Average salary: $94,139 /yearly
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$78.56k - $110.91k
...Remote Facility: Ascension St Thomas Department: Utilization Management Schedule: Full Time | Days Salary: $78,561.60 - $11... ...as home health, medical equipment, or transfers to skilled nursing facilities. Compliance & Reporting: Overseeing adherence...SuggestedFull timeLocal areaRemote workAscension
Nashville, TN19 hours agonew- ...embedded Healthguides™ and a centralized Managed Service Organization to build stronger... ...centered care through precise and timely Utilization Review. In this role, you will apply clinical... ...and growth aligned with Illinois nursing regulations and contemporary clinical practice...SuggestedBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from home
Guidehealth
Chicago, IL3 days ago - ...Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301 Wilshire Blvd Los Angeles, CA... ...Opportunities Job Summary We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the...SuggestedFor contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
Presidential Staffing Solutions, LLC
Los Angeles, CA2 days ago $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, documentation and communication of medical services and benefit administration determinations. You will report to...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeHumana
Richmond, VA2 days ago$90.86k - $136.29k
...Utilization Management Concurrent Review Nurse The Utilization Management Concurrent Review team reviews the inpatient stays for our members and correctly applies guidelines for nationally recognized levels of care. In this role you will perform first level determination...SuggestedFull timeContract workWork at officeRemote workBlue Shield Of California
Oakland, CA4 hours agonew$72.8k - $130k
...Requisition number: 2346557 Job category: Nursing Optum Insight is improving the flow... ...reduce costs while improving risk management, quality and revenue growth. Ready to... ...work based on business needs. As a Sr Utilization Management Nurse in the Boston MA...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote workUnitedHealth Group
Plymouth, MA3 days ago$71.1k - $97.8k
...Become a part of our caring community The Utilization Management RN will collaborate with other health care givers in reviewing medical care... ...related field Active and unrestricted Compact Registered Nurse (RN) license with no disciplinary action (including Nevada)...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeWeekend workCenterwell
Phoenix, AZ4 days ago- ...Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating Healthcare Services clinical policies, guidelines...SuggestedRemote work
Macpower Digital Assets Edge
United States1 day ago - ...Your Role The Utilization Management Concurrent Review team reviews the inpatient stays for our members and correctly applies guidelines... ...levels of care. The Utilization Management Concurrent Review Nurse will report to the Utilization Management Nurse Manager. In...SuggestedFull timeWork at office
Blue Shield of CA
Long Beach, CA3 days ago $40 per hour
...Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through Saturday, 8:00 AM - 5:00 PM PST Compensation: $40 per hour...SuggestedHourly payPermanent employmentTemporary workWork at officeRemote workMorgan Stephens
United States21 hours ago$45.75 - $62.9 per hour
...Note: This is a fulltime prior authorization nurse role; experience with health plan authorization process is strongly preferred... ...Under the supervision of the Supervisor, UM Clinical, the Utilization/Case Manager Nurse coordinates the delivery of care through assessment,...SuggestedFull timeRemote workRady Children's Hospital
San Diego, CA2 days ago- ...Utilization Management Nurse Schedule: Full-Time, Onsite Monday-Friday in Miami, FL. Description: The Utilization Management Nurse (RN or LPN) is responsible for coordinating, monitoring, evaluating, and managing utilization review activities and authorization requests...SuggestedFull timeMonday to Friday
Impresiv Health
Miami, FL5 hours agonew $74.26k - $111.39k
...Utilization Management Nurse - RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers...SuggestedFull timeContract workWork at officeNeueHealth
Encino, CA4 hours agonew$45 - $52 per hour
...Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary The Utilization Management Nurse supports patients through the continuum of care by collaborating with physicians, case managers, discharge planners,...SuggestedTemporary workLocal areaShift workMedix
Orange, CA4 days ago$35 - $50 per hour
**Medical Coders Welcome** *Job Title*: Nurse Chart Reviewer *Location*: West Hills/Canoga Park 91305 *(This role is HYBRID... ...(LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims processes...SuggestedContract workTemporary workTEKsystems
Canoga Park, CA1 day ago- ...9250 NW 36th St, Miami, FL 33178. Position Summary: Under the supervision of the Health Services Director, the Utilization Management Nurse (LPN or RN) uses a multidisciplinary approach to organize, coordinate, monitor, evaluate, create and manage organization...Contract workWork at officeLocal areaMonday to Friday
SOLIS Health Plans
Miami, FL4 days ago - ...Utilization Management Policy Initiatives Nurse RN II The Utilization Management Policy Initiatives Nurse RN II, under the purview of the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating healthcare...
MDA Edge
Los Angeles, CA21 hours ago $26.01 - $68.55 per hour
...care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends,... ...reviewing clinical information from providers. Precertification nurses use specific criteria to authorize procedures/services or...Hourly payFull timeTemporary workAfternoon shiftOak St. Health
United States4 hours agonew$34.01 - $58.5 per hour
...afternoons on site at BroMenn pending census and need. ) ( Nursing RN2yrs Case management Preferred) Assures appropriate admission decisions... ...rounds and discharge planning for Eureka Swing Bed patients. Utilizes the five components of case management: assessment,...Work experience placementLocal areaMonday to FridayShift workCarle Health
Eureka, IL1 day ago- ...Utilization Management Nurse Consultant Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in...Work at officeWeekend work
Careers Integrated Resources Inc
Downers Grove, IL5 hours agonew $26.01 - $68.55 per hour
...family and one community at a time. Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends,... ...reviewing clinical information from providers. Precertification nurses use specific criteria to authorize procedures/services or...Hourly payFull timeTemporary workLocal areaAfternoon shiftCVS Health
Richmond, VA1 day ago- Utilization Management / Medical Management Nurse — California HMO (JR179164) Virtual: This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. This approach promotes...Full timeWork at officeLocal areaShift work
RN, Registered Nurse- Pre-Certification Pharmacy Review (Utilization Management Pharmacy experi[...]
RN, Registered Nurse - Pre-Certification Pharmacy Review 1 day ago Be among the first 25 applicants. Direct message the job poster... ...for reviewing and processing coverage determinations and utilization management reviews for specialty medications, to include site of care...Full timeWork at office$71.1k - $97.8k
A leading health services company is looking for a Utilization Management Registered Nurse based in Ohio. The role involves using clinical skills to support the coordination and documentation of medical services. Candidates should possess a Compact RN license and at least...Remote jobUtilization Management Nurse RN - Care Continuity - UH Truman Medical Center (5 days per week; [...]
...considered, you must apply via the internal career site. Please log into myWORKDAY to search for positions and apply. Utilization Management Nurse RN - Care Continuity - UH Truman Medical Center (5 days per week; 7:30a-4:00p; Mon-Fri) Job Location: Work From Home-City...Full timeWork from home- This position will have well-developed knowledge and skills in utilization management (UM), medical necessity, and patient status determination.... ...regulations/guidelines/criteria related to UM. The UM Nurse effectively and efficiently manages a diverse workload in a...Work at office
$36.57 - $51.96 per hour
Career Opportunities with Matrix Providers Matrix Providers is hiring a Registered Nurse - Utilization Management to join our team of talented professionals who provide health care services to our Military Service Members and their families in at Buckley AFB, Aurora,...Hourly payFull timeContract workWork at office$71.1k - $97.8k
A healthcare company is seeking a Utilization Management Registered Nurse to support coordination and communication of medical services. The role requires a Compact RN license and over a year of clinical experience in relevant settings. Responsibilities include interpreting...Remote job- ...& development Vision insurance Location: Outpatient Case Management West Los Angeles VAMC, 11301 Wilshire Blvd, Los Angeles,... ...Angeles VA Medical Center. Job Summary: We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse, you...Work at officeRelocation packageFlexible hours
$65k - $88.6k
Become a part of our caring community and help us put health first The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office
