Remote Utilization Management RN-Impactful Care
UnitedHealth Group
- Remote job
UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient and effective health services administration. The role involves assessing member needs, interpreting guidelines, and recommending appropriate care levels to support healthier outcomes. This remote position is restricted to applicants located in Pacific or Mountain Time Zones, offering remote work with autonomy and clear objectives. #J-18808-Ljbffr UnitedHealth Group
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for... ...outpatient services, Quality of care concerns. Interfacing routinely... ...packets, including review of cases impacting performance metrics and...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will... ...healthcare services and coordinating care for members. Join a dynamic team and make a meaningful impact in patient advocacy while maintaining a...Remote jobContract work
- 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
$29 - $52 per hour
...Utilization Management Nurse For those who want to invent the future of health care, here's your opportunity. We're going beyond... ...organization. Ready to make an impact? ***Although this position is remote, applicants must be... ...unrestricted compact RN licensure Function...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of... ...healthcare services, coordinating care, and ensuring members... ...Ready to make a meaningful impact—without sacrificing work-life...Remote workDaily paidContract workMonday to FridayShift workWeekend work$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization that delivers care, aided by technology to help millions of... ...opportunities. Come make an impact on the communities... ...utilization management. Reviews inpatient criteria... ...flexibility to work remotely* as you take on some...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift workWeekend work$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions... ...opportunities. Come make an impact on the communities we... ...opportunity for remote work based on business... ...~ Registered Nurse (RN) with a current, active...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... ...Nurse (UMRN). These will be completely remote positions, working entirely from the... ..., educating patients on appropriate care and managing health care costs for the...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
$100k
...Type Contract Industry Health Care Work Experience 1-3 years Salary $100,000 Remote Job Job Description This is a remote position. The Utilization Management (UM) Nurse is responsible for... ...unrestricted Registered Nurse (RN) license in the applicable state...Remote workContract workWork experience placement$71.1k - $97.8k
...Grievance & Appeals Nurse (Utilization Management Nurse 2) Become a part of our caring community The Part C... ...your skills to make an impact Required... ...Licensed Registered Nurse (RN) with compact license in... ...rotation. + This is a remote position. + This role...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend workWeekday work- CVS Health is seeking a Utilization Management Nurse Consultant (RN) for a remote role. You will perform concurrent reviews for acute inpatient admissions and support timely transitions of care. Required RN license, 5+ years acute care, 2+ years UM/Case Management experience...Remote job
- ...Utilization Management RN There's no place like Liberty Health Come explore career opportunities... ...planning opportunities to lower levels of care Assist the Director of Utilization... ...Clearly communicates instructions to remote users. Visit for more...Remote workWork at office
- ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified...Remote work
- ...click here. Job Summary Utilization Management Nurse performs clinical... ...facilitates and promotes appropriate care and quality toward cost... ...Registered Nurse (RN) with active, current, unrestricted... ...works in an office setting or remotely, periodically has lifting...Remote workWork at office
- ...global health services company seeking an Inpatient Care Management Nurse. You will assess member needs, identify solutions... ...with medical directors to ensure appropriate utilization of health services. Remote work options are available across Pacific, Mountain,...Remote job
- ...This role is part of a multidisciplinary team focused on member care within a managed care framework. The position requires R.N. licensure in NC, five years of clinical experience, including acute care and utilization management experience. #J-18808-Ljbffr Vaya HealthRemote job
- Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical necessity criteria. The role... ...Medicare/Medicaid guidelines, MCg/InterQual, and care coordination processes. #J-18808-Ljbffr NHSHPRemote job
- UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient, evidence-based care across the continuum. This role focuses on prior... ...guidelines into practical decisions. You will work remotely within Pacific or Mountain Time Zones, enjoy...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
$29.1 - $62.32 per hour
...passionate colleagues who care deeply, innovate with purpose... ...one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Commercial) Remote | Full-Time | Weekday Schedule... ...Nurse ready to make an impact beyond the bedside? Join our...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$58.66k - $142.45k
...Utilization Management Clinical Reviewer Mass General Brigham Health... ...and affordable care and coverage. Our work... ...Massachusetts Registered Nurse (RN) license required... ...-awareness; monitor impact on others; be receptive... ...hire. This is a remote role with occasional onsite...Remote workWork at officeFlexible hours- ...and Dignity Health. With more than 700 care sites across the U.S., from clinics and... ...Summary and Responsibilities As our Utilization Review RN, you will play a pivotal role in optimizing... ...care transitions. Your expertise in managed care environments and CMS standards...Remote work
- UnitedHealth Group is hiring a Utilization Management Nurse for a remote role open to those in Pacific or Mountain Time zones. You will... ...driven environment. Requirements include a compact RN license and 3+ years in managed care or clinical settings. Strong MS Office skills...Remote jobFlexible hours
$59.5k - $116.6k
UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate will...Remote jobWeekend work- ...UnitedHealth Group, is seeking a Utilization Review Nurse, RN, to perform inpatient utilization management. The role requires clinical... ...to medical necessity criteria. Remote work is available for PST/MST... ...should have 3+ years in acute care and 1+ year in utilization management...Remote jobShift workWeekend work
- Optum is seeking an experienced Utilization Review Nurse (RN) to support inpatient care management in a remote-capable role. You will review admissions and preauthorizations using evidence-based criteria and collaborate with Medical Directors. The position requires an...Remote job
- UnitedHealth Group's OptumCare seeks a Utilization Management Nurse to oversee utilization... ...inpatient rehab, and long-term acute care. The role emphasizes autonomy in a... ...-driven environment. This remote position requires a Compact RN license, 3+ years in Managed Care...Remote job
- ...Detroit, Michigan Registered Nurse (RN) Contract We are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan. Job Description... ...stay, intensity of service and level of care, including appeal requests initiated by...Remote workContract workLocal areaFlexible hours
- UnitedHealth Group is seeking a qualified Utilization Management Nurse to review patient records and craft appeal letters... ...deliver high-quality reviews. Requirements include an RN license, 3+ years bedside nursing in acute care, and proficiency with Microsoft Office plus 45...Remote jobWork at officeFlexible hours
$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will...Remote workFull timeAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management RN-Impactful Care. Be the first to apply!

