Remote Utilization Management Nurse
University of Minnesota School of Nursing
Sacramento, CA
- Remote job
UnitedHealth Group is seeking a Utilization Management Nurse to ensure efficient and effective health services delivery across care settings. You will assess member needs, determine medical appropriateness, and support clinical decisions to help members live healthier lives. This role offers remote work with time-zone requirements in Pacific or Mountain regions. Ideal candidates hold a compact RN license, 3+ years in Managed Care or clinical settings, and prior utilization management experience. #J-18808-Ljbffr University of Minnesota School of Nursing
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse in Sacramento, CA vacancy
- CVS Health is seeking a Registered Nurse for Utilization Management on a work-from-home schedule with weekend coverage. You will assess, plan, implement, coordinate, monitor, and evaluate options to facilitate healthcare services and member benefits. Responsibilities include...Remote jobWork from home
- CVS Health seeks a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making. This remote role requires an active RN license, NICU nursing experience, and familiarity...Remote jobWork from home
- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely, safe, and appropriate...Remote jobFull timeWork from home
- ...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in... ...and a member’s benefit coverage while working remotely. Primary Responsibilities • Performs...Remote workContract workWork at office
Brighton Health Plan Solutions
United States4 days ago - ...Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join... ...regulations (LCD/NCD policies). This is a fully remote opportunity requiring discipline, accuracy, and effective...Remote work
Appworks
United States1 day ago - ...Utilization Management – Care Management Shift options: 8:00–16:30 PST or 9:00–17:30 PST. Every third weekend rotation required. Must commit... ...Eve, New Year's Day. Assignment Details This is a 100% remote position. Requirements ~3 years of acute medical...Remote workShift workWeekend work
Providence SoCal Shared Services Case Management
United States4 hours ago $70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and Guidehealth policies. This role applies...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
United States1 day ago$71.1k - $97.8k
...caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the coordination... ...role includes a required holiday rotation. This is a remote position. This role is responsible for overseeing...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend workWeekday workHumana
Madison, WI18 hours ago$29.1 - $62.32 per hour
...schedules will be determined in collaboration with management to ensure adequate weekend coverage. Position Summary Utilize your clinical experience and skills in a... .... Required Qualifications Registered Nurse Education: Diploma RN acceptable; Associate...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend workOak St. Health
United States18 hours ago$29.1 - $62.32 per hour
...care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule: Monday, Tuesday, Thursday, Friday and Saturday...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftCVS Health
United States3 days ago$29.1 - $62.32 per hour
...bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Commercial) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
United States4 days ago$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required...Remote workContract workImmediate startMonday to FridayJ Edward Staffing LLC
Aurora, CO3 days ago- UnitedHealth Group is seeking a Utilization Management Nurse to ensure efficient and effective health services delivery across care settings. You... ...decisions to help members live healthier lives. This role offers remote work with time-zone requirements in Pacific or Mountain...Remote job
- UnitedHealth Group's Optum is seeking a Utilization Management Nurse to review patient records and craft defensible appeal letters in accordance with OPAS guidelines. This role supports 40 hours per week, Monday-Friday, with telecommuting flexibility across the U.S. and...Remote jobMonday to Friday
- Valenz Health is seeking a Utilization Management Nurse to oversee and manage the UM process, ensuring the delivery of high-quality, cost-effective... ...with CMS, URAC, and other regulators. This fully remote role requires a US-based location, strong nursing background...Remote job
$58.66k - $142.45k
...Utilization Management Clinical Reviewer Mass General Brigham Health Plan is an exciting place... ...Education ~ Associate's Degree Nursing required or Bachelor's Degree Nursing... ...Approximately 6 months after hire. This is a remote role with occasional onsite team...Remote workWork at officeFlexible hoursMass General Brigham
United States1 day ago$80k - $95k
...Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly... ...this role is $80K-$95K. Work location: This is a fully remote role based in the United States. Sponsorship: This position...Remote workIntus Care
United States3 days ago- UnitedHealth Group is seeking a remote Utilization Management Nurse located in the Pacific or Mountain Time Zones. The role focuses on prior authorization review across skilled facilities and rehabilitation settings, ensuring efficient, appropriate care decisions. Requires...Remote job
- ...Utilization Management Specialist Shift: Monday through Friday 8:00 AM to 4:30 PM, with every fifth... ...~ Must be computer literate and have remote working experience. Compliance... ...City Fort Myers State FL TLC Nursing Associates, Inc. is an equal-opportunity...Remote workContract workWork experience placementLocal areaMonday to FridayShift workWeekend work
Lee Health-Corporate Center
Fort Myers, FL4 days ago $42 per hour
IntusCare is seeking a Contract Utilization Management Nurse to ensure high-quality, cost-effective, and compliant care for PACE participants. The... ...transitions across care settings. The position is fully remote within the United States and offers a 1-year contract with...Remote jobHourly payContract work$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 and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote jobWeekend work- Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant documentation and communications...Remote jobWork at office
- 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
- UnitedHealth Group is seeking a qualified Utilization Management Nurse to review patient records and craft appeal letters, ensuring accuracy and compliance. You will support OPAS and enterprise goals while collaborating across teams to deliver high-quality reviews. Requirements...Remote jobWork at officeFlexible hours
- CVS Health is seeking a Nurse Consultant to assess and coordinate healthcare services for members in a fully remote role. You will apply clinical criteria, gather information... ...Office/IT systems. Outpatient or utilization management experience is a plus; BSN preferred....Remote jobWork at office
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination... ...or Interqual. Experience working in a fully remote, metrics-focused role Experience as an MDS Coordinator...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome officeHumana
United States2 days ago- Humana is seeking a Utilization Management Nurse 2 to apply clinical nursing skills in coordinating, documenting and communicating medical services and benefit determinations. This remote role may require occasional travel to Humana's offices for training or meetings. The...Remote job
$29.1 - $62.32 per hour
...Join Our Utilization Management Team We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose...Remote workFull timeShift workAfternoon shiftOak St. Health
United States19 hours ago- CVS Health is seeking a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations. The role involves clinical review... ...care coordination, and evidence-based decision-making across remote settings. You will collaborate with neonatologists,...Remote job
- CVS Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN, Medicare) to review clinical cases and determine coverage using evidence-based guidelines in a remote, full-time weekday schedule. You will collaborate with providers and care...Remote jobFull timeWeekday work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Nurse. Be the first to apply!
Related searches
- senior network engineer remote Sacramento, CA
- remote legal intern Sacramento, CA
- remote accounts receivable Sacramento, CA
- remote customer service chat Sacramento, CA
- junior designer remote Sacramento, CA
- remote html Sacramento, CA
- telecom remote Sacramento, CA
- c# remote Sacramento, CA
- remote software sales Sacramento, CA
- full time remote Sacramento, CA