Remote UM Nurse Supervisor: Leadership & Compliance
Integra Partners
- Remote job
Integra Partners in Michigan is seeking an UM Nurse Supervisor to lead the UM nursing team, balance hands-on operations with leadership duties, and ensure performance, accountability, and regulatory compliance. You will conduct regular 1:1s, performance reviews, huddles, and coordinate with the UM Clinical Manager; oversee case assignments, authorizations, and audits, while maintaining timely workflows. Active RN/LVN/LPN license and 3+ years of nursing with 2+ years UM experience required. #J-18808-Ljbffr Integra Partners
- PACS is seeking a Nursing Supervisor (LPN/LVN) to lead nursing staff in a California long-term care facility. You will supervise nursing assistants... ...and active LPN/LVN license, with CPR certification. Strong leadership and English proficiency are essential for coordinating...Suggested
$75k - $100k
...coordinate with medical directors. The role supports cross-training in Case Management and growth into a combined UM/CM position. Start Date: 01/10/2027. Remote work option available in approved states including Texas and others, with a salary range of $75,000 to $100,000...Remote job- ...responsible for oversight of staff UM RNs to ensure coordination... ...that all RN Clinical Nurses are licensed, knowledgeable... ...floor and administrative compliance. Unlike remote roles, this position relies... ...QA & PI activitiesProvides leadership in conflict resolutionProvide...Remote workFull timeImmediate startShift work
- Integra Partners in Michigan seeks an Utilization Management Nurse Supervisor to lead the UM nursing team, balancing hands-on operations with strategic leadership and ensuring compliance with CMS, NCQA, and state requirements. You will conduct regular 1:1s and performance...Remote job
- ...responsible for oversight of staff UM RNs to ensure coordination... ...that all RN Clinical Nurses are licensed, knowledgeable... ...floor and administrative compliance. Unlike remote roles, this position relies... ...QA & PI activities Provides leadership in conflict resolution Provide...Remote workImmediate startShift work
- Maximus is seeking an OPS Supervisor to support our OPM - FEHB program. This remote role requires U.S. citizenship and the... ...assign daily work, monitor SLA compliance, and coordinate with other... ...producing regular performance reports to leadership. #J-18808-Ljbffr MaximusRemote job
$75k
The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing... ...performance reviews, and driving compliance with organizational, state,... ...stakeholder interactions as directed. Remote work environment with...Remote workTemporary workLocal area- Loomis is seeking a CMS Supervisor in Boylston, MA to oversee daily CMS operations, including deposit verification... ...and audit functions, while ensuring policy compliance and security of funds. The role requires leadership, strong communication and presentation skills, and...
- ...Collaborates with site providers and nurses, pharmacies and insurance to... ...for medical necessity, quality and compliance standards. Reviews UM reports for outstanding and expiring... ...Provides date and trends to medical leadership around medication denials and approvals...Remote workFull time
$34 - $47 per hour
...UM Review NurseAstrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position... ...Health Plans. This is a remote position for CA-licensed nurses... ...with co-workers, senior leadership, and other managementExperience...Remote workHourly payLive inWork at officeMonday to FridayShift work- ...Parkside in Newark, DE, seeks an experienced RN Nurse Supervisor for 3pm-11pm to provide clinical leadership and ensure high-quality resident care. You will support... ..., oversee nursing staff, and ensure regulatory compliance during the shift. This role requires active...Shift workAfternoon shift
- University Health Network is hiring a Coding Supervisor for a full-time, remote position serving the Knoxville, TN region. The role requires attendance... ...coders and staff on regulatory requirements. Strong leadership and enterprise collaboration are essential. #J-18808-Ljbffr...Remote jobFull timeWork from home
- ...benchmark against markets, and drive equitable pay practices. You will partner with HR, Finance, and leadership to design pay structures and oversee annual cycles, ensuring compliance and data-driven decisions. The role emphasizes governance, analytics, and collaboration...Remote job
$75k - $85k
The Management Trust is a fully remote employer serving the Tri-Cities WA area. We seek a Senior Community Association Manager to oversee... ...offers a salary range of $75,000-$85,000 per year DOE. Strong leadership, budgeting, and communication skills are essential for success....Remote jobFull time- Guidehealth is hiring a Registered Nurse (RN) Clinical Compliance Auditor II for a remote, full-time role. You will conduct... ...audits, monitor adherence to UM/PHM plans and client obligations,... ...audit programs with senior clinical leadership. The position emphasizes...Remote jobFull time
- ...Position Title Clinical Review Nurse - Prior Authorization Work Location Remote - PST and CST (No CA and NY candidates... ...care. Background & Context UM is highly focused on how we can be... ...environment, enhanced by a democratic leadership style that values each team member...Remote workFlexible hoursShift work
- ...States of America) Job Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between the clinical floor and administrative compliance. Unlike remote roles, this position relies heavily on real-time, face-to-face interaction with...Remote workFull timeImmediate startShift work
- ...in Wilmington, Delaware, is seeking a Nursing Supervisor to ensure quality care at Kirkwood Recovery... ...overseeing nursing staff, ensuring compliance with regulations, and providing... ...years in behavioral health, and strong leadership skills. Join a dedicated team focused...
$65k - $75k
...Nurse - Clinical ReviewThe Clinical Review Nurse makes prospective... ....This is a full-time, fully remote, production-based role.... ...quality-of-care concerns to UM Leadership.Participates in the HealthHelp... ...regulatory updates from the Compliance Department and Nursing Management...Remote workHourly payFull timeWork at officeLocal areaMonday to Friday$18.2k
...work environment Hybrid on-site and remote work Approximately one routine on-site... ...week Flexible schedule Clinical Nurse Supervisor (RN) – Part‑Time Salaried Job... ...pharmacies, case managers, and facility leadership as needed Maintain accurate and survey...Remote workExtra incomePart timeFlexible hoursShift work- ...Title: Clinical Review Nurse - Concurrent Review Location: Remote, Source from EST preferred... ...level of care For a UM CCR team, our primary focus... ...while maintaining compliance, quality, and positive member... ...Provides feedback to leadership on opportunities to improve...Remote workHourly payShift workWeekend work
- ...distributed team. You will guide projects from concept to completion, balancing strategic oversight with hands-on leadership, budget, schedule, and quality. This remote role thrives on collaboration, clear communication, and decisive decisions. You will mentor team members...Remote work
$66.31k - $75.43k
...Position: Public Health Nurse Supervisor Reports to: Deputy Director... ...communication, strategic thinking, and leadership skills, and effective... ...assigned programs to ensure proper compliance with regulatory and funder... ...Free Parking Onsite Remote work from home available up...Remote workBi-weekly payFull timeWork at officeLocal areaWork from homeWork visa2 days per week- ...Development to lead global people development initiatives from a fully remote US base. You will design cohesive learning programs, champion... ..., coaching, and cross-functional collaboration to drive leadership effectiveness and organizational change. In this senior role, you...Remote job
- ...Regulatory Affairs A unique opportunity to take a key role on the leadership team of a highly successful and award-winning developer of... ...and relationships with authorities to ensure approvals and compliance. Lead and grow the regulatory team by mentoring staff with...Remote work
- Cooper Norcross Health is seeking an Oncology Nurse Coordinator to facilitate safe and comprehensive care for patients at the Moorestown... ...1-3 years RN experience in Oncology, BSN preferred, and strong leadership, critical thinking, and communication skills to support...Remote job
- ...Regulatory Affairs The Director of Regulatory Affairs will provide leadership on global clinical regulatory activities. Responsibility will... ...within specified timelines and so that the necessary state of compliance is maintained relative to all regulatory commitments/...Remote workRelocation package
$179.38k - $280.85k
...regulatory agencies. Working closely with senior leadership and cross-functional teams, you will... ...with advocacy priorities while ensuring compliance with applicable legal and regulatory... ..., and other relevant factors. Remote working arrangement: Fully remote position...Remote workFull time- ...addition, you will provide direction and leadership for Regulatory Associates with a focus... ...comprehensive global submission planning.This is a remote position, and you can work from home in... ..., timely, and consistent regulatory compliance, submissions, and regulatory...Remote workWork from homeShift work
$262.15k - $393.22k
...saving them. Together.The remote Regional Medical... ...Management (RMD Non-Acute UM) is a market-facing physician... ...Utilization Management Leadership. Lead physician... ...provider education and compliance with clinical pathways.... ...value specialists. Skilled Nursing Facility (SNF)...Remote workFull timeWork at officeLocal areaWork from home
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