Utilization Management Nurse - LVN/LPN (Remote eligible)
$26.35 - $39.53 per hourNeueHealth
- Remote job
NeueHealth is seeking a Concurrent Utilization Review Nurse responsible for real-time clinical reviews to ensure the medical necessity of healthcare services. The role includes conducting assessments, coordinating with providers, and collaborating with the Medical Director on complex cases. Ideal candidates have strong clinical knowledge, exceptional communication skills, and 2-3 years of nursing experience, with a preference for utilization review background. This position offers health benefits, paid time off, and a reasonable wage range of $26.35-$39.53 per hour. #J-18808-Ljbffr NeueHealth
$60k
...Integra is looking for a LPN/LVN experienced in the managed care payor... ...service and post-service utilization reviews and appeals... ...requests that meet eligibility, benefit, and... ...Licensed Vocational Nurse, or Licensed Practical... ...opportunities Remote Opportunities We are...Remote workTemporary work$26.35 - $39.53 per hour
...Summary The Concurrent Utilization Review (UR) Nurse is responsible for... ...to members under a managed care health plan. This... .../Practical Nurse (LVN/LPN) with an active, unrestricted... ...office preferred / remote may be considered.... ..., employees are eligible for health benefits;...Remote workHourly payWork at office- ...Alignment Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing inpatient... ...leading a team of UM Nurses. This fully remote position demands strong communication skills and a valid California LVN or RN license. The role includes mentoring...Remote work
$85.7k - $128.54k
...while providing ample opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities Reviews reporting to assign tasks to... ...Must have and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact). Immediately upon...Remote jobImmediate start$30 - $35 per hour
...Department: Enhanced Care Management (ECM) Reports To: Registered Nurse Clinical Case... ...Vocational Nurse (LVN) serves as a vital... ...requires a combination of remote work, field-based... ..., and support eligible members. Participate... ...Health Group utilizes AI-assisted tools to...Remote workHourly payTemporary workWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift- ...Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to... ...precise and timely Utilization Review. In this role,... ...Identify and refer eligible members to disease management... ...aligned with Illinois nursing regulations and...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
$26.35 - $39.53 per hour
Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for... ...provided to members under a managed care health plan. This role... ...Vocational/Practical Nurse (LVN/LPN) with an active, unrestricted... ..., employees are eligible for health benefits; life...Hourly payWork at office- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
$71.1k - $97.8k
...A healthcare company is seeking a Utilization Management Registered Nurse to utilize clinical nursing skills... ...medical service determinations. This remote role requires an RN license and at... ...$71,100 to $97,800 annually, with eligibility for performance-based bonuses. Comprehensive...Remote work$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to support clinical coordination and benefit determinations. This remote role requires an RN license and at... ...$71,100 and $97,800 per year, with eligibility for a bonus incentive plan and a comprehensive...Remote work- ...Position: Licensed Vocational Nurse (LVN) Location: 11770 Bernardo Plz Ct Suite 270 Remote Status: On-Site Job Id: 997 # of... ...differentiated physician practice management platform with the goal of... ...and organizing patient flow and utilizing exam rooms efficiently; accompanying...Remote workWork at officeImmediate start
- ...Department: Utilization Management Schedule: M-F 8am-5pm Work Location: Remote Benefits for eligible positions generous paid time off paid parental leave Associate... .... What You Will Need ~ Registered Nurse credentialed from the Alabama Board of Nursing...Remote work
$71.1k - $97.8k
...services company is looking for a Utilization Management Registered Nurse based in Ohio. The role involves using... .... This position allows for remote work with occasional travel to company... ...71,100 - $97,800 per year, plus an eligibility for a bonus incentive plan. #J-1880...Remote work$71.1k - $97.8k
...leading healthcare company is seeking a Utilization Management Registered Nurse to use clinical skills in... ...providers. This position offers a remote work setup, with the opportunity for... ...is $71,100 to $97,800 additionally eligible for a bonus incentive plan. #J-1880...Remote work- ...Licensed Vocational Nurse (LVN) provides patient-... ..., chronic disease management, health promotion,... ...for referral of eligible applications will... ...responsibilities of the LVN/LPN include: Perform... ...visits and remote monitoring when assigned... ...cannot be utilized as an acceptable form...Remote workPermanent employmentSeasonal workLocal areaTrial periodRelocation packageFlexible hoursShift work
- ...Registered Nurse - Utilization Review (Nursing) Location: Aurora, CO. Location: Colorado Military... ...: Registered Nurse – Utilization Management. Current POP ends 11/30/25. TO POP ends... ...Certifications: BLS Certified/certification eligible in relevant specialty, such as...Remote workContract workWork from homeMonday to FridayNight shift
$32.01 - $68.55 per hour
...Position Summary This Utilization Manager position is with Aetna's Long... ...Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee will... ...other factors. The role is eligible for bonuses and incentives....Remote workHourly payFull timeLocal area10 hours per weekFlexible hours$30 - $34 per hour
...healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly pay- ...Utilization Review LVN Inspired by faith. Driven by innovation... ...Group in effective management of the managed care... ...authorization areas, in skilled nursing facility review or... ...flow. As a remote employee, we will... ...including checking eligibility on health plan websites...Remote workFull timeContract work
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management (24/7 Operations) Leverage your clinical expertise to make a broader impact. Join our Utilization... ...colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support...Remote workHourly payFull timeLocal areaAfternoon shift- ...Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor) HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading... ...staff to review charts • Coordinate, complete, and update management on clinical quality • Establish and maintain an action plan...Private practiceWork at officeMonday to Friday
$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management (24/7 Operations) Step away from bedside care and make a system-wide impact. Join our Utilization... ...geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive...Remote workHourly payFull timeTemporary workAfternoon shift- Future Opportunities: Nurse (LPN/LVN/RN) Positions - Join our Talent Network... ...Journal, is a public-sector management consulting firm serving... ...suitability requirements for eligibility. Vistant participates in E-... ...M/F/Vets/Disabled Telework/Remote Work policies are contingent...Remote workContract work
$26.01 - $74.78 per hour
...CVS Health Utilization Management Position We're building a world of health around every individual... ...+ years of experience as a Registered Nurse in adult acute care/critical care... ...other relevant factors. This position is eligible for a CVS Health bonus, commission or...Remote workHourly payFull timeTemporary workWork at officeAfternoon shift$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual —... ...Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant,... ...other relevant factors. This position is eligible for a CVS Health bonus, commission or...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday$71.1k - $97.8k
...a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret... .... Experience working in a fully remote, metrics-focused role. Experience... ...100 - $97,800 per year This job is eligible for a bonus incentive plan. This...Remote workBi-weekly payFull timeTemporary workApprenticeshipHome office$26.01 - $56.14 per hour
...Utilization Management Nurse (RN) – 24/7 Operations Location: Remote (Preference for CST/MT time zones) Schedule: Includes evenings, weekends, and holidays... ...geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-...Remote workHourly payFull timeTemporary workAfternoon shift$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work$71.1k - $97.8k
...A leading healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills for coordinating medical services. This remote position involves assessing care needs, communicating effectively with providers, and serving as part of a team ensuring...Remote work$29.1 - $62.32 per hour
...CVS Health is seeking an experienced Registered Nurse for a remote position focusing on Utilization Management. The role offers a flexible work schedule requiring weekend availability and entails assessing, planning, and coordinating healthcare services for members. The...Remote workHourly payFlexible hoursWeekend work
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