Average salary: $94,139 /yearly
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- ...Job Description The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases are...SuggestedFull timeWork at officeRemote work
North East Medical Services
Daly City, CA13 days ago - ...Utilization Management Rn McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier... ...in state providing services. Two (2) years clinical nursing experience. One (1) year previous experience in Managed...Suggested
Michigan Staffing
Flint, MI16 hours ago - ...Search by title, keyword or req # Search by City, State Within State/Facility Search by Job Family Viewing: Utilization Management Registered Nurse Make a difference every day in the lives of the underserved Join a mission driven organization with a people...SuggestedWork at office
Wellpath / Correct Care Solutions
Fort Lauderdale, FL2 days ago $80k - $95k
...Utilization Management Registered Nurse Founded in 2007, The Oncology Institute (NASDAQ: TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting-edge, evidence-based cancer care to a population...SuggestedRemote workThe Oncology Institute of Hope and Innovation
Concord, CA3 days ago$39.78 - $54.6 per hour
...Registered Nurse I Review all inpatient medical necessity denials for the health system... ...guidelines. Responsibilities include managing the workflow with the standard UM... ...needed) and retrospective reviews. The Utilization Management Nurse will act as a resource...SuggestedWork at officeLocal areaFlexible hoursSt. Lawrence Health System
Rochester, NY5 hours ago$58.8k - $105k
...Clinical Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...SuggestedMinimum wageFull timeWork experience placementLocal areaAfternoon shiftWisconsin Staffing
Waukesha, WI2 days ago- ...Utilization Review RN The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. This position... ...for Hire: Licensed Registered Nurse in the State of Virginia or eligible Licensure...SuggestedRemote workFlexible hours
VCU Health
United States5 hours ago - ...VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire experienced Registered Nurses to work in our Inpatient Case Management/ Utilization Management (UM) Program. Incumbents are expected to assess complex patients, formulate discharge Management, Registered...Suggested
TIBCO Software
Los Angeles, CA5 days ago - ...probation to work independently. Must have three years or more in utilization management and be able to communicate strongly verbally and in written... ...Education/Training: Graduate of an approved school of nursing. Licensure/Certification: Must hold and maintain a...SuggestedLocal areaRemote workTrial period
Orlando Health
Orlando, FL5 hours ago - ...The RN Utilization Management is responsible for the overall Utilization Management process for assigned patient population. This includes reviewing... ...of care assignment, along with the completion Registered Nurse, Management, Clinical, Nurse, Registered, Per Diem,...SuggestedDaily paid
AtlantiCare
Pleasantville, NJ5 hours ago - ...Healthcare Downtown Campus, is looking for a Nurse Clinician to functions as a clinical... ...reviews as directed in the hospital's Utilization Review Plan and review of medical records... ...concurrent and retrospective utilization management-related reviews and functions to ensure...SuggestedLocal areaMonday to FridayShift work
University of Iowa Hospitals & Clinics
Iowa City, IA1 day ago - ...Registered Nurse Utilization Manager Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM). The Nurse will be reviewing cases, educating patients on appropriate care and managing health care costs for the dependents of our...SuggestedFull timeContract workWork at officeRemote workMonday to FridayWeekend work
Spectrum Healthcare Resources
Colorado Springs, CO4 days ago $46.3 - $91.32 per hour
...RN - Utilization Review - *EVENINGS* at Providence Health and Services summary: The Utilization Review Nurse combines clinical nursing expertise with utilization management skills to assess patient admission status and ensure compliance with regulatory and payer requirements...SuggestedMinimum wageFull timeShift workAfternoon shiftProvidence Health and Services
Lacey, WA10 days ago$46.3 - $91.32 per hour
...RN - Utilization Review - *EVENINGS* at Providence Health and Services summary: The Utilization Review Nurse combines clinical nursing expertise with utilization management knowledge to determine appropriate patient admission status based on regulatory and payer requirements...SuggestedMinimum wageFull timeShift workAfternoon shiftProvidence Health and Services
Olympia, WA14 days ago- ...in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office in Hopkinton, MA!!! Start A New... ...REQUIREMENTS / PREFERENCES Graduate of an accredited School of Nursing Licensure as a Registered Nurse in the state of...SuggestedFull timeTemporary workWork at office
VitalCore Health Strategies
Hopkinton, MA5 days ago $56.44 - $87.63 per hour
...RN Utilization Review Part- time Day at Providence Health and Services summary: The part-time RN Utilization Review nurse conducts clinical reviews and utilization management to ensure medical necessity and patient status accuracy in a healthcare setting. This remote...Minimum wageFull timePart timeLocal areaRemote workShift workDay shiftProvidence Health and Services
Mission Hills, CA13 days ago- ...difference. Presbyterian is hiring an RN Case Manager with Care Coordination. The Case Manager... ...patient care. The role integrates utilization management, care coordination, and transition... ...Safety (a wearable badge that allows nurses to quickly and discreetly call for help...ReliefRelocation packageShift workNight shiftWeekend work
$71.1k - $97.8k
...Become a Part of Our Caring Community and Help Us Put Health First The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana, Inc.
Los Angeles, CA5 days ago- ...A leading health solutions company is seeking a full-time Utilization Management Clinical Consultant. This remote role requires an active Arizona RN license and involves managing cases in a hospital setting. Responsibilities include conducting care management reviews...Full timeRemote work
Council Of State and Territorial Epidemiologists
United States3 days ago - ...A children's health organization is looking for a Utilization Management Clinical RN in Houston, Texas. The role involves precertification of... ...requirements. Applicants should hold an Associate's Degree in Nursing, with a Bachelor's preferred, and possess an RN license....
Texas Children's Hospital
Houston, TX16 hours ago - ...live in the State of Florida and have an RN Florida License. The role may be considered hybrid during the hours of 8 am to 4:30 pm with some flexibility. No direct patient contact, how Resident, Nurse, Registered Nurse, Management, Registered, Care Manager, Healthcare...Live inMonday to Friday
Orlando Health
Florida5 days ago $1,980 - $2,120 per week
...Overview Utilization Review RN Travel Nursing Job in Arcata, California Advance your nursing career as a Utilization Review Registered Nurse... ...leading healthcare team and play a vital role in utilization management and staff training, all while experiencing the scenic...Weekly payPermanent employmentFull timeContract workShift workDay shiftGHR Healthcare
Arcata, CA3 days ago- ...Utilization Management Clinician I (RN) The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements high quality...Work at office
Seattle Staffing
Seattle, WA2 days ago - ...Utilization Management Nurse Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric, adolescent, young adult, adult...Immediate start
Franciscan Missionaries of Our Lady Health System
Baton Rouge, LA5 days ago - ...Utilization Management Programs Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital... ...hospital resources. Performs highly responsible professional nursing and administrative work in accordance with established...
Franciscan Missionaries of Our Lady Health System
Monroe, LA4 days ago - ...Registered Nurse Work Schedule: 100% FTE, Full-time. Day shift, M-F 8am-4:30pm. Rotating weekends and holidays. You will... .... Required Work Experience: ~ Inpatient care management and / or utilization management experience. Preferred Licenses & Certifications...Full timeTemporary workWork experience placementNight shiftDay shiftAfternoon shift
UW Health
Rockford, IL4 days ago - ...A leading staffing firm in Miami seeks a Registered Nurse for Utilization Management. The ideal candidate will have at least 3 years of nursing experience in a critical care setting and be skilled in medical necessity reviews and authorization processes. Responsibilities...
Integrated Resources
Doral, FL16 hours ago - ...RN Claims Review/Utilization Management/Rate A CR/UM nurse monitors and manages current inpatient care to ensure medically necessary care is provided and then evaluates healthcare claims submitted by providers to ensure medical necessity, accuracy, and compliance with...Work at officeLocal area
MedTrust
Oklahoma City, OK2 days ago $39.4 - $59.19 per hour
...Utilization Management Nurse Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized...Full timeTemporary workPart timeWork at officeLocal areaImmediate startFlexible hoursNight shiftCapital Health Services
Hopewell, NJ3 days ago- ...This position consistently applies the utilization management process as required by CMS including the use of designated criteria for primary review. Incorporates into the utilization management process the ability to access and interpret clinical in Management, Health...
Renown Health
Reno, NV3 days ago
