Remote Utilization Management Nurse | Flexible Hours
yourcommission
Bellaire, TX
- Remote job
yourcommission is seeking a PRN Utilization Management Review Nurse in Bellaire, Texas to perform evaluations on medical services for necessity and efficiency. Responsibilities include handling appeals, conducting peer reviews, and ensuring quality outcomes through collaboration. The ideal candidate will have a Bachelor's in Nursing, strong clinical experience, and must be licensed to practice in Texas. A flexible schedule with telecommuting options will be offered. #J-18808-Ljbffr yourcommission
Vacancy posted 1 day ago
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Albany, NY3 days ago- ...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity... ...coverage while working remotely. Primary Responsibilities... ...pace and changing environment- flexibility in assignment. • Proficient...Remote workFlexible hoursContract workWork at office
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Chapel Hill, NC3 days ago $50.68 per hour
...Job Overview The Utilization Review RN participates... ...Department Name: Utilization Management Job Status: flex,... ...to work at least 24 hours per 2-week pay period.... ...will be primarily remote but there may be occasions... ...of Science in Nursing (BSN) * EXPERIENCE -...Remote workFlexible hoursHourly payTemporary workLive inImmediate startRelocationShift workWeekend workDay shiftAfternoon shiftChildren's Hospital Colorado
Aurora, CO3 days ago- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information... .... This position offers a day shift workload with flexible weekends and requires an active PA RN license. #J-1880...Remote workFlexible hoursWeekend workDay shift
The Judge Group, LLC
New York, NY4 days ago - ...Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN... ...in Case Management. The position allows for telecommuting and flexible shifts to meet system needs. #J-18808-Ljbffr...Remote workFlexible hours
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United States1 day ago - A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical... ...management and insurance payers. This position offers flexible scheduling and opportunities for telecommuting. #J-18808...Remote jobFlexible hours
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Santa Barbara Cottage Hospital
New York, NY1 day ago - A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...service eligibility and facilitating care. This remote role requires an RN license and clinical experience. Benefits...Remote jobWork from home
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Somerville, MA1 day ago $116.3k - $264.6k
...Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule... ...and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct... ...a team of UM coordinators and nurses. You'll work closely with Medicare...Remote workFlexible hoursMonday to FridayUCLA Health
Los Angeles, CA1 day ago$34.98 - $42.85 per hour
...Clever Care is hiring a UM Nurse I - RN to conduct clinical reviews of authorization requests... ...of clinical experience, preferably in utilization management. This remote position offers a wage range of $34.98 to $42.85 per hour based on California standards. #J-18808-Ljbffr...Remote workHourly paySanta Barbara Cottage Hospital
New York, NY1 day ago- Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This position involves evaluating medical service... ...significant experience in healthcare settings. Flexible work schedule is available. #J-18808-Ljbffr Harris Health...Remote jobFlexible hours
- ...Curana Health, Inc. is seeking a Utilization Management Nurse to join their remote team. In this role, you will review healthcare services' utilization to ensure cost-effective care while actively coordinating transitions and discharges for patients. You will engage closely...Remote work
Curana Health, Inc.
New York, NY1 day ago $98.53k - $120.22k
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Bellaire, TX1 day ago- ...Humana Inc is seeking a Utilization Management Clinical Pharmacist 2 to join our community. This role focuses on conducting medical... ...license, and strong communication skills. This remote position offers flexible hours and opportunities for limited benefits. #J-18808-Ljbffr...Remote workFlexible hours
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New York, NY1 day ago - ...A healthcare provider in the United States is seeking a Utilization Management Nurse to work remotely. This role involves performing clinical utilization reviews, collaborating with healthcare partners, and adhering to national standards and regulations. Candidates must...Remote workWork at office
Santa Barbara Cottage Hospital
New York, NY1 day ago $69.8k - $96.2k
...A leading health services company is looking for a Utilization Management Nurse 2 to utilize clinical skills, coordinate with providers and members, and ensure optimal treatment. Candidates should be licensed RNs with 3-5 years of clinical nursing experience, preferably...Remote workHumana
New York, NY1 day ago- ...A healthcare administration company is seeking a Utilization Management Nurse to conduct clinical reviews and collaborate with healthcare partners while working remotely. The ideal candidate must be a current Licensed Practical Nurse, skilled in utilization review processes...Remote work
Brighton Health Plan Solutions
Chapel Hill, NC3 days ago $77.91k - $116.86k
...E2E Alignment Healthcare USA, LLC is seeking a remote Utilization Management Nurse to review prior authorization requests for medical necessity. The role requires a valid LVN or RN license in California, along with experience in nursing and utilization management. Successful...Remote workE2E Alignment Healthcare USA, LLC
California, MO1 day ago- ...Guidehealth leverages remotely‑embedded... ...and a centralized Managed Service Organization... ...precise and timely Utilization Review. In this... ...aligned with Illinois nursing regulations and... ...of 20 hours per 2‑year RN license... ...providing you the flexibility to spend less time...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
Guidehealth
Chicago, IL3 days ago $45 - $45.5 per hour
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New York, NY1 day ago- ...We’re seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you’... ...Advantage regulations (LCD/NCD policies) . This is a fully remote opportunity requiring discipline, accuracy, and...Remote work
Appworkshub
New York, NY1 day ago - ...Medix™ is looking for experienced Utilization Management Medical Directors for a remote contract opportunity. This role is ideal for physicians with strong... ...review environment. The position offers full-time flexible hours, with a focus on conducting utilization reviews,...Remote workFlexible hoursFull timeContract work
Medix
New York, NY1 day ago - Humana Inc is seeking a Utilization Management Clinical Pharmacist 2 in Rhode Island. This role involves conducting comprehensive medication... ...Managed care experience is preferred. The position offers flexible hours as part of the Variable Staffing Pool. #J-18808-Ljbffr...Remote jobFlexible hours
- ...most. We offer integrated managed care products,... ..., nature of the request, utilization determination (and events... ...provided does not support the nurse review process for giving... ...Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work...Remote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA18 hours ago $40 per hour
...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work... ...- 5:00 PM PST Compensation: $40 per hour Position Type: Temporary to Permanent...Remote workHourly payPermanent employmentTemporary workWork at officeMorgan Stephens
United States5 days ago$29.1 - $62.32 per hour
...Scheduling options may include four 10-hour shifts, five 8-hour shifts,... ...in collaboration with management to ensure adequate weekend coverage. Position Summary: Utilize your clinical experience and skills... ...: Registered Nurse Education: Diploma RN acceptable...Remote workHourly payFull timeTemporary workWork at officeWork from homeShift workWeekend workOak St. Health
United States1 day ago$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,60... ...Friday, 0730–1630 No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship (required...Remote workContract workImmediate startMonday to FridayJ Edward Staffing LLC
Aurora, CO2 days ago- A major healthcare organization is seeking a Utilization Management Registered Nurse to join their team in Richmond, Virginia. This remote role requires an RN license and a minimum of one year of clinical experience in an acute care setting. Responsibilities include coordinating...Remote job
$71.1k - $97.8k
...ability to obtain Compact Nursing License 3+ years of... ...Prior clinical experience, managed care experience, DME, Florida Medicaid OR utilization management experience... ...: While this is a remote position, occasional travel... ...required. Scheduled Weekly Hours 40 Pay Range The...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeWeekend workHumana
Madison, WI2 days ago
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