Utilization Management Nurse - Home Health Quality Advocate
Ellenco Estágios e Treinamentos
IHCS seeks a Utilization Management Nurse to ensure home health services are delivered with quality, cost efficiency, and compliance. You will review patient treatment files, perform concurrent reviews, and coordinate care with a multidisciplinary team. State licensure as an LPN or RN and a minimum of 2 years in Utilization Management are required; UM/Case Management certification is a plus. We offer a comprehensive benefits package and paid training. #J-18808-Ljbffr Ellenco Estágios e Treinamentos
$70k - $75k
...affordable, improve the health of patients, and... ...and a centralized Managed Service... ...partners to deliver high-quality healthcare focused... ...Description The Utilization Management... ...consistent with current nursing practice standards... ...: Work from Home: Guidehealth is a...Work from homeQualityBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote work$26.01 - $68.55 per hour
We’re building a world of health around every individual — shaping... ...and prioritize safety and quality in everything we do. Join us... ...one community at a time. Utilization Management is a 24/7 operation and work... ...Summary Position Summary: UM Nurse Consultant Utilizes clinical...Work from homeQualityHourly payFull timeTemporary workWork at officeLocal areaRemote workAfternoon shift$71.1k - $97.8k
...of our caring community The Utilization Management Nurse 2 utilizes clinical nursing... .... Familiarity with health plan operations. Additional... ...time Monday-Friday Work at Home Requirements: To ensure Home... ...efforts are leading to a better quality of life for people with Medicare...Work from homeQualityFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workHome officeMonday to FridayShift work- ...Job Title Utilization Management Team Leader Job Description... ...process improvement, quality, timeliness, and... ...Associate Degree in Nursing required ~ Bachelor... ...of California Promise Health Plan; Altais, a clinical... ...offices and work from home office/deskwork - Activity...Work from homeQualityFull timeContract workPart timeWork at officeLocal areaHome officeWeekend workAfternoon shift2 days per week
$29.1 - $62.32 per hour
We’re building a world of health around every individual — shaping a... ...ourselvesaccountable and prioritize safety and quality in everything we do. Join us... ...and one community at a time. Utilization Management (UM) Nurse Consultant 100% Work‑From‑Home | Full-Time | Open to MST/PST...Work from homeQualityHourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayShift workWeekend work$26.01 - $62.32 per hour
We're building a world of health around every individual - shaping... ...and prioritize safety and quality in everything we do. Join... ...Medicare Precertification Utilization Management Nurse Consultant position:... ...required BSN preferred Work from Home Requirements: You must have...Work from homeQualityHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift workWeekend workAfternoon shift$17.5 - $21 per hour
...people reclaim their health, smile and... ...back. ClearChoice Management Services, LLC (CCMS... ...Experience in a role that utilizes scripts or call... ...and private home work space with minimal... ...hourProspective Patient Advocates are remote inside... ...innovative and quality dental implant...Work from homeQualityRemote jobWork experience placementWork at officeFlexible hoursShift workWeekend work- ...organization looking to add a Lead Utilization Management Nurse to its team. Their main... ...for healthcare providers, health plans and strategic... ...provider, or MSO settings and quality chart reviews Registered... ...consideration of partial work from home status upon completion of...Work from homeQuality
- IntusCare is seeking a Utilization Management Nurse to ensure high-quality, cost-effective, and compliant care for PACE participants. You will review service utilization, guide care decisions, and support transitions across care settings, collaborating with Interdisciplinary...QualityRemote job
- Valenz Health is seeking a Utilization Management Nurse to oversee and manage the UM process, ensuring the delivery of high-quality, cost-effective care for plan participants. You will review prospective, concurrent, and retrospective UM activities and collaborate with...QualityRemote job
$42 per hour
IntusCare is seeking a Contract Utilization Management Nurse to ensure high-quality, cost-effective, and compliant care for PACE participants. The role collaborates with interdisciplinary teams to review utilization, guide care decisions, and support transitions across...QualityRemote jobHourly payContract work$34 - $35 per hour
Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more... ...liaison between providers and facilities to promote quality service and care Screen and identify potential members...Work from homeQualityFull timeWork at officeRemote workNight shift- ...and Women's Hospital in Boston is seeking a Staff Nurse - Per Diem Rotating Day in Utilization Management. The role reviews denials, appeals, and ensures appropriate... ...with physicians and staff, and supporting quality and financial outcomes. #J-18808-Ljbffr Brigham and...QualityRemote jobDaily paid
$71.1k - $97.8k
...our caring community The Utilization Management Nurse 2 utilizes clinical nursing... ...practice environment ~ Health Plan experience ~ Previous... ...screened for TB. Work at Home Requirements: To ensure... ...efforts are leading to a better quality of life for people with...Work from homeQualityFull timeTemporary workApprenticeshipWork at officeRemote workHome office- Sunrise Senior Living in Bloomingdale, IL is seeking a Wellness Nurse (LPN/LVN) to support resident health and ensure clinical quality. You will perform wellness assessments, assist with medication management, and collaborate with families and care teams to maintain high...Quality
- Methodist Southwest Medical Center is seeking an Assistant Nurse Manager to support the Nurse Manager in delivering high-quality patient care in a fast-paced hospital setting. You will serve in a leadership role on your assigned unit, act as staff nurse or relief charge...Quality
- ...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity... ...Management, Appeals & Grievances, and Quality Departments as needed. •... ...reviews including Behavioral Health, DME, Genetic Testing,...QualityFull timeContract workWork at officeRemote work
$71.1k - $97.8k
...our caring community The Utilization Management Registered Nurse uses clinical nursing... ...serve as a member of the One Home/Home Solutions Utilization... ...Nursing Facility (SNF), Home Health, and Durable Medical... ...efforts are leading to a better quality of life for people with...QualityBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full‑time role serving candidates in the EST or CST zones. You... ...providers, and supporting cost‑effective, high‑quality care. #J-18808-Ljbffr Santa Barbara Cottage HospitalQualityRemote jobFull time
- We’re seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you’ll... ...patients receive appropriate, timely, and high-quality services. The ideal candidate will bring strong clinical...QualityRemote work
- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role available to candidates in the MST/PST time zones... ...with providers, and supporting high-quality, cost-effective care with strong emphasis on timely...QualityRemote jobFull time
$42 per hour
...risk adjustment, population health, and utilization management. IntusCare empowers teams to... ...Contract Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and... ...critical thinking, and skills to: Advocate quality care and enhanced...QualityContract workRemote work$41.71 - $105.65 per hour
...Staff Nurse - Per Diem Rotating Day - BWH Utilization Management The Insurance Support Nurse participates in the timely... ...systems, support efforts to improve quality, cost and satisfaction outcomes.... ...experience in a hospital or health care setting required Hospital...QualityHourly payDaily paidRemote workShift work- MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an... ...healthcare services, communicating with providers, and ensuring quality healthcare delivery. The ideal candidate should have...QualityRemote jobFull timeFreelanceWork at officeMonday to FridayWeekend work
- Fccmocksville in Statesville, NC, is looking for a Registered Nurse to manage patient care activities. Responsibilities include prescribing care, delegating tasks, and ensuring quality patient outcomes. Candidates must have a valid NC RN License, BCLS certification, and...Quality
$275k - $325k
...growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon FloridaThe... ...leaders to support evidence-based high quality and cost-effective care delivery across the...Work from homeQualityRemote work- TriStar Centennial Medical Center in Lebanon, TN, is seeking a CVICU Nurse to coordinate and deliver high-quality, patient-centered care within the cardiac ICU. You will collaborate with medical providers and the care team to implement individualized care plans and educate...Quality
- Lawndale Christian Health Center is seeking a Clinic Nurse to provide essential support in... ...outcomes and operational quality. The individual will assist... ..., act as a patient advocate, and perform direct nursing... ...collaborating with care teams, managing clinical workflows, and...Quality
- Luminis Health in Annapolis, MD is seeking a registered nurse to provide direct and indirect patient care across the care team, ensuring high-quality, cost-effective service. The role emphasizes nursing process, patient/family education, and collaboration with physicians...Quality
- Aurora Health Care in Wisconsin is seeking a Registered Nurse to provide comprehensive patient care, coordinate with the care team, and ensure safe, evidence... ...thoroughly in the EHR and participate in continuous quality improvement within an integrated health system....Quality
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