Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN: Acute Inpatient Utilization Management

CVS Health

Louisiana, MO
  • Remote job

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, and familiarity with evidence-based criteria. Louisiana residency preferred; remote work and comprehensive benefits offered. #J-18808-Ljbffr CVS Health

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote RN: Acute Inpatient Utilization Management in Louisiana, MO vacancy
  • Devoted Health is seeking a Clinical Guide Part A to support inpatient, behavioral health, and post-acute utilization review in alignment with CMS guidelines. This remote, full-time role requires a licensed RN with several years of UR experience and familiarity with... 
    Remote job
    Full time

    Devoted

    Brooklyn, NY
    11 hours ago
  •  ...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...  ...Applicants should have 3+ years in acute care and 1+ year in... 
    Remote job
    Shift work
    Weekend work

    ISHE

    Sacramento, CA
    1 day ago
  • 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...  ...licensing within 90 days, 3+ years in acute care and 1+ year in Utilization Management, plus... 
    Remote job

    Palo Verde Community College District

    Sacramento, CA
    1 day ago
  • $29 - $52 per hour

     ...Utilization Review Nurse, RN Optum is a global organization that delivers care...  ...clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and...  ...the flexibility to work remotely* as you take on some tough... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area
    Monday to Friday
    Shift work
    Weekend work

    Reliant Medical Group

    Sacramento, CA
    3 days ago
  • Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical necessity criteria. The role involves day-to-day clinical reviews, documentation, and collaboration with Medical Leadership across... 
    Remote job

    NHSHP

    Sacramento, CA
    1 day ago
  • Optum is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and preauthorization requests....  ...coordinating with Medical Directors. Remote options are available for eligible...  ...The position demands 3+ years of acute care nursing and 1+ year in... 
    Remote job

    University of Minnesota School of Nursing

    Sacramento, CA
    1 day ago
  • UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria,...  ...Directors for complex cases. The position may offer remote work options and requires working a Monday-... 
    Remote job
    Monday to Friday
    Weekend work

    UnitedHealth Group

    Sacramento, CA
    3 days ago
  • $29 - $52 per hour

    UnitedHealth Group's Optum unit is seeking a Utilization Review Nurse, RN to perform inpatient utilization management with evidence-based guidelines and medical necessity...  ...coordinate patient care. The position offers remote work options for those in Pacific or Mountain... 
    Remote job
    Hourly pay
    Weekend work

    Colorado Psychiatric

    Sacramento, CA
    1 day ago
  • UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure appropriate utilization of health services and coordinate plans of care. This role offers remote work and requires strong clinical nursing experience and an RN license. You will collaborate with... 
    Remote job

    Palo Verde Community College District

    Phoenix, AZ
    1 day ago
  • UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and coordinate...  ...plans of care. This role supports remote work within the Pacific, Mountain...  .... The ideal candidate holds an RN license and has 3+ years of clinical... 
    Remote job
    Work at office

    AzCEP

    Phoenix, AZ
    1 day ago
  •  ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential...  ...review of outpatient and ancillary services as well as inpatient and post-acute services when indicated. Determines medical... 
    Remote work

    CommunityCare

    United States
    5 days ago
  • UnitedHealth Group's OptumCare seeks a Utilization Management Nurse to oversee utilization...  ...for skilled nursing facilities, acute inpatient rehab, and long-term acute care....  ...-driven environment. This remote position requires a Compact RN license, 3+ years in Managed Care... 
    Remote job

    Palo Verde Community College District

    Sacramento, CA
    1 day ago
  • Optum is seeking an experienced Utilization Review Nurse (RN) to perform inpatient utilization management and medical necessity determinations. You will review admissions...  ...requires a current RN license, 3+ years of acute care/UM experience, and the ability to work in... 
    Remote job
    Contract work
    Weekend work

    Sacbar

    Sacramento, CA
    1 day ago
  •  ...Registered Nurse (RN) Contract...  ...are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan. Job...  ...and retrospective review of inpatient, outpatient, ambulatory and...  ...yr clinical experience - acute care ~ Utilization Management... 
    Remote work
    Contract work
    Local area
    Flexible hours

    OpTech

    Detroit, MI
    3 days ago
  • $45 - $45.5 per hour

    Overview Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months (...  ...treatment plan. Utilizes clinical skills to assess...  ...retrospective reviews for inpatient acute care, rehabilitation, referrals...  ...junior team members. RN and current unrestricted... 
    Remote work
    Contract work
    Immediate start
    Monday to Friday
    Afternoon shift

    Mindlance

    New York, NY
    1 day ago
  • UnitedHealth Group is seeking an Inpatient Care Management Nurse to join our remote-first team. You will assess patient needs, apply evidence-based criteria, and...  ...downstream partners. Qualifications include an active RN license, 3+ years of clinical nursing, and proficiency... 
    Remote job

    University of Minnesota School of Nursing

    Phoenix, AZ
    1 day ago
  • $29 - $52 per hour

     ...Utilization Management Nurse For those who want to invent the future of health...  ...*Although this position is remote, applicants must be located...  ...unrestricted compact RN licensure Function is responsible...  ...skilled nursing facility, acute inpatient rehabilitation and long-... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UMR

    Sacramento, CA
    4 days ago
  •  ...Hospital is hiring an Inpatient Case Manager, Inpatient Case...  .... Promotes effective utilization and monitoring of health...  .... 1-year acute care case management...  ...Education RN-Associate's Degree OR...  ...that are available as remote work, Sentara Health... 
    Remote work
    Temporary work
    Shift work

    Sentara Healthcare

    Suffolk, VA
    2 days ago
  •  ...Community) is a non-profit managed care organization (MCO...  ...Behavioral Health Utilization Manager will perform...  ...authorize medically necessary inpatient and outpatient care,...  ...' experience in an acute psychiatric care...  ...systems Work Schedule: Remote Other Requirements:... 
    Remote work
    Contract work
    Work experience placement

    Harris Health System

    Houston, TX
    2 days ago
  •  ...Medical Center is hiring an Inpatient Case Manager - RN Inpatient Case Manager...  .... Promotes effective utilization and monitoring of health services...  ...eligibility. 1 year of acute care and/or healthcare experience...  ...that are available as remote work, Sentara Health employs... 
    Remote work
    Full time
    Temporary work
    Internship
    Monday to Friday
    Shift work
    Day shift

    Sentara Healthcare

    Woodbridge, VA
    4 days ago
  • $60.2k - $107.4k

     ...Inpatient Care Management Nurse Optum is a global organization that...  ...for ensuring proper utilization of our health...  ...flexibility to work remotely from the Pacific, Mountain...  ...Current, unrestricted RN license in state of Residence...  ...clinically (Acute Inpatient, SNF/AIR/LTAC... 
    Remote job
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    Genoa Telepsychiatry

    Phoenix, AZ
    1 hour ago
  • $41.2 - $62.17 per hour

     ...Job Description: The RN Hospital Care Manager I delivers comprehensive care management...  ..., including both Inpatient and Outpatient areas. Shift...  ...experience in case management, utilization review, value-based care,...  .... If applying for a remote or hybrid role, this includes... 
    Remote work
    Hourly pay
    Shift work
    Weekend work

    Intermountain Health

    Grand Junction, CO
    11 hours ago
  • $60.2k - $107.4k

     ...Inpatient Care Management Nurse Optum is a global organization that...  ...for ensuring proper utilization of our health...  ...flexibility to work remotely* as you take on some...  ...Active, unrestricted RN license in state of residence...  ...nursing experience in an Acute Inpatient Hospital... 
    Remote job
    Minimum wage
    Permanent employment
    Full time
    Work experience placement
    Work at office
    Local area
    Monday to Friday
    Night shift

    Genoa Telepsychiatry

    Atlanta, GA
    1 day ago
  •  ...Inpatient Case Manager, RN Sentara Williamsburg Regional Medical Center is hiring...  .... Promotes effective utilization and monitoring of health services...  ...(required) 1 year acute care experience (preferred)...  ...positions that are available as remote work, Sentara Health employs... 
    Remote work
    Temporary work
    Part time
    Shift work

    Sentara Healthcare

    Williamsburg, VA
    2 days ago
  •  .../family, nursing, utilization review and other members...  ...to assure patient management that efficiently...  ...to practice as an RN in Georgia....  ...plan to assure post-acute needs are arranged...  ...responsibility of inpatient or post-hospitalization...  ...rotation, and remote coverage. Physical... 
    Remote work
    All shifts
    Shift work
    Day shift

    Northeast Georgia Health System Inc

    Gainesville, GA
    3 days ago
  •  ...Medical Center is hiring an Inpatient Case Manager, RN!****Inpatient Case Manager...  ...management. Promotes effective utilization and monitoring of health...  ...of eligibility. 1-year acute care case management experience...  ...that are available as remote work,** **Sentara Health employs... 
    Remote work
    Full time
    Temporary work
    Immediate start
    Monday to Friday
    Shift work
    Day shift

    Sentara Health Plans

    Virginia, MN
    3 days ago
  • Job Description - Case Manager, RN- Inpatient (26000368) Job Description Description...  ...if patient is not meeting acute care criteria. Facilitates...  ...to decrease ED over-utilization. Creates, implements, and updates...  ...Tampa 33601 Eligible for Remote Work : On Site Job Case... 
    Remote work
    Full time

    Tampa General Hospital

    Tampa, FL
    3 days ago
  •  ...Inpatient Case Manager/ Registered Nurse (RN) Sentara Norfolk General Hospital is hiring an...  ...management. Promotes effective utilization and monitoring of health...  ...experience 1 year acute care case management...  ...positions that are available as remote work, Sentara Health... 
    Remote work
    Permanent employment
    Full time
    Temporary work
    Relocation package
    Monday to Friday
    Shift work
    Weekend work
    Day shift

    Sentara Healthcare

    Norfolk, VA
    23 hours ago
  • $100k

     ...years Salary $100,000 Remote Job Job Description This...  ...is a remote position. The Utilization Management (UM) Nurse is responsible for...  ...utilization review of inpatient, outpatient, and ancillary services...  ...Registered Nurse (RN) license in the applicable state... 
    Remote work
    Contract work
    Work experience placement

    Your IT & Corporate Recruiter

    United States
    5 days ago
  • $70k - $75k

     ...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build...  ...Job Description The Utilization Management Registered Nurseis responsible...  ...Intensity and duration of inpatient or outpatient services Quality... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home

    Guidehealth

    United States
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN: Acute Inpatient Utilization Management. Be the first to apply!