing graduate degree, an active RN license in Missouri, and at least 2 years of clinical experience. Strong communication and organizational skills are essential for this role. #J-18808-Ljbffr Truman Medical Centers
- ...Utilization Management RN Remote (Must reside in PA, NJ, or DE) Overview: Seeking an experienced... ...support inpatient utilization review and care coordination in a remote environment... ...review for inpatient admissions and continued stays using established clinical...Remote work
- ...Position Overview Department: Utilization Management Schedule: M-F 8am- 5pm Work Location: Remote Benefits for eligible... ...Will Do Provide health care services regarding admissions... ...heart of our mission. Join us in continuing our legacy of service and...Remote work
- ...Utilization Management RN - Pediatrics (Remote) | New York RN License Required | 110K+ • Fully remote opportunity... ...organizations seeking high-quality talent and continue to partner with leading health systems and managed care organizations. Position...Remote workFull timeContract workWork at office
- ...Care Management Coordinator (Home Health Team) Remote | Part-Time (18.75 Hours/Week) | PA RN License Required Job Summary The Care Management... ...and determination. Utilization Management... ...Inpatient admissions Continued stays Length of stay...Remote workPart timeMonday to FridayFlexible hoursShift work
$116.3k - $264.6k
...CA, USA Onsite or Remote Flexible Hybrid... .... Help drive the continued delivery of exceptional patient care. Take your career to... ...UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide... ...Current unrestricted RN licensure in CA...Remote workMonday to FridayFlexible hours- ...regional Coordinated Care Organization (CCO) for... ...Together. This is a remote position in which we are... ...: ~ ~ Health plan utilization management ~ Medicare and Medicaid... ...unencumbered Oregon RN License required... ...34 - 66% of the time) Continually (67 – 100% of the time...Remote work
- ...Job Summary The Director of Utilization Management (UM) is responsible for leading and managing... ...closely with case management, managed care, and patient financial services to... ...evaluate team effectiveness and drive continuous improvement. Foster strong relationships...Remote workShift workDay shift
$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 &... ...organizational goals while promoting continuity of care, collaborative...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...Utilization Review Registered Nurse (UR RN) The Utilization Review Registered... ...-effective patient care. Working collaboratively... ...and resource management. This role demands... ...Professional Growth and Continuing Education... ...staff; optional for remote staff. Nexus Health...Remote workWork at office
- ...Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home.... ...cases, educating patients on appropriate care and managing health care costs for the dependents...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- ...The Peer-to-Peer (P2P) Utilization Review Nurse is an integral... ...Central Utilization Management team, specializing in... ...on concurrent level-of-care denials and supports physician... ...) processes through RN-to-RN collaboration... ...and Work Model ~ Remote / Work from Home. ~...Remote workWork from home
- ...Department: Managed Services This position will be hybrid... ...positions for this role. The Utilization Management (UM) RN performs utilization review... ...appropriate level of care and status (Inpatient, Outpatient... ...position is hybrid with remote and in-office assignment....Remote workWork at officeRelocation package
- ...The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations for authorization...Remote workWork at officeLocal areaWork from homeHome officeMonday to Friday
$38.91 - $60.31 per hour
...Aurora, CO Department: UCH Utilization Management Work Schedule: Full Time,... ...does not offer a hybrid or remote option Summary: ~ Ensures... ...manner that balances quality of care with efficiency, cost-... ...licensure as a Registered Nurse (RN). ~3 years of relevant experience...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$71.1k - $97.8k
...organization in the United States seeks a Utilization Management Registered Nurse to coordinate... ...and benefit determinations. This remote position requires a Compact RN license and over one year of... ...experience in a hospital or acute care setting. The role involves using clinical...Remote job$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to support the... ...and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess over a year... ...nursing experience. The position is remote with a salary range of $71,100...Remote job- 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... ...utilization reviews, support transitions of care, and ensure compliance with Medicare Advantage regulations...Remote job
$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse. In this remote role, you will use your clinical... ...based on information from care providers, and ensuring timely responses... ...Candidates need to hold a Compact RN license and have over a year's experience...Remote job$40 per hour
...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference:... ...Summary: A Managed Care Organization is seeking... ...Long Term Care, to ensure continuity of care Refer cases... ...~ Active, unrestricted RN, LPN, LCSW, or LPC license...Remote workHourly payPermanent employmentTemporary workWork at office$71.1k - $97.8k
...health insurance company is seeking a Utilization Management Registered Nurse to utilize... ...and benefit determinations. This remote position requires clinical experience and a Compact RN license. Responsibilities include making care determinations, excellent communication...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
...leading health organization is seeking a Utilization Management Registered Nurse to support... ...The ideal candidate holds a Compact RN license and has over one year of clinical... ...criteria and facilitating member care. The role offers a remote work option, a competitive salary...Remote job- ...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 impact...Remote jobContract work
$71.1k - $97.8k
A healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical... ...medical services. This remote position requires a Compact RN license and over a year of clinical... ...members, and ensuring coordinated care. The role offers a salary between...Remote job$71.1k - $97.8k
A leading health care organization is seeking a Utilization Management Registered Nurse to help coordinate medical services... ...clinical nursing skills within a remote work environment, making care determinations... .... This role requires an RN license and over one year of clinical...Remote job$74.16 - $107.75 per hour
...CA, USA Onsite or Remote Fully On-Site... ...visibility The Utilization Management (UM) Nurse supports appropriate level-of-care determination, patient... ...placement-ensuring continuity of operations, timely... ...~ Current valid CA RN license, required...Remote workHourly payWork at officeMonday to Friday- ...California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization... ...facilitate team meetings. A California RN license is required. This position... ...and focuses on improving patient care and operational efficiency. Join us in...Remote job
- A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...Remote jobFlexible hours
$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to utilize... ...services and benefit determination. This remote position requires a Compact RN license and over a year of... ...medical determinations and facilitating care. The role offers a pay range of $7...Remote job
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