Remote Utilization Management Clinician (Temp)
Us
- Remote job
Lucet is seeking a Utilization Management Clinician for a remote, temporary assignment from 12/1/2026 to 6/30/2027. You'll review authorization requests, coordinate behavioral health care, and support discharge planning for our provider network. You must hold a current, unrestricted license to practice in the United States (clinical social work, LMFT, LPC, psychologist, or RN), have at least two years of direct clinical care, and demonstrate strong communication and documentation skills. #J-18808-Ljbffr Us
$45 per hour
...Job Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s managed care health plan client based out of Redding or Fairfield, CA. Anticipating to be temporary for at least...Temporary workRemote workContract workMonday to FridayWeekend work$35 - $37 per hour
...message the job poster from The Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate: $36-37/hr Start Date: April 7th... ...travel assignments. No NPs, whether practicing or not. Utilization Review experience is helpful but not required; critical...Temporary workRemote jobPermanent employmentFull timeMonday to Friday$54.1k - $116.76k
...simplify health care one person, one family and one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM – 8:30 PM EST Are you a licensed Behavioral Health professional or Psychiatric RN...Temporary workRemote workHourly payFull timeLocal areaMonday to FridayWeekday work$54.1k - $142.58k
...bigger – helping to simplify health care one person, one family and one community at a time. Behavioral Health Utilization Management Clinician 100% Remote | Nationwide | Shift Differential Eligible Are you a licensed Behavioral Health professional looking for a...Temporary workRemote workHourly payFull timeLocal areaShift workNight shiftWeekend work$60k
...is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual... ...~ Career development opportunities Remote Opportunities We are actively seeking new...Temporary workRemote workLocal area- ...Utilization Management RN Remote I'm currently working on a Utilization Management RN opportunity with a health plan client, supporting a temporary assignment during their Epic Tapestry system implementation and optimization. This is a contract role starting 10/15/...Temporary workRemote workContract workMonday to FridayShift work
$26.01 - $56.14 per hour
...bigger - helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Work from Home | 24/7 Operations Are you an experienced Registered Nurse looking to apply your clinical expertise...Temporary workRemote workHourly payFull timeWork at officeLocal areaWork from homeAfternoon shift$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and Guidehealth policies. This role applies...Temporary workRemote workBi-weekly payFull timeFor contractorsLocal areaWork from home$71.1k - $97.8k
About This Role The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication... ...patient care. Highlights Pay: $71,100 - $97,800/year Location: Remote, KY Schedule: Full-time What You'll Do Utilize clinical...Temporary workRemote workFull time$35 - $40 per hour
...offerings for clinical, case management, member engagement, provider... ...and analytics. Job Title RN Utilization Management Reviewer... ...as needed. Work closely with clinicians, medical staff, and peer reviewers... ...require weekends. Location: Fully remote work at home role. Secure,...Temporary workRemote workHourly payMonday to FridayFlexible hoursWeekend work$29.1 - $62.32 per hour
...simplify health care one person, one family and one community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate...Temporary workRemote workHourly payFull timeWork at officeLocal areaMonday to Friday- ...healthcare organization providing medical, dental, vision, Medicare, and Medicaid health plans, seeks an experienced Utilization Management Nurse (RN) for a remote opportunity supporting inpatient utilization review, medical necessity determinations, and facility claims...Temporary workRemote workContract workWork at officeLocal area
$29.1 - $62.32 per hour
...helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare Home Care) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond...Temporary workRemote workHourly payFull timeWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$26.01 - $56.14 per hour
...of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) - Remote Must Reside in Oklahoma. Join a collaborative team dedicated to helping members receive the right care,...Temporary workRemote workHourly payFull timeWork at officeLocal areaWork from homeMonday to Friday$26 - $28 per hour
...mandates are adhered to at all times. Qualifications MUST HAVE Utilization Management experience MUST BE a Registered Nurse Need at least 2-4... ..., Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is...Temporary workRemote jobContract workWork from home- ...compassionate people are united in bringing the most advanced care to our neighbors throughout the region. Organization: Utilization Management Job Summary: Facilitates optimal reimbursement through accurate certification and complete chart documentation ensuring...Temporary workRemote workFull timeWork experience placementLive outFlexible hours
$60.53k - $129.63k
...health care one person, one family and one community at a time. Remote UM Nurse Consultant RN Precertification Nurse (Telework)... ...We are seeking an experienced Registered Nurse to join our Utilization Management team in a fully remote Precertification Nurse role. Preference...Temporary workRemote workHourly payFull timeWork at officeLocal areaWork from homeMonday to Friday- Centene is hiring a Utilization Review Clinician - Behavioral Health for a fully remote position, serving members nationwide with a focus on mental health and substance abuse utilization management. The role emphasizes clinical reviews, prior authorizations, and data-driven...Remote job
$35 - $40 per hour
...offerings for clinical, case management, member engagement, provider... ...5 countries. Job title: RN Utilization Management Reviewer Job... ...needed Works closely with Clinicians, Medical Staff and Peer Reviewers... ...weekends This is a fully remote work at home role. You must...Temporary workRemote workHourly payCurrently hiringMonday to FridayFlexible hoursWeekend work- Centene Management Company LLC is seeking a qualified professional to review member care and health status related to ABA services. The... ...prior authorization for BH, analysis of data to improve utilization, and coordination with providers to ensure medically appropriate...Remote job
- ...into the clinical record for review by the utilization review specialist. Review and determine... ...Specialist, discuss potential case management referrals with the case management supervisor... ...Utilization Review Coordinator LPN (Remote) Support Job Utilization Review Coordinator...Temporary workRemote jobFull timeWork at office
$27.02 - $48.55 per hour
...Business Area: Clinical & Care Management Job Type: Full time... ...Key Details: This fully remote role supports the Ambetter /... ...United States and have prior utilization management or review experience... ...degree for behavioral health clinicians required. Clinical...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- Lucet is seeking an Utilization Management Clinician to review initial and concurrent authorizations, coordinating behavioral health care with our... ...communication and documentation skills. This position is remote with company-provided equipment and requires compliance with...Remote job
$71.1k - $97.8k
Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination... ...Care Guidelines or Interqual. Experience working in a fully remote, metrics-focused role Experience as an MDS Coordinator or...Temporary workRemote workBi-weekly payFull timeApprenticeshipWork at officeHome office- ...search of a highly motivated candidate to join our talented Team. Position: Utilization Management Specialist - 49937-1 Duration: 6 Months - Temp to perm. Location: 100% Remote (Baltimore, MD) Must Have Skills: ~ UM experience ~ RN/LPN state licensing...Temporary workRemote workPermanent employmentWork experience placementWork at office
$63.1k - $94.65k
...provider of technology-enabled revenue cycle management solutions for health systems, including... ...to apply. Schedule Information: Our Utilization Review team provides coverage seven days... ..., and Abilities Required: This is a remote role which requires access to high speed...Temporary workRemote workWork at officeLocal areaFlexible hoursShift work$130k
...Utilization Management Pharmacist (temp-to-hire) Remote About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated...Temporary workRemote workLocal areaFlexible hoursShift workWeekend work$72k - $77k
...Professional development opportunities and tuition reimbursement Remote work flexibility (role-dependent) Opportunity for... ...member at a time. What You Will Do - Essential Functions The Utilization Management Clinician is responsible for reviewing and completing initial and...Remote workContract workWork from homeFlexible hours$71.14k - $115.86k
...Behavioral Health Utilization Management Clinician Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current... ...organizations, ensuring data protection and integrity. #LI-Remote Pay ranges vary based on the candidate's work location...Remote workFull timeWork at officeImmediate startWork from homeFlexible hours- CVS Health Corporation invites Florida-licensed LBA/BCBA professionals to join a 100% remote Utilization Management team. This Clinical Consultant role focuses on evidence-based behavioral analysis and autism services, ensuring medical necessity and optimal resource use...Remote jobWork at office
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