Remote Utilization Management RN for Care & Outcomes
Humana
Kansas City, MO
- Remote job
Humana is seeking an Utilization Management Nurse 2 to coordinate, document, and communicate medical services and benefit determinations. The role supports clinical decision-making with a focus on geriatric care and patient outcomes. Remote-friendly, Monday–Friday schedule, with travel to Humana offices as needed. Requires RN licensure in a compact state, 3+ years of clinical experience, and strong MS Word/Outlook/Excel skills. Bachelor's degree preferred. #J-18808-Ljbffr Humana
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management RN for Care & Outcomes in Kansas City, MO vacancy
- Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to work from home supporting Oregon, Washington, Idaho or Utah... ...for services, collaborating with physicians and care teams to improve outcomes. Ideal candidates hold an Associate or Bachelor’s in Nursing...Remote job
- Humana is seeking an Utilization Management Nurse 2 to apply clinical nursing skills... ...to support patient outcomes, with standard hours 8:00am-... ...Associate Degree in nursing, RN license in a compact state,... ...clinical experience with geriatric care, strong telephonic/virtual...Remote job
- ...Registered Nurse to join our Utilization Management team in a work-from-home... ...assess, plan, and coordinate care, applying clinical criteria... ...The role requires 3+ years RN experience, 1+ year in UM/Care... ...collaborate with providers, monitor outcomes, and ensure high-quality,...Remote jobWork from homeWeekend work
- Humana is seeking a Utilization Management Nurse 2 to support coordination, documentation, and communication... ...independent decisions to improve patient outcomes. The position operates Monday-Friday, 8:00am-5:00pm ET, with remote/work-from-home options and occasional travel...Remote jobWork from homeMonday to Friday
$70k - $75k
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance... ...-quality healthcare focused on outcomes and value inside and outside the... ...services Quality of care concerns Interfacing routinely...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuide-Health
Kenosha, WI2 days ago$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one... ...services, coordinating care, and ensuring members receive... ...care options for optimal outcomes Conduct utilization reviews...Remote workDaily paidContract workMonday to FridayShift workWeekend workThe Judge Group
Chicago, IL2 days ago- ...Medical Director on driving the decrease in care variance, to ensure timely discharges,... .... Reports to the Health Plan Manager of Utilization Management. This position will be an integral... ...maximizing the member’s health care outcomes. 4. Understands the Peer-to-Peer...Remote workCasual workWork at officeShift work
Peak Healthcare
United States2 days ago - ...Behavioral Health Utilization ManagerBehavioral Health Utilization Manager will perform concurrent and discharge... ...appropriate level of care. Notifies Medical... ...timely responses of the outcome to the provider based on... ...systems Work Schedule: Remote Other Requirements: Able...Remote workContract workWork experience placement
Harris Health System
Houston, TX3 days ago - CVS Health seeks a Registered Nurse (RN) for Utilization Management to ensure appropriate care through clinical review and coordination. You will review information... ...with providers to support optimal patient outcomes. Ideal candidates have an active RN license, 2+ years...Remote jobFlexible hours
- ...seeking a nurse to support utilization management. The Utilization Management... ...parties to improve patient outcomes. Qualified candidates will have... ...Degree in Nursing, an active RN license in a compact state,... ...experience including geriatric care, plus #J-18808-Ljbffr...Remote job
- Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to perform prospect, concurrent, and retrospective reviews from a remote setting across Oregon, Washington, Idaho... ...in Nursing or a related field, active RN licensure, and approximately 3 years of experience...Remote job
- University Health is seeking a Utilization Management Nurse RN for UH Truman Medical Center in Missouri. The... ...role manages resource use, supports care transitions, and advises care teams... ...discharge planning to improve patient outcomes. The position emphasizes collaboration...Remote job
- ...States is seeking a Registered Nurse (RN) for its Utilization Management team. You will review clinical... ...support coverage determinations and care recommendations, applying guidelines... ...you will facilitate quality patient outcomes, identify opportunities for care management...Remote job
- ...Health is seeking a Registered Nurse (RN) for Utilization Management to help ensure members receive appropriate care through evidence-based review and... ...collaborate with providers to improve outcomes. The role emphasizes flexible, remote work within the state and a 24/7...Remote jobFlexible hours
- Humana is seeking an Utilization Management Nurse 2 to coordinate, document, and communicate medical services... ...strong telephonic communication in a remote setting. The candidate will interpret clinical data to support patient outcomes, collaborate with internal teams, and...Remote job
- CVS Health is seeking a Registered Nurse (RN) for Utilization Management to help ensure members receive appropriate care through evidence-based clinical review and care... ..., applying guidelines, and promoting quality outcomes while offering a comprehensive benefits package...Remote jobFull time
- ...United States seeks a Registered Nurse (RN) for Utilization Management to review coverage and guide care decisions across the continuum. This... ...collaboration with providers to improve patient outcomes. The position is full-time and remote, with requirements for a flexible 24/7...Remote jobFull timeWork at officeFlexible hours
- ...Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the... ...administrative compliance. Unlike remote roles, this position relies... ...Nurse is a Registered Nurse (RN) responsible for performing... ...necessity or the current level of care.o Medical Provider Liaison:...Remote workFull timeImmediate startShift work
Wellstar Health Systems, Inc.
Augusta, GA24 days ago $113.73k - $170.46k
...patients receive high-quality care while efficiently utilizing medical resources. Reviews... ...on maximizing patient outcomes and optimizing resource allocation... ...~ Registered Nurse (RN) licensure in the state of... ...to the on-site care management teams when appropriate. Reviews...Remote workFull timeWork experience placement- ...seeking an experienced Registered Nurse (RN) to join our Utilization Management team, helping ensure members receive appropriate care at the right time through evidence-based clinical... ...management initiatives to optimize health outcomes. A flexible schedule supporting a 24/7...Remote jobFlexible hours
$63.1k - $94.65k
...enabled revenue cycle management solutions for... ...have current compact RN license, or be... ...seeking Virtual Utilization Review Specialist... ...utilization of health care resources and assists... ...necessity review outcomes to in-house care... ...Required: ~ This is a remote role which...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- CVS Health is seeking a Registered Nurse (RN) for Utilization Management to ensure appropriate care delivery and coordinate patient care with clinical teams.... ...coordination, and collaboration with providers to optimize outcomes. This full-time position requires an active RN...Remote jobFull timeFlexible hoursAfternoon shift
- ...hiring an experienced Registered Nurse (RN) for Utilization Management. In this role you will review clinical information... ..., apply guidelines, and coordinate care to ensure appropriate, high-quality outcomes. This full-time, remote position requires an active RN license, 2...Remote jobFull time
- ...Health is hiring a Registered Nurse (RN) for Utilization Management to assess and coordinate care, ensuring appropriate utilization and outcomes. You’ll work with providers and care teams... ...for a 24/7 operation. This remote, full-time position offers a comprehensive...Remote jobFull time
- CVS Health is seeking a Registered Nurse (RN) to join our Utilization Management team. You will help ensure members receive the right care at the right time through evidence-based... ...appropriate utilization and high-quality outcomes. Flexibility for evenings, weekends, and...Remote jobWeekend workAfternoon shift
- ...States is seeking an experienced Registered Nurse (RN) to join our Utilization Management team. You will review clinical information to determine coverage and coordinate care with providers to support quality patient outcomes. The role requires an active RN license, 2+...Remote jobFlexible hoursAfternoon shift
$101.72k - $198.36k
...California - Ability to work remote, but selected candidate... ...position requires California RN Licensure. Candidates must... ...of the following functions: utilization management, care management, behavioral health... ...training activities and outcomes. - Develops and mentors direct...Remote workContract workWork experience placementWork at officeLocal areaMolina Healthcare
Los Angeles, CA4 days ago- ...Health is seeking a Registered Nurse (RN) for Utilization Management. Join a collaborative team focused on... ...ensuring members receive appropriate care through evidence-based reviews and... ...coordinating with providers to promote quality outcomes. Flexibility to work evenings,...Remote jobWeekend workAfternoon shift
- ...Description Join our team as a remote (Oklahoma City) full time... ...and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health,... ...transfers to appropriate levels of care as indicated by clinical... ...impacting quality or outcomes. Participates in collecting...Remote workFull timeWork at officeWeekend work
INTEGRIS Health
New York, NY5 days ago $45 - $45.5 per hour
...Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months... ...appropriate health care services in... ...physician treatment plan. Utilizes clinical skills to assess... ...healthcare outcomes for members. Ensures... ...junior team members. RN and current unrestricted...Remote workContract workImmediate startMonday to FridayAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management RN for Care & Outcomes. Be the first to apply!
Related searches
- outpatient rn Kansas City, MO
- sedation rn Kansas City, MO
- 1099 rn Kansas City, MO
- ed rn Kansas City, MO
- registered nurse office Kansas City, MO
- labor & delivery rn Kansas City, MO
- registered nurse remote Kansas City, MO
- mother baby postpartum rn registered nurse Kansas City, MO
- injection rn Kansas City, MO
- gastroenterology rn Kansas City, MO