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.
- ...Utilization Management Clinical ReviewerMass General Brigham Health... ...package with flexible work options, career... ...QualificationsEducationAssociate's Degree Nursing required or Bachelor'... ...-awareness; monitor impact on others; be... ...after hire.This is a remote role with occasional...Remote workFlexible hoursWork at office
$90k - $107k
...Utilization Management Clinical Reviewer Mass General... ...benefits package with flexible work options,... ...including Skilled Nursing Facility (SNF),... ...awareness; monitor impact on others; be... ...hire. This is a remote role with occasional... ...Regular Work Shift Day (United...Remote workFlexible hoursWork at officeMonday to FridayShift work$90k - $107k
...including doctors, nurses, business... ...benefits package with flexible work options,... ...providers. Utilizing clinical knowledge... ...in a managed care setting and... ...awareness; monitor impact on others; be receptive... .... This is a remote role with... ...Type Regular Work Shift Day (United States...Remote workFlexible hoursWork at officeMonday to FridayShift work$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$60.2k - $107.4k
...Utilization Management NurseOptum is a global organization that... ...opportunities. Come make an impact on the communities we... ...Management Nurse will accurately and efficiently... ...(40 Hours a Week) Flexible start times with the... ...weekend and holiday shifts.You will enjoy the flexibility...Remote workFlexible hoursMinimum wageFull timeWork experience placementLocal areaMonday to FridayWeekend workAfternoon shift- ...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
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance... ..., including review of cases impacting performance metrics and... ...remote company, providing you the flexibility to spend less time commuting and...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$29 - $52 per hour
...Utilization Management NurseFor those who want to invent the future... ...Utilization Management Nurse at UnitedHealth Group,... ...organization. Ready to make an impact?***Although this position is remote, applicants must be... ..., you will have the flexibility to work remotely* as you...Remote workHourly payMinimum wageFull timeWork experience placementLocal area$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$71.1k - $97.8k
...a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret... ...areas. Use your skills to make an impact Required Qualifications: Must hold... ...Interqual. Experience working in a fully remote, metrics-focused role Experience as...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office- ...Utilization Management NurseLocation: Partially Remote, with onsite coverage required in Baltimore, MD... ...ManagementSchedule: Day-Shift | Full-Time | Monday-Friday... ...moreHow You'll Make An Impact In This RoleAdvocate for... ...: Registered Nurse credentialed from the Maryland...Remote workFull timeLocal areaMonday to FridayWeekend workDay shift
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services by assessing member needs and coordinating care. Based in Phoenix, AZ with a fully remote work style, the role requires 3+ years of clinical nursing in acute...Remote job
$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$26.01 - $68.55 per hour
...Utilization Management Nurse - Precertification RN Remote | Full-Time | Weekday Schedule Are you a clinically strong Registered Nurse who enjoys critical thinking... ...clinical expertise in a non-bedside role Make an impact on healthcare quality and member outcomes Work remotely...Remote workHourly payFull timeTemporary workLocal areaWeekday work- ...Job TitleWork Location: Los Angeles, CA, USAOnsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8AM - 5PMSalary Range: $98200 - 214600 AnnuallyEmployment Type: 2 - Staff: Career Duration Indefinite Job # 32733Primary Duties And ResponsibilitiesPress space or...Remote workFlexible hoursMonday to Friday
- ...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
- ...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
- ...Nurse Clinicians University of Iowa Health Care, Care Coordination Division - Utilization Management is seeking two Nurse Clinicians to function as clinical... ...approved for hybrid or remote work following the... ...resolution care that may impact payer approval to authorize...Remote workTemporary workLocal areaMonday to Friday
- ...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
- ...CVS Health is seeking a Registered Nurse for Utilization Management on a work-from-home schedule with weekend coverage. You will assess, plan, implement, coordinate, monitor, and evaluate options to facilitate healthcare services and member benefits. Responsibilities...Remote workWork from home
$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization... ...opportunities. Come make an impact on the communities... ...utilization management. Reviews inpatient... ...a decision. The shift is Monday through Friday... ...you will have the flexibility to work remotely* as you take on...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift workWeekend 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... ...day for most schedules; flexibility across more than one schedule...Remote workFull timeContract workInternshipMonday to Friday- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely, safe, and appropriate...Remote workFull timeWork from home
- ...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
$98.2k - $214.6k
...Job Title Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8AM - 5PM Salary Range: $98200 - 214600 Annually Employment Type: 2 - Staff: Career Duration Indefinite Job # 32733 Primary Duties And Responsibilities...Remote workFlexible hoursMonday to Friday- ...Registered Nurse (RN) - Utilization Review Job Description Job Shift:Days Job Type:Full Time... ...necessity. This position manages medical necessity... ...make a meaningful impact in patients' lives... ...& dependent flexible spending accounts... ...Transmountain Campus (Remote) #J-18808-Ljbffr...Remote workFlexible hoursFull timeWork at officeShift 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
- ...Humana Inc. is seeking a Part C Grievance & Appeals Nurse (Utilization Management Nurse 2) to support case preparation, evidence review, and collaboration with multidisciplinary teams. Remote position in Hawaii requiring RN with compact license, 3+ years of clinical experience...Remote work
- ...UnitedHealth Group is seeking a Utilization Management Nurse to ensure efficient and effective health services delivery across care settings. You... ...decisions to help members live healthier lives. This role offers remote work with time-zone requirements in Pacific or Mountain...Remote work
- ...Optum is seeking an experienced Utilization Review Nurse (RN) to support inpatient care management in a remote-capable role. You will review admissions and preauthorizations using evidence-based criteria and collaborate with Medical Directors. The position requires an...Remote work
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