Remote Utilization Management RN — Impactful Care
Humana Inc
- Remote job
Humana Inc is looking for a Utilization Management Nurse to join their caring community. This role involves utilizing clinical knowledge to interpret treatment criteria and coordinating care for members. You will be responsible for communication with providers and members to ensure optimal treatment. The ideal candidate will have an active RN license and 3+ years of critical care nursing experience. This position offers the possibility of remote work with occasional office travel requirements. #J-18808-Ljbffr Humana Inc
$71.1k - $97.8k
Humana Inc is seeking a Utilization Management Nurse to leverage clinical expertise for optimal treatment and care for members. This role includes coordination and communication with... .... The ideal candidate should hold an active RN license and have over 3 years of clinical...Remote jobWork at officeWork from homeHome office- ...high-quality patient care across skilled nursing... ...some flexibility for remote work based on business... ...improvement-making a direct impact on patient outcomes... ...Active, unrestricted RN license in the state... ...experience ~ Experience in utilization management, medical record review...Remote workWeekend workWeekday work
$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... ...services, coordinating care, and ensuring members receive... ...Ready to make a meaningful impact—without sacrificing work-...Remote workDaily paidContract workMonday to FridayShift workWeekend work- ...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
$75k - $100k
Description Our Utilization Management RN (Registered Nurse) evaluates efficiency... ...Location We are open to remote work in the following approved... ...manner to positively impact medical loss ratio. Can work... ...Services objectives of quality care and reasonable cost....Remote workFor contractorsWork at officeLocal areaImmediate start- ...seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization Management team. This role involves... ...Physician Advisors and Care Management teams. The... ...Science in Nursing, an RN license, and extensive... ...The position offers a remote work model with a flexible...Remote workFlexible 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...Remote workWeekend work$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to support the... ...documentation of medical services. This remote position requires a valid RN license and clinical experience.... ...and ensuring appropriate care delivery. The role offers a pay range...Remote work$71.1k - $97.8k
...Humana Inc is seeking a dedicated Utilization Management Nurse to join their team in Topeka, Kansas.... ...clinical knowledge to provide appropriate care for members and coordinate with various... .... Candidates must have an active RN license, at least 3 years of experience...Remote workFull timeWork at office$71.1k - $97.8k
...the United States is seeking a Utilization Management Registered Nurse to utilize... ...services and ensure appropriate care levels for members. This role... ...should possess a Compact RN license and at least one year... ...experience. The position offers a remote work option and includes a...Remote work$71.1k - $97.8k
...solutions company is looking for a Utilization Management Registered Nurse to interpret and... ...coordinate medical services. This fully remote position requires a Compact RN license and over a year of... ...established criteria and collaborating with care providers. The position offers a...Remote work$85.7k - $128.54k
...mold in conventional health care, committed to serving seniors... ...opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities... ...information that would impact the overall program... ...valid, and unrestricted LVN or RN license in California (Non-Compact...Remote jobImmediate start$70k - $75k
...Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to... ...Job Description The Utilization Management Registered Nurse... ...services Quality of care concerns Interfacing routinely... ...review of cases impacting performance metrics and...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...healthcare organization is looking for a Utilization Management Registered Nurse to work remotely in Cheyenne, Wyoming. You will utilize... ...services and ensure appropriate care levels. The ideal candidate will hold a Compact RN license and have over one year of clinical...Remote work
- A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Remote workHourly payDaily paidDay shift
- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...position offers the flexibility of remote work while supporting professional...Remote work
- ...designated as a regional Coordinated Care Organization (CCO) for... ...Together. This is a remote position in which we are able... ...experience: ~ ~ Health plan utilization management ~ Medicare and Medicaid rules... ...Current unencumbered Oregon RN License required within 90 days...Remote work
- ...California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization... ...facilitate team meetings. A California RN license is required. This position... ...and focuses on improving patient care and operational efficiency. Join us in...Remote work
- ...Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote workFlexible hours
- ...to provide operational supervision of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant experience in patient care and medical management. The role focuses on quality oversight and staff development...Remote work
- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high-quality care delivery while ensuring compliance... ...experience. The position is remote, allowing work from any location in...Remote workFull time
- ...admission have the appropriate level of care, patient status, plan of care and meet medical... ...payer setting Required ~3 years of utilization review or care management experience Preferred Licenses and Certifications ~ RN - Registered Nurse - Georgia State...Remote workWork experience placement
$47.69 - $94.06 per hour
...Job Summary The Utilization Review (UR) Nurse supports the Utilization Management (UM) program by developing and maintaining processes... ...in utilization review, care management, quality management,... ...Providence St. Peter Hospital Location: Remote, Olympia, WA (work site...Remote workHourly payFull timeLocal areaShift workDay shift- 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
- CommonSpirit Health is seeking a Supervisor of Utilization Management (UM). This remote position requires overseeing the Pre-Authorization team while ensuring... ...will be essential in promoting quality patient care. The ideal candidate will have significant experience in...Remote job
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management (24/7 Operations) Leverage your clinical expertise to make a broader impact. Join our Utilization Management team and help ensure members receive the right care at the right time across the healthcare continuum. What...Remote workHourly payFull timeLocal areaAfternoon shift- TEXAS INDEPENDENCE HEALTH PLAN INC is hiring a Utilization Management Nurse to work remotely in Texas. This position requires evaluating inpatient and outpatient... ...vital to ensuring that members receive the necessary care while maintaining compliance with regulations. #J-188...Remote job
- ...Barbara Cottage Hospital is seeking a Per Diem RN for Utilization Management Review. This role offers the flexibility of remote work and requires a valid MA Registered Nurse... ...will participate in ensuring quality patient care through thorough utilization reviews. Responsibilities...Remote jobDaily paid
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management (24/7 Operations) Step away from bedside care and make a system-wide impact. Join our Utilization Management team and help ensure members receive the right care at the right time. What You'll Do Review clinical...Remote workHourly payFull timeTemporary workAfternoon shift- ...that connects comprehensive care with a modern payment model.... ...ready to make a meaningful impact in a dynamic environment where... ...is seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports... ...Hours This position is fully remote Monday-Friday 8am - 5pm with...Remote workLocal areaMonday to FridayShift work
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