RN Supervisor - Utilization Management (Remote)
Centene Management Company LLC
Kansas City, MO
- Remote job
Centene Management Company LLC is seeking a seasoned nurse leader to supervise the Prior Authorization, Concurrent Review, and/or Retrospective Review teams, ensuring high‑quality, compliant utilization management for members. The role supports remote work within the continental United States and offers exposure to regulatory standards and performance improvement initiatives. The ideal candidate holds a nursing degree with RN licensure and 4+ years of UM experience, with strong coaching, #J-18808-Ljbffr Centene Management Company LLC
Vacancy posted 15 hours ago
Similar jobs that could be interesting for youBased on the RN Supervisor - Utilization Management (Remote) in Kansas City, MO vacancy
$75.3k - $135.4k
...professional on our Medical Management/Health Services team. Centene... ...Supervises day-to-day activities of utilization management team. Monitors... ...License/Certification: RN - Registered Nurse - State... ...flexible approach to work with remote, hybrid, field or office work...Remote workFull timePart timeWork at officeFlexible hoursCentene Corporation
Jefferson City, MO4 days ago- Centene Corporation is seeking an RN leader to supervise Prior Authorization, Concurrent... ...and Retrospective Review teams within the Utilization Management function, ensuring compliant and high-quality care for members. This remote-eligible role requires an RN license, a...Remote job
- A healthcare provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role requires... ...referrals, and facilitate team meetings. A California RN license is required. This position offers a hybrid work...Remote job
- 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 jobFlexible hours
- ...Home Work From Home Work From Home, Indiana 46544 The Supervisor Utilization Management is responsible for the direct supervision of the daily... ...Nursing required ~ Active Indiana Registered Nurse (RN) license required ~5 years of Nursing/Patient Care...Remote workLocal areaWork from home
Franciscan Health
United States4 days ago $85k - $95k
...RN Supervisor Cohere's Service Operations team is responsible for... ...and report to the Director/Manager of Clinical Operations. You... ...~ Prior Authorization or Utilization Management experience ~ Excellent... ...supervising and training in a remote work environment. Pay...Remote workHourly payFlexible hoursVenturefizz Product Management Community
United States1 day ago- TriWest Healthcare Alliance seeks a Nurse to supervise daily Utilization Management operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics and ensure quality, efficient care delivery. The role builds staff capability and supports...Remote jobContract work
- ...Type Full-time Description Job Role The Utilization Management Supervisor will primarily be responsible for managing the UM nursing... ...Requirements Qualifications Registered Nurse (RN) with a current, unrestricted license is required. Two...Remote workFull timeTemporary workCasual workWork at office
ProgenyHealth
United States2 days ago - ...Plan Holding Company, Inc. is seeking a supervisor to oversee DSNP utilization management staff, including coaching and... ...will have 3-5 years in managed care, an RN license, and familiarity with InterQual tools. This remote position may involve occasional weekend...Remote jobCasual work
- ...Health Plan Holding Company, Inc. seeks a Supervisor, Clinical to oversee the DSNP utilization management team and coach licensed staff. The role emphasizes... ...participation to meet business needs. The remote position requires MA RN licensure, 3-5 years in managed care, CCM...Remote job
- ...Interim Utilization Management Supervisor We are seeking an experienced Registered Nurse to serve as an Interim Utilization Management Supervisor... ...operational priorities. You can lead and support employees in a remote work environment. You are comfortable addressing...Remote workContract workInterim roleImmediate start
- ...classified as hybrid, onsite or remote. While the majority of our... .... PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities... ...as a Registered Nurse (RN) Required Certifications... ...Work Experience 1 year of managed care/health plan experience...Remote workFull timeWork experience placement2 days per week1 day per week
- Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity... ...must have 2 years of clinical experience and an active RN license in Arizona. The position entails evaluating department...
$99.47k - $144.64k
...opportunities, and much more. The supervisor will work closely with the Manager, Clinical, to oversee the... ...and OneCare products) utilization management staff. The... ...Registered Nurse (RN) license required Certified... ...Working Conditions This is a remote role that can be done...Remote workWork at officeMonday to FridayFlexible hoursShift workWeekend work$75.3k - $135.4k
...Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will... ...experience in a related field, along with an active RN license in California. This position offers a salary range...Remote workCentene Corporation
California, MO4 days ago$44.34 - $66.51 per hour
...Description: The acute care supervisor will perform responsibilities... ...nurse leadership. Assess, direct, manage and evaluate the delivery of... ...Minimum of 2 years previous RN experience Be a part of a... ...month FTE: 1 Possible Remote/Hybrid Option: Shift...Remote workFull timeWork from homeFlexible hoursShift workWeekend workEssentia Health
Duluth, MNa month ago$102.18k
RN Job Supervisor, Utilization Management RN Shift: Full Time Pay Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Job ID: 13211 Location: Los Angeles, 90017 Job Description The Supervisor of Utilization Management (UM) RN is responsible for executing...Full timeShift work- ...Utilization Manager Registered Nurse (UMRN) Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
Spectrum Healthcare Resources
United States3 days ago - Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex cases. Identify staff education opportunities... ...when patients don't meet criteria. Updating Clinical Resource Manager as needed. Assigning daily tasks to staff members to ensure...Work at office
$128k - $160k
...Supervisor, Utilization Management Pharmacist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United... ...careers while making a meaningful impactall in a fully remote, high-performing, and collaborative environment. Position...Remote workLocal areaFlexible hoursNight shift- SSM Health is seeking a Manager of RN Utilization Management to oversee system-wide UM activities and lead a high-performing team. The role blends... ...across the continuum of care. The position is fully remote with a preference for candidates in MO, IL, WI, or OK, and...Remote jobWeekend work
- IntusCare is seeking a Utilization Management (UM) Manager to lead the UM nurse team supporting a PACE program. You will own end-to-end UM delivery, ensure SLA compliance, and apply clinical decision support criteria across cases to optimize care and efficiency. The role...Remote job
$80 per unit
...receiving personal in-home care services. RN's who enjoy working independently with a... ...) (Required) Work Location: Fully Remote On the road Employer type: ~ Home... .... The best candidates for the RN Supervisor position must meet the following requirements...Remote workPart timeReliefWork at officeLocal areaImmediate startMonday to FridayFlexible hoursGreenleaf Homecare Llc
Charlotte, NC15 days ago- Travel Rn Supervisor Job Type: Travel Profession: RN Specialty: Supervisor Shift: Night Shift - 12 hours Job Order Details: Start Date: 09/14/2026 End Date: 12/14/2026 Duration: 13 Week(s) Client Details: City: Calais State: MERemote workShift workNight shift
Calais Regional Hospital
United States3 days ago - UnitedHealth Group is seeking an experienced Utilization Management Nurse to ensure efficient and effective health services administration. The... ...appropriate care levels to support healthier outcomes. This remote position is restricted to applicants located in Pacific or Mountain...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...Remote job
$100k
...Work Experience 1-3 years Salary $100,000 Remote Job Job Description This is a remote position. The Utilization Management (UM) Nurse is responsible for conducting... ...maintain an active, unrestricted Registered Nurse (RN) license in the applicable state or possess a...Remote workContract workWork experience placementYour IT & Corporate Recruiter
United States3 days 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 States1 day 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
$70k - $75k
...AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections... ...a better path!! Job Description The Utilization Management Registered Nurseis responsible for...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
United States2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Supervisor - Utilization Management (Remote). Be the first to apply!
