Remote Utilization Management Nurse Healthcare Impact
Cambia Health Solutions
Cambia Health Solutions is seeking a Utilization Management Nurse to join the Clinical Services team. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and promote quality, cost-effective outcomes for members.
The position requires an active RN license, 3 years in case or utilization management, and the ability to interpret policies. We offer remote work options in several western states, a competitive salary and comprehensive benefits.
#J-18808-Ljbffr- ...Cambia Health Solutions is seeking an experienced Utilization Management Nurse to support our Clinical Services team. You will perform prospective... ...documentation, and the use of AI tools to enhance decision-making in a fast-paced healthcare environment. #J-18808-Ljbffr...Remote work
$60.2k - $107.4k
...Utilization Management NurseAt UnitedHealthcare, we're simplifying... ...The work you do here impacts the lives of millions... ...? Join us in making healthcare work better for everyone... ...Management Nurse will serve as the Health... ...flexibility to work remotely* as you take on some...Remote workMinimum wageFull timeWork experience placementLocal areaWork from homeMonday to Friday$29.1 - $62.32 per hour
...one family and one community at a time. Utilization Management Nurse Consultant - Clinical Precertification RN (Medicare) Remote | Full-Time | Monday-Friday Are you... ...non-bedside role Make a meaningful impact on healthcare quality and member outcomes Work remotely...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...UnitedHealth Group is seeking an Utilization Management Nurse for the New Mexico region. The role focuses on utilization management, reviewing clinical... ...level of care for patients. The position supports a remote-based, home-office setup for NM residents. Primary...Remote workHome office
$70k - $75k
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal... ...including review of cases impacting performance metrics and identification...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$29.1 - $62.32 per hour
...and one community at a time. Utilization Management Nurse Consultant Clinical... ...Precertification RN (Medicare Home Care) Remote | Full-Time | Weekday... ...Nurse ready to make an impact beyond the bedside? Join our... ...with care coordination and healthcare quality, we’d love to hear...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $62.32 per hour
...community at a time. RN Utilization Management Nurse Consultant (Medicare - Joint Procedures) Remote | Full-Time | Monday-Friday... ...Registered Nurse looking to make an impact beyond the bedside? Join a... ...care quality and optimize healthcare utilization Support care...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $62.32 per hour
...one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday... ...Registered Nurse ready to make an impact beyond the bedside? Join... ...with care coordination and healthcare quality, we’d love to hear...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $62.32 per hour
...time. Medicare Precertification Utilization Management Nurse Consultant (RN) Remote | Full-Time | Weekends Are... ...oriented RN passionate about improving healthcare outcomes? Join our Utilization... ...a collaborative team that truly impacts patient care while enjoying a...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayShift workWeekend workAfternoon shift- Guidehealth, a data-powered healthcare company, seeks a Utilization Management Registered Nurse (RN) to perform utilization review remotely. The role supports compliance with federal and state regulations and URAC standards, applying medical necessity criteria to documentation...Remote job
$90k - $107k
..., including doctors, nurses, business people, tech... ...to be within the healthcare industry. As a member... ...escalation support for Utilization Management (UM) activities by triaging... ..., and business impact. Provides consultation... ...hire. This is a remote role with occasional...Remote workWork at officeFlexible hoursShift work$29.1 - $62.32 per hour
Utilization Management Nurse Consultant### Utilization Management Nurse ConsultantApply: Remote: PA - Work from home: Full time: Posted Today: End... ...clinical expertise to review healthcare services, coordinate care... ....* Meaningful work that impacts patient care and...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$72.8k - $130k
...Sr Utilization Management NurseOptum is a global organization that... .... Come make an impact on the communities we... ...occasional opportunity for remote work based on... ...Utilization Management Nurse in the Springfield MA... ...medical insurance and/or healthcare industriesExperience...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$71.1k - $97.8k
...caring community The Utilization Management Registered Nurse uses clinical nursing skills... ...your skills to make an impact Required Qualifications... ...working in a fully remote, metrics-focused role... ...personal wellness and smart healthcare decisions for you and your...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office- ...seeking an experienced Registered Nurse to support utilization and case management initiatives. The role involves... ...care options to ensure appropriate healthcare services and benefits for members... ...comprehensive benefits and opportunities to impact patient care. #J-18808-Ljbffr...Remote jobFull timeWeekend workAfternoon shift
$71.1k - $97.8k
...caring community The Utilization Management Registered Nurse uses clinical nursing skills... ...your skills to make an impact Required Qualifications... ...working in a fully remote, metrics-focused role... ...personal wellness and smart healthcare decisions for you and...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office$45 per hour
...Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with... ...quality, cost-effective healthcare in a fully remote managed care... ...work with real community impact Foot in the door at a...Remote workContract workTemporary workMonday to FridayWeekend work$82.68k - $96.46k
...Part A will be part of the Utilization Management team, responsible for inpatient... ...: This is a full-time, remote position working five 8-... ...Your Responsibilities and Impact will include: Review Medical... ...of further changing the healthcare experience. Devoted is an...Remote workFull timeContract workInternshipMonday to Friday$60.2k - $107.4k
...About This Role As a Fertility Utilization Management RN at UnitedHealth Group, you will ensure health... ...to help them live healthier lives. This remote position is ideal for those looking to make a significant impact in healthcare. Highlights Pay: $60,200 - $10...Remote workFull timeDay shift- ...nirvanaHealth, operating under RxAdvance Corp., is seeking a Utilization Management Nurse for a part-time remote role. The position focuses on prospective,... ...coordination to ensure quality, cost-effective healthcare services in compliance with standards. The role...Remote workPart time
- ...CVS Health seeks a Medicare Precertification Utilization Management Nurse Consultant to assess and coordinate healthcare services for members. You will apply clinical criteria and collaborate with providers to render coverage decisions along the continuum of care. The...Remote work
- ...CVS Health is seeking a qualified Registered Nurse for Utilization Management to ensure appropriate healthcare services and benefits for members. This role supports a 24/7 operation, including weekends and evenings, and requires strong clinical judgment and collaboration...Remote workAfternoon shift
$41.15 - $46.15 per hour
...Registered Nurse - Utilization Management (Remote)Location: Philadelphia, PA (Remote)Employment Type: Contract - Mon-Fri, Day Shift HoursCompensation... ...Minimum of five years of clinical nursing or equivalent healthcare experience. Experience in utilization management or...Remote workContract workMonday to FridayDay shift- ...CVS Health is seeking an experienced Registered Nurse for a fully remote Utilization Management Nurse Consultant role. This position is ideal for individuals... ...paced environment and are looking to make a clinical impact without direct patient care. Highlights include a...Remote work
$29 - $62 per hour
About This Role The Utilization Management Nurse Consultant role at CVS Health involves utilizing clinical... ..., plan, implement, and evaluate healthcare services for members. This position is... ...Highlights Pay: $29 - $62/hour Location: Remote, TX Residency: Must reside in EST or...Remote workWork at officeWork from homeAfternoon shift- ...LVN experienced in the managed care payor environment... ...and post-service utilization reviews and appeals for... ...UM program. The UM Nurse’s responsibilities include... ...wellness programs ~ Remote Opportunities... ...reimagining access to in-home healthcare. We connect Payers, Providers...Remote workTemporary workLocal area
$29 - $52 per hour
...Utilization Management NurseOptum is a global organization that delivers care, aided by technology to... ...development opportunities. Come make an impact on the communities we serve as you help... ...together.The Utilization Management Nurse will accurately and efficiently review...Remote workHourly payDaily paidMinimum wageFull timeWork experience placementLocal areaFlexible hours$60.2k - $107.4k
...Utilization Management NurseOptum is a global organization that delivers care, aided by technology to... ...development opportunities. Come make an impact on the communities we serve as you help... ...together.The Utilization Management Nurse will accurately and efficiently review...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift$26.01 - $56.14 per hour
...:00pm EST Location: 100% Remote (U.S. only) About Us American... ...URAC-accredited medical management organization founded in 1... ...promote high-quality healthcare for members. Position Summary... ...medical journeys. As a Utilization Management (UM) Nurse Consultant specializing...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work- CVS Health is seeking an Utilization Management Nurse Consultant to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members. This role requires a skilled... ...and utilization management, offering remote work in California and a full-time...Remote jobFull timeAfternoon shift
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