Remote Utilization Management Nurse Consultant
Santa Barbara Cottage Hospital
CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to join our remote team. This 100% work-from-home role serves members across the CST zone, ensuring safe, appropriate care and timely approvals.
You will review clinical documents, collaborate with providers, and coordinate care while meeting state and federal requirements. Strong nursing background and hospital experience are essential for success.
#J-18808-Ljbffr$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management Remote | Work from Home | Eastern Time Zone Preferred Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our Utilization Management team and help ensure members receive...Remote workHourly payFull timeTemporary workWork from homeAfternoon shift$26.01 - $56.14 per hour
...something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) – Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$26.01 - $56.14 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | Central Time Zone Preferred Are you an experienced Registered Nurse looking to expand your...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$32.01 - $68.55 per hour
..., each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$32.01 - $68.55 per hour
...health 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 - 4x10's- Thursday, Saturday, Sunday, Monday 8A-...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$29.1 - $62.32 per hour
...Utilization Management Position We're building a world of health around every individual — shaping... ...Services and benefit utilization Consults and lends expertise to other internal... ...+ years of experience as a Registered Nurse in adult acute care/critical care setting...Remote workHourly payFull timeTemporary workWork at officeAfternoon shift$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management Join a team that makes a difference in healthcare delivery. We are seeking an experienced Registered Nurse (RN) to support Utilization Management by reviewing clinical information, coordinating care, and ensuring members...Remote workHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift$37.16 per hour
...Job Description Job Description A-Line Staffing is now hiring a Utilization Management Clinical Consultant (LCSW, LPC, LMFT, or Registered Nurse) – Behavioral Health Location: Remote – Arizona Schedule: Monday–Friday, 8:00 AM–5:00 PM Arizona Time Weekend...Remote jobLive inImmediate startMonday to FridayWeekend work- ...Remote, RI Contract Job Description: Responsible for the review and evaluation of clinical information and documentation... ...with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care/Medicare experience preferred. Skills: MUST...Remote workContract work
- ...Research, Rehabilitation Therapy and Nursing. Job Description Location :... ...programs are comprised of network management, clinical coverage, and policies. · Utilizes clinical skills to coordinate,... ...Services and benefit utilization · Consults and lends expertise to other...Work at officeWeekend work
$60.52k - $129.62k
...alignment with relevant project plans. Manages and coordinates specific workplans for... ...publications, and/or facilitating research utilization to improve clinical care and outcomes.... ...technical writing skills ~ Registered Nurse (RN) required. Adept at problem solving...Remote workHourly payFull timeTemporary workWork experience placementLocal areaMonday to Friday- ...Registered Nurse (RN) | Utilization Review Location: Pennsylvania Agency: Pyramid Consulting, Inc. Pay: Competitive weekly pay (... ...Responsibilities ~100% REMOTE role but candidate has to... ...provided ~ Perform utilization management reviews for inpatient...Remote workWeekly payFull timeImmediate start
$2,065 per week
...Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers, Florida. Job... ...Review Extension (UR EXT) specialist for a remote position. This role involves conducting utilization management activities, requiring collaboration...Remote workTemporary workFor contractorsZero hours contractMonday to FridayShift workWeekend work$2,400 per week
...Express Healthcare Staffing of Miami is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers,... ...Cannot accommodate time off during Christmas Week. REMOTE POSITION Utilization Management: Shift: Monday through Friday 8A to 4:30P, with...Remote workDaily paidPermanent employmentContract workTemporary workFor contractorsZero hours contractWorldwideMonday to FridayShift workWeekend work$60.15 - $85.81 per hour
...Job Summary: The Utilization Management Nurse supports the case management department by providing a variety of utilization management functions... ...rotating weekend coverage ~ Hybrid Position – Primarily remote/work-from-home, with an expectation to be on-site at least...Remote workFull timeWork experience placementWork from homeShift work- ...The Utilization Management Nurse supports the Case Management Department by performing a variety of utilization management functions to promote... ...with rotating weekend coverage Hybrid Position – Primarily remote/work-from-home, with an expectation to be on-site at least...Remote workFull timeWork from homeShift work
$60.2k - $107.4k
...Optum is a global health services company focused on improving health outcomes through innovative care and technology. The Utilization Management Nurse will review patient records and craft defensible appeal letters per guidelines while adhering to HIPAA and company...Remote workFull timeMonday to Friday- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of... ...Observation (OBS). Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (...Remote work
- ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote 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 workWeekend work- ...continued stay case reviews, the full-time Registered Nurse Utilization Review will work remotely to assess cases using client-specific guidelines and... ...2 years of recent hospital-based Utilization or Case Management experience preferred At least 3 years of clinical nursing...Remote workFull time
- ...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
- ...Plan Holding Company, Inc. is seeking a UM Nurse to support network adequacy review and... ...for ACO, HMO, and EPO products. Remote role with occasional onsite meetings in... ...Requires MA RN license and 2–3 years of utilization review experience. You will review authorization...Remote work
- ...Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective... ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
- ...Utilization Management Department (Fully Remote) Provides health care services regarding admissions, case management, discharge planning and utilization... ...policy criteria. Provides case management and/or consultation for complex cases. Assists departmental staff with...Remote work
- ...UnitedHealth Group is seeking a Utilization Management Nurse to review medical records and craft defensible appeal letters. The role supports telecommuting from anywhere in the U.S. and requires a state RN license, 3+ years bedside nursing, and strong data extraction...Remote work
- ...skilled and experienced Registered Nurse with specialties in Medical/... ...skilled nursing care, case management, and hospice care to... ...Certifications: Experience in Utilization Review or case management... ...to work independently in remote settings. Must be able to...Remote workFlexible hours
- ...UnitedHealth Group's Optum unit seeks a Utilization Management Nurse to review medical records and craft defensible appeal letters with attention to HIPAA and policy requirements. The role emphasizes timely, high-quality reviews of cases. The position offers a 40-hour...Remote workMonday to Friday
$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 home- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding admissions, case... ...reimbursement policy criteria. Provides casemanagement and/or consultation for complex cases.• Assists departmental staff with...Remote work
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