Remote UM Nurse Consultant - Spine Care Expert
Santa Barbara Cottage Hospital
- Remote job
Santa Barbara Cottage Hospital is seeking an experienced Utilization Management Nurse Consultant for a remote role with the Spine Team. You will review spine-related authorizations, apply criteria, and collaborate with providers and Medical Directors to ensure medically necessary care. The position requires an active RN license, 3–5+ years of nursing experience, and strong analytic, communication, and documentation skills. #J-18808-Ljbffr Santa Barbara Cottage Hospital
$29.1 - $62.32 per hour
...surrounded by passionate colleagues who care deeply, innovate with purpose, hold... ...at a time. Utilization Management Nurse Consultant, Specialty Spine Team (Remote) Schedule Monday-Friday, 8:00 AM-5:... ...? Join our Utilization Management (UM) Spine Team and play a critical...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to Friday- CVS Health is seeking an UM Nurse Consultant to perform utilization management reviews for post-acute services, ensuring medical necessity and appropriate care using clinical criteria. The role supports care transitions and requires strong clinical judgment and prioritization...Suggested
$26.01 - $56.14 per hour
...passionate colleagues who care deeply, innovate with... ...management (UM) reviews and authorization... ...services, including Skilled Nursing Facilities (SNF), Inpatient... ...of care. The UM Nurse Consultant evaluates medical... ...Experience working in a remote environment. Education...Remote workHourly payFull timeTemporary workLocal area$26.01 - $56.14 per hour
...Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and... ...family and one community at a time. NICU Utilization Management Nurse Consultant (Remote) Are you passionate about improving outcomes for the most...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home$26.01 - $56.14 per hour
...Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves... ...and one community at a time. Utilization Management Nurse Consultant (RN) - Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home- ...people who build it. We move fast, we care about craft, and we're proud of what we'... ...Engagement Type - Full time, fully remote consultant; ~6 - 24 month engagement Nearmap's Roof... ...to serve as a full-time Subject Matter Expert (SME) Consultant embedded within the REM...Remote workFull timeContract workFor contractorsOverseas
- ...Description Are you a registered nurse ready to take your career in... ...,safeguard the quality of care, and influence healthcare... ...for vulnerable populations Remote work - enjoy the convenience... ...Be available as a full-time consultant, approximately 37.5 hours per...Remote workFull timeTemporary workWork at officeWork from home
- ...Registered Nurse: Review and Evaluation Are you a registered nurse ready to take your... ...vulnerable populations, safeguard the quality of care, and influence healthcare outcomes on a... ...outcomes for vulnerable populations Remote work enjoy the convenience and balance of...Remote jobWork from home
- ...dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient... ...outpatient utilization reviews, support transitions of care, and ensure compliance with Medicare Advantage regulations...Remote job
$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... ...and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate will work...Remote jobWeekend work- ...Bridge seeks an experienced Claims Review Nurse to resolve healthcare claim disputes under... ...accuracy and professional integrity. This remote position supports state-wide health plan disputes... ...and at least five years of patient care experience, and emphasizes compliance with...Remote job
- ...Regional MDS / PDPM / CMI / RAI Consultant Are you ready to make a change? We are... ...PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix... ...Index, and RAI support to our long-term care and skilled nursing facilities. This position will...Remote workHourly payLocal areaNight shift
$40 - $45 per hour
...PharMerica Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a variety of settings such as Pharmacy, Home Health, Hospice, Residential and Private...Remote workWork experience placementWork at office- ...change?We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our long-term care and skilled nursing facilities.This position will provide regional oversight to ensure accurate...Remote workHourly payLocal areaNight shift
- CVS Health seeks a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations through clinical review, care coordination, and evidence-based decision-making. This remote role requires an active RN license, NICU nursing experience, and familiarity...Remote jobWork from home
- ...Nurse Consultant The purpose of this remote part-time temporary position is to facilitate the conduct of oncology clinical trials, including subject and... ...and driving discoveries that shape the future of cancer care. Minimum Education and Experience Requirements -...Remote workTemporary workPart timeWork at officeLocal area
- ...recover meaningful revenue to enhance quality patient care in their communities. We're powered by people,... ...holidays and generous paid time off Location: Remote-USA The Role: Denial Prevention Nurse Consultant Primarily responsible for thorough review of medical...Remote workWork at officeWork from home
$77.58k - $150.32k
...professionals, including doctors, nurses, business people, tech experts, researchers, and systems... ..., we support patient care, research, teaching, and... ...administration, or healthcare consulting 5-7 years required... ...Constantly (67-100%) Remote Type Hybrid Work Location...Remote workDaily paidLocal areaShift work- ...from Richmond, CA, may work fully remote. Regardless of residency distance... ...policy. As a technical expert in tuberculosis (TB) control, the nurse consultant will provide clinical and case management... ...expertise related to TB care and case management. Consults...Remote workLocal area
$28 - $53 per hour
...piercing is performed by licensed nurses and guided by our Rowan... ...where customers feel confident, cared for, and excited to participate... ...promote customer safety. Use your expert knowledge of skin care and... ...these values as we grow. In a remote setting, interviewing at Rowan...Remote workHourly payFull timeLocal areaFlexible hoursShift workWeekend work- ...Health is seeking a Utilization Management Nurse Consultant (Clinical Precertification RN, Medicare) to... ...coverage using evidence-based guidelines in a remote, full-time weekday schedule. You will collaborate with providers and care teams, applying clinical judgment to...Remote jobFull timeWeekday work
- CVS Health is seeking a NICU Utilization Management Nurse Consultant to support high-risk neonatal populations. The role involves clinical review, care coordination, and evidence-based decision-making across remote settings. You will collaborate with neonatologists, hospitals...Remote job
- CVS Health in Idaho is seeking an Appeals Nurse Consultant to process the medical necessity of Medicare Part C appeals. This full... ..., and a supportive team focused on safe, quality care. The role supports remote work within the U.S. time zones. #J-18808-Ljbffr CVS HealthRemote jobFull timeWeekend work
- ...annual, and OBRA-required). Ensure resident care plans and supporting documentation meet... ..., and OBRA documentation. Review nursing notes to ensure clarity, accuracy, and alignment... ...travel opportunities. Hybrid schedule (remote and on-site). Supportive, collaborative...Remote workFull timeContract work
$73.92k - $92.4k
...precertification coordinator, the nurse consultant is primarily responsible for... ..., and alternative care requests. Work Location This... ...position is eligible to work remotely, hybrid or onsite in accordance... ...Precertification/Utilization Management (UM) preferred Licenses and...Remote workContract workImmediate startRelocationAfternoon shift- ...International Consultant As an International Consultant... ...to improve patient care, quality of care, and safety... ...as a subject matter expert for assigned methodologies... ...'s health status. Nurse: Graduate of an approved... ...e.g., emergency exits, remote storage areas,...Remote workContract workCurrently hiringLong distanceFlexible hours
- ...Registered Nurse (RN) Opportunity at Sentara Obici Hospital Suffolk... ...Nurse (RN) to join our Ortho/Spine/Bariatrics Unit! We have... ...provide high-quality, short-stay care. The team also sees high... ...positions that are available as remote work, Sentara Health employs associates...Remote workTemporary workRelocation packageShift workNight shift
- ...CENTER INC. in Addison, Texas seeks a Registered Nurse to advocate for patients and provide continuity of care across the healthcare team, aligned with the facility... ...two years of surgical floor experience focused on spines and joints. You will perform assessments, plan and...
$38.91 - $60.31 per hour
UCHealth in Colorado is seeking a dedicated Registered Nurse for the Operating Room with a strong focus on patient care, teamwork, and evidence-based practices. The ideal candidate should have an accredited nursing degree, RN licensure, and at least six months of operating...Hourly pay$72.07k - $74.23k
A healthcare provider in New York is seeking a clinical nurse to contribute to a compassionate environment for patients. Key responsibilities... ...sound nursing judgment and provide primary and emergency care. This role offers a salary range of $72,072.00 - $74,229.26. #J-...Night shift
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