Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Inpatient Utilization Nurse (RN)

CVS Health Corporation

New York, NY
  • Remote job

CVS Health is seeking a Concurrent Review Nurse (RN) for a 100% remote role. In this inpatient-focused position, you will review admissions and ongoing stays to ensure appropriate, high-quality, cost-effective care across the patient journey. You will collaborate with hospitals, physicians, and care teams, participate in rotating weekend and holiday on-call coverage, and leverage evidence-based guidelines (MCG/InterQual) while pursuing Louisiana licensure and potential additional state #J-18808-Ljbffr CVS Health Corporation

Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the Remote Inpatient Utilization Nurse (RN) in New York, NY vacancy
  • Centene Management Company LLC is seeking a qualified nurse reviewer to conduct concurrent inpatient and pediatric/adult case reviews to validate medical...  .... Responsibilities include educating providers on utilization processes, sharing feedback with leadership for process... 
    Remote job

    Centene Management Company LLC

    Louisiana, MO
    18 hours ago
  •  ...Health Plan in the United States is seeking an Inpatient Utilization Management Clinician to evaluate inpatient...  ...discharge planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and experience with InterQual guidelines... 
    Remote work
    Full time

    Well Sense Health Plan

    United States
    4 days ago
  • CVS Health Corporation is seeking a Concurrent Review Nurse (RN) for a 100% remote role. The position involves reviewing inpatient stays, collaborating with care teams, and ensuring appropriate care levels in a remote setting. Requires 5+ years inpatient nursing, strong... 
    Remote job

    CVS Health Corporation

    Austin, TX
    1 day ago
  • CVS Health is seeking an experienced radi-? nurse for a 100% remote Concurrent Review RN position. The role supports inpatient reviews, discharge planning, and care transitions across the continuum. Required is an active Louisiana RN license (or Compact), with 5+ years... 
    Remote job
    Weekend work

    4004 Aetna Medicaid Administrators

    Louisiana, MO
    6 hours ago
  • Cambia Health Solutions seeks an UM IP Clinical Specialist to review inpatient utilization requests, research information, and coordinate with clinicians to support efficient reviews. The role emphasizes accuracy, timeliness, and adherence to regulatory standards. Work-... 
    Remote job
    Work from home

    Cambia Health Solutions

    Seattle, WA
    6 hours ago
  • $89.54k - $136.47k

     ...Beach General Hospital is hiring an Inpatient Case Manager/ Registered Nurse (RN) for the Emergency Dept (ED)!...  ...management. Promotes effective utilization and monitoring of health services,...  ...For positions that are available as remote work, Sentara Health employs associates... 
    Remote work
    Permanent employment
    Full time
    Temporary work
    Relocation package
    Shift work

    Sentara Health

    Virginia Beach, VA
    3 days ago
  • $89.54k - $136.47k

     ...Sentara Leigh Hospital is hiring an Inpatient Case Manager/ Registered Nurse (RN) for Emergency Dept (ED)! This...  ...management. Promotes effective utilization and monitoring of health services,...  ...For positions that are available as remote work, Sentara Health employs... 
    Remote work
    Permanent employment
    Full time
    Temporary work
    Relocation
    Relocation package
    Shift work

    Sentara Health

    Norfolk, VA
    13 days ago
  • $89.54k - $136.47k

     ...Norfolk General Hospital is hiring an Inpatient Case Manager/ Registered Nurse (RN)! This position is eligible for...  ...management. Promotes effective utilization and monitoring of health services,...  ...positions that are available as remote work, Sentara Health employs... 
    Remote work
    Permanent employment
    Full time
    Temporary work
    Relocation package
    Monday to Friday
    Shift work
    Weekday work

    Sentara Health

    Norfolk, VA
    3 days ago
  • $7.5k

     ...currently hiring a Registered Nurse to join the Inpatient Rehabilitation Nursing...  ...The Registered Nursing (RN) is responsible to perform...  ...quality, evaluation, resource utilization, and environmental health)...  ...positions that are available as remote work, Sentara Health... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Currently hiring
    Relocation package
    Shift work

    Sentara Health

    Norfolk, VA
    15 days ago
  • $70k - $75k

     ...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities...  ...treatment plans, Intensity and duration of inpatient or outpatient services, Quality of care concerns.... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home

    Guidehealth

    United States
    2 days ago
  •  ...Job Posting Aug 11, 2026 Registered Nurse (RN) - Inpatient Adult Unit - ( 26161922 ) Natchaug Hospital doesn't just take great care of...  ...as per diem schedules are available. The Registered Nurse utilizes psychiatric/chemical dependency nursing skills as a direct... 
    Remote work
    Daily paid
    Part time
    Relocation package
    Shift work

    Hartford HealthCare at Home

    United States
    5 days ago
  • $77.91k - $116.86k

     ...saving them. Together.Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you will...  ...maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact) Immediately upon... 
    Remote work
    Full time
    Immediate start
    Monday to Friday

    Alignment Health

    Arizona
    1 day ago
  •  ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital...  ...and Medicaid Services "CMS" Inpatient List). They effectively and...  ...employment or compact required RN license in state of employment or... 
    Remote work
    Full time

    CHRISTUS Health

    Alamogordo, NM
    2 days ago
  •  ...HolidaysWork-life balance.Remote settingRole Description:This individual will utilize clinical knowledge and...  ...sets and acceptable nursing practice guidelines for...  ...outpatient treatment or inpatient confinement. This individual...  ...but is not limited to RN, LMSW, LMHC.Must have... 
    Remote work
    Temporary work
    Work at office
    Monday to Friday
    Flexible hours

    Hines

    Rockford, IL
    4 days ago
  •  ...PURPOSE AND SCOPE: The Inpatient Services Charge Nurse is an additional “responsibility” assigned to the Inpatient Services RN, for a limited period of time, and for specific additional...  ...patient scheduling and staff utilization in accordance with the TAP scheduling... 
    Full time
    Local area

    Fresenius Medical Care

    Montgomery, AL
    1 day ago
  •  ...General Hospital is hiring an Inpatient Case Manager RN to work full-time 40 hours...  .... Promotes effective utilization and monitoring of health services...  ...Requirements: 12 months nursing experience Registered Nurse...  ...positions that are available as remote work, Sentara Health... 
    Remote work
    Full time
    Temporary work
    Relocation package
    Shift work

    Sentara Health

    Norfolk, VA
    3 days ago
  • $34.57 - $57.69 per hour

     ...PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company...  ...credentialed physician, patient hospital primary nurse and others as indicated.  Delivers...  ...shooting when necessary; efficiently utilizes supplies to prevent waste.... 
    Hourly pay
    Full time
    Work experience placement
    Local area
    Shift work
    Night shift

    Fresenius Medical Care

    Decatur, IL
    3 days ago
  •  ...PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company...  ...credentialed physician, patient hospital primary nurse and others as indicated. Delivers...  ...shooting when necessary; efficiently utilizes supplies to prevent waste.... 
    Full time
    Local area
    Shift work
    Night shift

    Fresenius Medical Care

    Louisville, KY
    18 hours ago
  • Centene Management Company LLC is seeking a remote Nurse Reviewer to perform concurrent reviews, determine the member’s health status,...  ...Affairs and discharge planning teams while educating providers on utilization processes. The ideal candidate holds a nursing degree with 5+... 
    Remote job

    Centene Management Company LLC

    Seattle, WA
    6 hours ago
  • CorVel in the United States is seeking a Utilization Review Case Manager to gather demographic and clinical information...  ..., and assign appropriate length of stay for inpatient and outpatient treatment. This remote role requires strong CPT/ICD coding knowledge, meticulous... 
    Remote job

    NurseRemotely

    New York, NY
    4 days ago
  • $30 - $38 per hour

    A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification... 
    Remote job
    Hourly pay
    Part time

    Personify Health, Inc.

    New York, NY
    3 days ago
  • Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical...  ...Qualified candidates should have an active Maine RN license and at least 3 years of inpatient clinical experience. Additional benefits... 
    Remote job
    Flexible hours

    kozmetickesluzby.vecnakraska.sk - Jobboard

    Caribou, ME
    3 days ago
  • $55 - $65 per hour

    Gridnaut Recruiting is hiring a remote Pediatric Inpatient Nurses (RN) contractor (pay $55-$65/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: Remote contractor engagement supporting a leading AI lab.; Remote AI evaluation / expert contributor... 
    Remote work
    Hourly pay
    Temporary work
    For contractors
    Flexible hours

    Gridnaut Recruiting

    Remote
    a month ago
  • $63.1k - $94.65k

     ...Our partner is looking for a Utilization Review RN based in the United States....  ...operations. In this part-time, remote role, you will apply your...  ...opportunity for a registered nurse who combines strong clinical...  ...Conduct clinical reviews of inpatient admissions, observation... 
    Remote work
    Temporary work
    Part time
    Work at office
    Work from home
    Flexible hours
    Shift work
    Afternoon shift

    Jobgether

    Remote
    1 day ago
  •  ...Management Location: 100% Remote Schedule: M-F 9:00am...  ...have an Illinois state RN license Assess and...  ...Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization...  ...IL State Registered Nursing (RN) license in good... 
    Remote work
    Contract work

    Integrated Resources, Inc ( IRI )

    Springfield, IL
    3 days ago
  • $35 - $45.94 per hour

     ...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review...  .... Work Location: This is a remote position, open to candidates...  ...: Active, unrestricted RN licensure from the United States...  ...conducting concurrent or inpatient reviews for a managed care plan... 
    Remote work
    Hourly pay
    Full time
    For contractors
    Work from home
    Relocation
    Home office
    Weekend work

    Oscar Health

    New York, NY
    2 days ago
  • CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically necessary care across...  ..., 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an... 
    Remote job
    Work from home
    Monday to Friday
    Weekend work

    CVS Health Corporation

    Jackson, MS
    1 day ago
  • Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside in the tri...  ...an active PA license or a Nurse Licensure Compact to...  ...determine medical necessity for inpatient admissions, continued... 
    Remote work
    Immediate start
    Day shift

    The Judge Group

    New York, NY
    1 day ago
  • ## RN - Inpatient Behavioral HealthApply: Onsite: Northampton-MA: Part time...  ..., including doctors, nurses, business people, tech experts...  ...milieu and determining how to utilize the milieu to meet patient’s...  ...Hampshire and Franklin counties.**Remote Type**Onsite**Work Location**... 
    Remote work
    Hourly pay
    Part time
    Work from home
    Shift work
    Night shift

    Homebase Limited

    Northampton, MA
    5 days ago
  •  ...opportunity for a local remote position. There is no...  ...commercial, behavioral health, inpatient, etc.) Full-time; 40...  ...2 years of RN experience performing care...  ...hospitalized patients 2 years of Utilization Review (UR) experience...  ...Education Nursing Diploma/Associate's -... 
    Remote work
    Full time
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    BJC HealthCare

    Saint Louis, MO
    18 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Inpatient Utilization Nurse (RN). Be the first to apply!