RN Utilization Management Specialist — Remote After 6 Months
Good Samaritan Society
- Remote job
Sanford Health in Sioux Falls, SD is seeking a Registered Nurse to conduct level of care medical necessity reviews within patient records. You will perform utilization management activities to assure compliance with accreditation and regulatory requirements, and support pre‑authorization processes, documentation, and DRG coding for working diagnoses. Collaborate with physicians and healthcare teams to promote appropriate resource utilization, educate on payer standards, and help monitor quality #J-18808-Ljbffr Good Samaritan Society
- ...A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include evaluating healthcare...Remote workContract work
$35 - $37 per hour
...Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay... ...the established monthly production benchmark.... ...) either prior to or after their travel assignments... ...whether practicing or not. Utilization Review experience is... ...one weekend every 6 weeks). Comp days...Remote jobPermanent employmentFull timeTemporary workMonday to Friday$68 per hour
...Job Title: Utilization Management Specialist (RN) Location: Baltimore, MD Type: Contract To Hire Compensation: Max BR $68 /hr, Mid-Range Pay (MRP) $100,500/yr Work Model: Remote – offsite Responsibilities Perform prospective, concurrent, and retrospective...Remote workContract workTemporary workLocal area$65k
...with expert program management, cutting-edge... ...Temporary Contract, Remote) Compensation... ...$32.5K/$31.25/hr. 6 month salary basis... ...seeking a dedicated RN to conduct medical... ...of experience with utilization/medical review, quality... ...Expect Next: After submitting your application...Remote workContract workTemporary workFor contractorsWork at officeWork from homeHome officeMonday to Friday$58.66k - $142.45k
...The UMCM will utilize clinical knowledge... ...) experience in a managed care setting with... ...minimum of once per month with the possibility... ...availability; Approximately 6 months after hire. Must be... ...Registered Nurse (RN) license required... .... This is a remote role with...Remote workWork at officeFlexible hoursShift work$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity... ...benefits beginning on the 1st day of the month following the date of hire Matching HSA... ...authorizations, concurrent reviews, and internal utilization review assessments Consult with the...Remote work- ...Brigham Health Plan is seeking a skilled RN to support vendor-related... ...effective collaboration between the Utilization Management (UM) department and vendors. The position requires on-call availability monthly and a remote work setup with occasional onsite meetings...Remote jobMonday to Friday
$39 - $40 per hour
...message the job poster from The Judge Group Lead Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the following states: IL, TX, NM, OK, MT, TN Schedule: Monday...Remote workDaily paidContract workMonday to FridayShift workWeekend work$18.65 - $19.9 per hour
...enabled revenue cycle management solutions for... ...Financial Counseling Specialist performs the task... ...and balances after financial assistance... ...Collections will utilize face to face communication... ...) Required within 6 months of hire (Company... ...Top Workplace for Remote Work 2024 Great...Remote workLocal areaNight shiftWeekend work$110k
.../State: Nyack, New York Department: Care Management Work Shift: Day Work Days: MON-FRI Scheduled... ...time frame and with the most efficient utilization of resources. Carries out activities... ...payments and Medicare/Medicaid guidelines. 6. May take orders from physicians including...Daily paidFull timePart timeFlexible hoursShift work- ...Vegetation Management Operations Support Duration: 36 Months Note: Candidate can live anywhere within the Carolinas West region and will work remote most of the time. Job Description: The position... ...cadences - 10-day goal, after hour call out, Fastrack scores...Remote work
$25 per hour
...IntellaTriage is seeking a compassionate Registered Nurse (RN) to provide remote after-hours triage support for hospice patients and their... ...opportunities to earn up to $28 per hour within the first six months. Nurses benefit from 3 weeks of remote training, a supportive...Remote workHourly payWork from homeFlexible hours- ...Polar Medical Operations (CPMO), 6-9 Months Locum to Work in ANTARCTICA... ...United States Nursing & Care Management UTMB Health Requisition # 2000324 Minimum Qualifications: RN from an accredited professional... ...Worksite location will be in a remote hospital, clinical, laboratory...Remote workFor contractorsLocumWork at officeLocal areaShift work
$67.73k - $115.14k
...Sourcing Specialist We are seeking a detail-oriented and proactive Sourcing Specialist... ...candidate prioritization, requisition management, and light scheduling. The ideal candidate... .... Estimated contract duration is 6 to 9 months. Key Responsibilities Sourcing & Talent...Remote jobFull timeContract workTemporary workLocal areaShift work$79.2k - $110.9k
...SpecialistApply: Remote - Any: Full time:... ...independent wealth management firm with an... ...for a **Facilities Specialist**! This position... ...branch office space utilization... ...annually (25 PTO days after 4 years of service... ...available after 6 months of tenure)* Reimbursement...Remote workFull timeContract workTemporary workWork at officeRelocationFlexible hours$60k
...Information Technology Specialist (NDW N946) in the... ...Fund (NAF) Management Information Systems... ...eligible: No Remote job: No Relocation... ...operation to utilization of computer systems... ...Incumbent will have 6 months from date of hire... ...are a male born after December 31,1959...Remote workPermanent employmentFull timeWork at officeLocal areaImmediate startRelocation- ...is seeking experienced Project Management Specialists to evaluate and improve AI-driven... ...on technical projects. This remote, part-time role starts immediately for about 4-6 weeks. Pay begins task-based,... ...eligibility to switch to hourly pay after the first task is approved. #J...Remote workHourly payPart timeImmediate start
$25 per hour
...compassionate registered nurse (RN) to join our growing... ...provide critical after-hours support,... ...providers since 2008. Utilizing best-in-class technology... ...by leveraging our remote team of nurses to manage after-hours care delivery... ...within your first 6 months of hire ~3 weeks of...Remote workHourly payFull timePart timeWork from homeAll shiftsMonday to FridayShift workNight shiftWeekend workAfternoon shiftWeekday work$52.4k - $76.9k
...Mental Health Specialist I Family Support... ...Counties, Oregon (remote in one of the... ...insurance ~6% initial 401K... ...to 4 days per month (Annual rollover... ...days provided after 1 year introduction... ...the Clinical Manager, is responsible... ...requested. • Utilize agency software...Remote workContract workFor contractorsWork experience placementWork at officeImmediate startWork from homeLong distanceNight shift$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities... ...Our 401(k) plan includes a 3% employer match to your 6% contribution. Have Peace of Mind: We provide Life...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$68.89k - $92.14k
...Pay Plan Title: Utilization Management Nurse Working Title: Utilization... ...8 Office Location: Remote within North Carolina.... ...a Registered Nurse (RN). Must have a valid... ..., dates of service (month/year), average hours... ..., if applicable After submission, your resume...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours- ...Description Job Description The utilization review and management (UM) component program ensures that... ...standards, including file reviews, monthly safety plans and uploading data to the... ...for lunch This is an in-office, no remote work capability position Travel...Remote workWork at office
$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning... ...and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team... ...Collaborate with Branch Directors, Clinical Managers, and field clinicians Support...Remote workMonday to FridayWeekend workWeekday work- ...Employment:\n• Employment type: W2 contract, 6 months\n• Location: 100% Remote opportunity (DMV Area)\n\nOverview:\... ...with foundational workforce management experience looking to leverage their... ...the Workforce Analyst Two tier.\n• Utilize Microsoft Excel to manage, modify, and...Remote workContract workWork from homeShift work
- ...RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico... ...*Inpatient *Outpatient *Utilization Management *SRMC Care Management... ...for one work from home day after 6 months of employment and... ...interaction. · Primarily a remote work from home position once...Remote workFull timePart timeReliefWork from homeMonday to FridayNight shiftDay shiftWeekday work
$25 per hour
...compassionate registered nurse (RN) to join our growing... ...provide critical after‑hours support,... ...providers since 2008. Utilizing best‑in‑class technology... ...by leveraging our remote team of nurses to manage after‑hours care delivery... ...within your first 6 months of hire 3 weeks of...Remote jobHourly payFull timePart timeWork from homeAll shiftsMonday to FridayShift workNight shiftWeekend workAfternoon shiftWeekday work- Utility Project Support Specialist ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL... ...), limited‑term role for a duration of 12 months, extendable. Responsibilities Manage large amount of inbound and outbound phone...Remote workPart timeFixed term contractCasual workShift work
- ...To support the Ethos Medical Management Team, the full-time Utilization Review Specialist will ensure the efficient and timely processing of Utilization Management and Independent Review requests remotely, while maintaining compliance and delivering exceptional client...Remote workFull timeWork at office
- ...Treasury Specialist Arboreal Management · Finance & Accounting · Remote (Philippines) Title: Treasury Specialist... ...rather than by age: utilities at shutoff risk, taxes... ...deadline rather than after it. Raising a concern... ...process than repeat a month of guesswork....Remote workFull timeFor contractorsWork from homeMonday to Friday
$39.83 - $59.74 per hour
...clinics which includes 13 primary clinics, 6 specialty clinics, 4 urgent care/... ...implicit bias. About This Position The Utilization Management RN, under the supervision of the Utilization... ...Other Weekend Call Requirement: None Remote or On-site: Hybrid Remote- Must live in...Remote workFull timeContract workPart timeLive inShift workWeekend work
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