Remote Utilization Management RN - Care Coordination
$71.1k - $97.8kHumana
- Remote job
A leading healthcare organization is seeking a Utilization Management Registered Nurse to support the coordination and determination of medical services. The role involves using clinical nursing skills to interpret information from healthcare providers and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess over a year of clinical nursing experience. The position is remote with a salary range of $71,100 - $97,800 per year and includes a comprehensive benefits package. #J-18808-Ljbffr Humana
$71.1k - $97.8k
A health services organization is seeking a Utilization Management Registered Nurse in Maryland. This remote position requires a Compact RN license and over a year of clinical experience. Responsibilities include coordinating medical services, making determinations based...Remote job$71.1k - $97.8k
...company is seeking a Utilization Management Registered Nurse to utilize... ...nursing skills for coordinating medical services and... ...determinations. This remote position requires clinical... ...and a Compact RN license. Responsibilities include making care determinations, excellent...Remote job$71.1k - $97.8k
...health organization is seeking a Utilization Management Registered Nurse to support coordination and documentation of medical... ...candidate holds a Compact RN license and has over one... ...criteria and facilitating member care. The role offers a remote work option, a competitive...Remote job$71.1k - $97.8k
A leading health care organization is seeking a Utilization Management Registered Nurse to help coordinate medical services and support benefit determinations... ...nursing skills within a remote work environment, making... .... This role requires an RN license and over one year of...Remote job$71.1k - $97.8k
A healthcare company based in Arizona seeks a Utilization Management Registered Nurse to interpret and support the coordination of medical services. Responsibilities include... ...members. Required qualifications include a valid RN license and over a year of clinical nursing...Remote job$69.8k - $96.2k
...leading health services company is looking for a Utilization Management Nurse 2 to utilize clinical skills, coordinate with providers and members, and ensure optimal... ...experience, preferably in emergency or critical care settings. This position offers a competitive salary...Remote job- ...recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an... ...include evaluating healthcare services and coordinating care for members. Join a dynamic team and make a meaningful...Remote jobContract work
- Description The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations...Work at officeLocal areaWork from homeHome officeMonday to Friday
- ...California is seeking a Supervisor of Utilization Management to oversee operations of the... .... You'll manage staffing, coordinate referrals, and facilitate team meetings. A California RN license is required. This... ...focuses on improving patient care and operational efficiency....Remote job
$34.98 - $42.85 per hour
...Remote in California only Are you ready... ...Clever Care was created to meet... ...The UM Nurse I - RN performs clinical... ...This role conducts utilization review activities... ...discharge planning coordination as assigned. • Ensure... ...year in utilization management or case management...Remote workHourly payWork at office$69.8k - $96.2k
Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical... ...Licensed Registered Nurse (RN) with compact license with no disciplinary...Remote jobBi-weekly payFull timeTemporary workApprenticeshipWork from homeHome office$116.3k - $264.6k
..., USA Onsite or Remote Flexible Hybrid... ...patient care. Take your career to... ...UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll... ...management to a team of UM coordinators and nurses. You'll... ...unrestricted RN licensure in CA required...Remote workMonday to FridayFlexible hours- ...is designated as a regional Coordinated Care Organization (CCO) for... ...Communities Together. This is a remote position in which we are... ...experience: Health plan utilization management Medicare and Medicaid... ...Current unencumbered Oregon RN License required within 90...Remote work
- ...Plan Group is seeking a Clinical Program Manager RN for a full-time evening shift. This... ...a liaison with providers and Ministry Care Coordination teams, ensuring patients are transitioned... ..., along with a strong background in Utilization Management. A comprehensive benefits...Remote jobFull timeAfternoon shift
- ...(Community) is a non-profit managed care organization (MCO), licensed... ...SUMMARY: Behavioral Health Utilization Manager will perform... ...times. Assists in the coordination of care of hospitalized members... ...telephone systems Work Schedule: Remote Other Requirements:...Remote workContract workWork experience placement
$39 - $40 per hour
...Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the following... ...for evaluating healthcare services, coordinating care, and ensuring members receive high-quality...Remote workDaily paidContract workMonday to FridayShift workWeekend work- Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal... ...validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring...Remote jobContract work
- ...RN, BH Transition of Care Coordinator Established in 1980, the Greater Lawrence Family... ..., reducing avoidable utilization (reducing total cost of care... ...role is a hybrid model with remote opportunities and onsite... ...plans and symptom management strategies. Serve as a...Remote workContract workLocal areaFlexible hours
$85.7k - $128.54k
The Supervisor, Utilization Management (UM), reports to the Manager of UM and oversees... .... Supervise licensed and coordinator staff, ensuring adherence to... .... Promote quality patient care outcomes while supporting... ...Active, valid, and unrestricted RN or LVN license in California...Remote jobLocal area$100k
...innovation, and compassionate care. The work we do building... ...for an Fertility RN Coordinator - Team Lead to join our team remote team at Shady Grove Fertility... ...efficiency and best utilize the staffs' skills and... ...education, or business management required. Leadership...Remote workDaily paidFull timePart timeImmediate startMonday to FridayWeekend work$37.21 - $57.68 per hour
RN Bed Management Coordinator - (Part-time, Night) at Virtua Health Location: Pennsauken... ...- 6991 North Park Dr. | Remote Type: On-Site | Employment... ...assignments, ensuring efficient utilization of resources, and... ...facilities to provide quality care to patients. Position Responsibilities...Remote workHourly payFull timeTemporary workPart timeShift workNight shift- ...demands of hands-on care behind. Instead,... ...a dedicated team, coordinate whole-person medical... ...for clients managing severe mental illness... ...Client Care: Provide remote and in-person... ...Driven Coordination: Utilize our Electronic... ...Registered Nurse (RN) license in the State...Remote workFull timePart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift
- ...The Regional Care Coordinator (RCC) is assigned to a geographic region and is highly familiar with the region they service. The RCC is also... ...work from home and work in the physician's office position (remote). Succesful candidate will work autonomously in an exempt, Monday...Remote workWork at officeWork from homeMonday to Friday
- ...Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home.... ...cases, educating patients on appropriate care and managing health care costs for the dependents...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
$54.1k - $155.54k
CVS Health is seeking a Remote Telephonic Case Manager to support patients with their care while working from home anywhere in the... ...applying clinical judgment and utilizing motivational interviewing... ...should have at least 5 years of RN experience, with a significant...Remote jobWork from home- ...As an RN Program Coordinator Cardiac Device PRN, your voice to influence patient care is valued and empowered at every turn –whether through... ...with your direct manager or more formal opportunities... ...Coordinator will support patients with remote monitoring, device implantation...Remote workTemporary workReliefFlexible hours
$28.94 - $51.63 per hour
...simplifying the health care experience, creating... ...a part of the care management team, the Care Coordinator will be the primary... ...promote appropriate utilization of services and... ...flexibility to work remotely* as you take on some... ...one of the below: RN LCSW, LMSW, LSW, LCPC...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area- ...Marietta, Georgia is hiring a Part-Time Registered Nurse Care Coordinator. This role offers flexible remote work, with required in-home assessments for clients... ...include conducting nursing assessments, managing caregiver directions, and ensuring smooth operations...Remote jobPart timeWork from homeFlexible hours
$32.21 - $47.6 per hour
...where excellence meets compassion? This RN Care Coordinator position is a full-time, hybrid role, offering a blend of in-office and remote work to support flexibility. Who we are... ...and supports research activities; and utilizes available resources to provide and improve...Remote workFull timeWork at officeFlexible hours- ...Description Job Summary RN - Care Coordinator Talented Medical... ...Description DCH - Travel: Care Manager RN Must be willing to float... ...care through effective utilization and monitoring of healthcare... ...? (Y or N): Y Is this a remote position? (Y or N): N Clinical...Remote workContract workTemporary workWork at officeWeekend work
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