Utilization Management Nurse: Remote, Flexible Shifts & Impact
Harris Health System, Inc.
- Remote job
Harris Health System, Inc. is seeking a Utilization Management Review Nurse to evaluate medical necessity, appropriateness, and efficiency of services, ensuring care aligns with evidence-based guidelines. The role involves partnering with Care Management, Physician Advisors, Finance, and 3rd party payers to deliver high-quality, cost-effective outcomes while supporting the health of Harris County residents. #J-18808-Ljbffr Harris Health System, Inc.
$60.2k - $107.4k
...Utilization Management Nurse Optum is a global organization that delivers care,... ...opportunities. Come make an impact on the communities we serve... ...- Friday (40 Hours a Week) Flexible start times with the ability... ..., weekend and holiday shifts. You will enjoy the flexibility...Remote jobFlexible hoursMinimum wageFull timeWork experience placementLocal areaMonday to FridayWeekend workAfternoon shift$32.01 - $68.55 per hour
...Position Summary This Utilization Manager position is with Aetna's Long... ...Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will... ...programs, paid time off, flexible schedules, family leave, and...Remote workFlexible hoursHourly payFull timeLocal area10 hours per week- ...from care navigation and management to payment integrity, plan... ...About This Opportunity: As a Utilization Management Nurse, you’ll oversee and manage... ...’ll Work This is a fully remote position, and we’ll... ...match and immediate vesting Flexible working environment Generous...Remote workFlexible hoursFull timeImmediate startMonday to Friday
$71.1k - $97.8k
...part of our caring community The Utilization Management Nurse 2 utilizes clinical nursing skills to... ...procedures. Use your skills to make an impact Required Qualifications... ...information. Travel: While this is a remote position, occasional travel to Humana...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...Utilization Management CNADubuque, Iowa, United StatesUtilization Management AssistantLocation... ...Dubuque, IA. Also accepting remote applicants.Are you... ...to make a meaningful impact behind the scenes. If you are... ...determine if a Utilization Review Nurse is needed to complete the...Remote workWork at office
$70k - $75k
...Guidehealth leverages remotely-embedded... ...and a centralized Managed Service Organization... ...Description The Utilization Management... ...review of cases impacting performance metrics... ...consistent with current nursing practice... ...providing you the flexibility to spend less time...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$83k - $99k
...expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary... ...at: Role and Responsibilities The Utilization Management Nurse collaborates with external entities such... ...and a $600 wellness reimbursement Remote work and continuing education reimbursements...Remote workFlexible hoursFull timeWork at office$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization ManagementWe're building a world of... ...one community at a time.Remote | Afternoon/Evening Shifts Available | 24/7 OperationsAre... ...Utilization Management team? Join us in helping... ...while making a meaningful impact on healthcare outcomes.What...Remote workHourly payFull timeTemporary workWork at officeWork from homeWeekend workAfternoon shift$26.01 - $56.14 per hour
...EST Location: 100% Remote (U.S. only) About Us... ...-accredited medical management organization founded... ...in 1993. We provide flexible, cost-effective care... ...journeys. As a Utilization Management (UM) Nurse Consultant specializing... ...responsibilities during shift times are not...Remote jobFlexible hoursHourly payFull timeTemporary workLocal areaMonday to FridayShift work$54.1k - $142.58k
...Behavioral Health Utilization Management ClinicianWe're building a... ...looking for a rewarding remote role that combines... ...while making a meaningful impact on outcomes.Schedule:... ...available to work holidays10% shift differential... ...PsychologyRegistered Nurses: Bachelor's degree in...Remote workHourly payFull timeShift workNight shiftWeekend work$26.01 - $62.32 per hour
...one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond the bedside? Join our team and use your...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shiftWeekday work$29 - $52 per hour
...Utilization Management Nurse RNOptum Insight is improving the flow of health... ...experience.You'll enjoy the flexibility to work remotely from anywhere within the... ...per diem (as needed) shift schedules during our normal... ...to mitigating our impact on the environment and enabling...Remote workHourly payDaily paidMinimum wageFull timeWork experience placementLocal areaShift workWeekend workWeekday work$71.1k - $97.8k
...part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret... .... Use your skills to make an impact Required Qualifications: Must... ...Interqual. Experience working in a fully remote, metrics-focused role Experience...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office$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 Boston MA Regional... ...MA, you will have the flexibility to work remotely* as...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$71.1k - $97.8k
...of our caring community The Utilization Management Nurse 2 utilizes clinical nursing... ...Use your skills to make an impact Required Qualifications... ...Information Must work an 8 hour shift between 8:30AM-5:30PM local... .... Travel: While this is a remote position, occasional travel...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayShift work- A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical... ...with InterQual criteria. This position offers a day shift workload with flexible weekends and requires an active PA RN license. #J...Remote workFlexible hoursWeekend workDay shift
- ...Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees...Remote workWork from homeMonday to Friday
- ...Humana is seeking a Manager, Utilization Management Nursing to lead coordination and interpretation of medical services and benefit determinations in a remote, home‑based role. You will apply advanced nursing knowledge, guide teams, and collaborate across departments...Remote workWork from home
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role in the EST time zone. The position supports utilization management and benefit coordination, requiring an active RN license and hospital experience. Responsibilities...Remote workWork from home
$90k - $107k
...including doctors, nurses, business people,... ...network providers. Utilizing clinical knowledge... ...experience in a managed care setting and possess... ...; monitor impact on others; be receptive... .... This is a remote role with occasional... ...: Regular Work Shift: Day (United...Remote workShift work- Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our... ...practices. Candidates should possess a nursing degree and a valid California RN license... ...including health insurance, 401K, and flexible work arrangements. #J-18808-Ljbffr Centene...Remote jobFlexible hours
- ...refer specific cases to the Physician Utilization Management Advisors (PUMA).Excellent fact finding... ...ancillary services, and patient care nurses/units.Has a proactive approach to reduce... ...10:30 a.m. - 7:00 p.m. (There may be flexibility on weekend schedule)Compressed/Flexible...Remote workFlexible hoursPermanent employmentFull timeRelocation packageWeekend workWeekday work
- ...Utilization Management Review Nurse (UMRN)The Utilization Management Review Nurse (UMRN) performs technical and administrative work required... ...and or Change healthcare (Interqual)Work Schedule: Flexible: 8 hour shifts as per system need; variable to 10-12 as needed. Weekends...Remote workFlexible hoursWork experience placementWork at officeWeekend work
- ...Detroit, Michigan Registered Nurse (RN) Contract We are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan. Job Description... ...you'll have training opportunities, flexible/remote work options, growth opportunities...Remote workFlexible hoursContract workLocal area
$75 per hour
Utility Management Nurses | $75/hr Remote This range is provided by Crossing Hurdles. Your actual pay will be based on your skills and experience — talk... ...75 per hour Location: Remote Commitment: Part-time, flexible hours Role Responsibilities Review, audit, and...Remote jobFlexible hoursHourly payContract workPart time- ...Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with providers and departments...Remote work
- ...Alliance for Health in California is seeking a Registered Nurse for a temporary Utilization Management role. You will ensure prior authorizations comply with... ...paths may substitute for experience. Hybrid work and remote- interview options are offered. #J-18808-Ljbffr...Remote workTemporary work
- IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical... .... This position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-LjbffrRemote work
- ...Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient... ...experience, and familiarity with managed care principles, with a remote work option and a competitive pay range. #J-18808-Ljbffr...Remote workFull time
- ...Forest Hospital is seeking a Part-Time Case Manager, RN to support Utilization Review remotely. This casual role provides staffing... ...requires availability weekdays and weekends. Shifts are 6a-6p or 6p-6a, offering flexible options within a hospital setting. The position...Remote jobFlexible hoursPart timeCasual workShift workWeekend workWeekday work
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