Remote Utilization Management Nurse RN - Case Review Expert
$59.5k - $116.6kkozmetickesluzby.vecnakraska.sk - Jobboard
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 will work primarily during weekends and engage in utilization management tasks. Comprehensive benefits and competitive salary ranging from $59,500 to $116,600 annually are offered, along with opportunities for career growth.
#J-18808-Ljbffr$65k - $75k
Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization... .... The ideal candidate will hold an active RN license with relevant experience. The position offers...Remote job- University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You...Remote jobFull time
- Working Nurse in Los Angeles is seeking an experienced Utilization Management Nurse Specialist RN II for a full time role. You will coordinate and approve medically necessary referrals... ...communications, and data transfer for medical reviews, in a #J-18808-Ljbffr Working NurseSuggestedFull time
- ...Case Manager, RN- Utilization Review Under the general supervision of the Utilization Management Manager... ...Review, the Utilization Management Nurse (UMN) ensures patients are assigned... ...interdisciplinary collaboration in a remote or hybrid work environment. Qualifications...Remote workFull timeMonday to FridayShift work
- Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on appropriate... ...schedule of 8 hours per day, requiring an RN with a Bachelor's degree, state...Remote jobWork from homeMonday to Friday
- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote job
- ...you a registered nurse ready to take your... ...compliance management. Here, you'll champion... ...bedside setting to review and audit claims,... ...Nurse (RN) license Strong... ...Experience in utilization review, case management, quality... ...vulnerable populations Remote work - enjoy the...Remote workFull timeTemporary workWork at officeWork from home
- ...Registered Nurse: Review and Evaluation Are you a registered... ...through compliance management. Here, you'll... ...unrestricted Registered Nurse (RN) license Strong... ...Experience in utilization review, case management, quality improvement... ...populations Remote work enjoy the...Remote jobWork from home
- 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 inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with...Remote job
- A healthcare staffing agency seeks a Utilization Management RN to evaluate clinical conditions through medical record reviews. The position is remote, requiring candidates to reside in PA, DE, or NJ. Key duties involve applying criteria for medical necessity, collaborating...Remote job
- ...UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient... ...with Medical Directors for complex cases. The position may offer remote work options and requires working a Monday...Remote workMonday to FridayWeekend work
- American Traveler Staffing Professionals is recruiting an RN for a remote Utilization Management role in Austin, TX. Requires TX or multistate license and 2+ years acute care UM experience, with Cerner/Careport EMR and InterQual knowledge. The assignment runs 13 weeks...Remote jobLocal area
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse Utilization Management Location: Buckley AFB & Peterson... ...holidays, no telehealth/remote work Minimum... ...active, and unrestricted RN license Certifications:... ...Utilization Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate start- ...Utilization Management Registered NurseDuration: 6 Month Contract... ...(UM) Registered Nurse to support outpatient utilization review and prior... ...Directors for complex cases, denial recommendations... ...Registered Nurse (RN) license.Associate... ...in a remote environment.Comfortable...Remote workContract work
- ...Remote: Yes Area of Interest: Nursing FTE/Hours per pay period: 0.4 Department: Utilization Management Shift: Weekends-days, Saturday... ...We are seeking an RN Utilization Management... ...management reviews using established... ...Utilization Management, case management,...Remote workDaily paidTemporary workShift workWeekend work
$72k - $81k
MedWatch is seeking a Registered Nurse Case Manager to manage an individual caseload remotely, coordinating services, reviewing treatment plans for medical necessity, and maintaining active communication with the health care team. This home-based role emphasizes URAC-aligned...Remote jobWork from home- ...Utilization Review NurseThis position has a remote option for those living close and will be able to... ...needed.The Utilization Review Nurse is responsible for... ...effectively and efficiently manage a diverse workload in a fast... ....Identify and present cases of possible quality of care...Remote workFull time
- ...Utilization Review And Management (Um) Component Program The utilization review and... ...closely with medical staff, case managers, and other healthcare... ...~ Registered nurse with active, unincumbered nursing... ...This is an in-office, no remote work capability position...Remote workWork at office
- ...Community Care in Brooklyn is seeking a dynamic Geriatric RN Case Manager with Oasis experience to join our team in our... ...salary and benefits with a potential transition to full remote after training. You will review referrals, assess patient needs, and ensure services...Remote jobWork at office
- MedWatch, LLC is seeking a remote Registered Nurse Case Manager to manage an individual caseload, authorize services, review treatment plans for medical necessity, and coordinate with... ...care team. This role requires an active RN license in the United States and up to 7 years...Remote jobHome office
- Brighton Health Plan Solutions is seeking an Utilization Management Nurse to perform medical necessity and benefit reviews remotely. The role requires current LPN licensure and... ...with healthcare partners, triage cases, and prepare determinations for medical director...Remote job
- Texas Children’s Hospital is seeking a Utilization Management Clinical Registered Nurse to support precertification of inpatient hospitalizations and outpatient... .... You will perform telephonic and concurrent review of hospital stays and outpatient treatment. You will...
- A healthcare staffing firm is seeking an experienced Registered Nurse in Michigan to provide utilization review for healthcare services. Candidates should possess a valid RN license and experience in both utilization review and Interqual. This opportunity offers a competitive...
$80 - $120 per hour
...Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting opportunity for United States-based... ...~ Active clinical licensure, with a Registered Nurse license required for nursing leadership profiles...Remote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hoursNight shift$81.12k - $115.94k
...Location: Partially Remote, with onsite coverage... ...Hospital Department: Utilization Management Schedule: Day-Shift... ...appropriate care by reviewing admissions and service... ...patient journeys through expert case management and... ...Registration: Registered Nurse credentialed from the...Remote workFull timeTemporary workLocal areaDay shift- Currently seeking a Utilization Management RN . Please see details and... ...below: Position is remote - candidate must... ...active PA license or a Nurse Licensure Compact to... ...through medical record review to determine medical... ...when needed. Refer cases that do not meet criteria...Remote workImmediate startDay shift
$25k
...Description To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - Up to $25K SIGN ON BONUS Location:... ...needs, and perform necessary follow-up. Applies the nursing process and critical thinking skills to oversee...Permanent employmentWork at officeRelocation package- ...monitoring the utilization of behavioral health... ...appropriate cases to the Medical Director for review. Refer to and... ...closely with Case Management to address... ...the functions. Expert and resource for... ...and active NYS RN license required... ...for remote work within all...Remote workContract workWork at office
- A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board... ...performing detailed reviews of medical cases while ensuring high standards of patient care....Remote jobFull timeWork from home
- Baptist Memorial Health Care Corporation is seeking an RN with case management responsibilities to oversee patient care transitions and ensure appropriate utilization of resources. The role emphasizes early assessment, discharge planning, and coordination with payers to...
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