Average salary: $94,139 /yearly
More statsGet new jobs by email
$44.16 - $77.58 per hour
...Description We are hiring for Care Manager RN positions at Providence Alaska Medical... ...thrive. The Inpatient Registered Nurse (RN) Care Manager provides professional,... ...planning, coordination of care, resource utilization management and/ or review, discharge planning...SuggestedMinimum wageFull timeRelocation packageShift workDay shift1 day per weekProvidence Health and Services
Chugiak, AK3 days ago$2,564 per week
Care Career is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Eatontown, New Jersey. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 4 weeks 40 hours per week Shift: 8 hours,...SuggestedWeekly payZero hours contractImmediate startShift workCare Career
Fort Monmouth, NJ3 days ago$2,466 per week
Genie Healthcare is seeking a travel nurse RN Case Manager, Utilization Review Manager for a travel nursing job in Jersey Shore, Pennsylvania. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 04/27/2026 Duration: 5 weeks 40 hours...SuggestedShift workGenie Healthcare
Cammal, PA3 days ago$71.1k - $97.8k
...Unrestricted RN license Possession of or ability to obtain Compact Nursing License 3+ years of clinical RN experience; Prior clinical experience, managed care experience, DME, Florida Medicaid OR utilization management experience Ability to work independently and within a...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeWeekend workHumana
Olympia, WA4 hours ago$75k - $100k
...A leading health insurance provider in the U.S. seeks a Utilization Management RN. The role involves evaluating medical services' necessity,... ...managing case summaries. Ideal candidates will have extensive nursing experience, strong analytical skills, and be proficient in...SuggestedRemote workWPS —A health solutions company
Raleigh, NC3 days ago- ...A healthcare organization is seeking a Utilization Management Nurse 2 to leverage clinical knowledge and communication skills for optimal member treatment. This role includes coordinating care, interpreting policies, and collaborating with various stakeholders. Candidates...SuggestedRemote work
Humana
Montpelier, VT1 day ago - ...A leading health insurer is seeking a Utilization Management RN to evaluate the medical necessity of services and procedures. This role focuses... .... Candidates should possess a valid RN license, extensive nursing experience, and be comfortable working collaboratively with...SuggestedRemote work
WPS—A health solutions company
Lincoln, NE3 days ago - ...A healthcare organization is seeking a Utilization Management Nurse 2 in Jefferson City, Missouri. The role involves using clinical knowledge and communication skills to provide optimal treatment and care for members. Applicants must have an active RN license and at least...SuggestedRemote work
Humana
Jefferson City, MO1 day ago - ...A leading health services organization is seeking a Utilization Management Nurse 2 to provide optimal treatment and care coordination. The ideal candidate has a strong background in nursing, particularly in critical care, and is proficient in utilizing Microsoft tools...SuggestedRemote workWeekend work
Humana
Providence, RI1 day ago - ...A leading healthcare organization is seeking a Utilization Management Nurse 2 in New Hampshire. The role involves using clinical expertise to ensure appropriate treatment and care for members while coordinating with providers. Applicants should have an RN license and...SuggestedRemote work
Humana
Concord, NH1 day ago - ...Overview About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage...SuggestedContract workWork at officeRemote workFlexible hours
MagnaCare
Chapel Hill, NC3 days ago $71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Nurse 2 to use clinical knowledge and critical thinking in providing optimal care for members. Candidates must have an active RN license, 3+ years of experience in critical nursing roles, and familiarity with...SuggestedWork at officeRemote workHumana
Richmond, VA1 day ago- ...A leading healthcare organization is seeking a Utilization Management Nurse 2 to leverage clinical knowledge and critical thinking skills to provide optimal treatment for members. Responsibilities include coordinating care with providers and communicating effectively...SuggestedWork at officeRemote work
Humana
Columbus, OH4 hours ago $72.8k - $130k
...A major health organization is seeking a Sr Utilization Management Nurse in the Boston MA area. The role focuses on auditing medical records, ensuring accurate coding, and compliance with regulations. Candidates should have at least 4 years of nursing experience, particularly...SuggestedWeekend workUnitedHealth Group
Boston, MA1 day ago- ...A healthcare company is looking for a Utilization Management Nurse 2 to leverage clinical knowledge and skills to enhance patient care. The role focuses on interpreting criteria, coordinating treatment, and communicating with providers and members. Candidates must have...SuggestedRemote work
Humana
Sacramento, CA1 day ago - ...The UMCM will utilize clinical knowledge to analyze, assess, and render approval decisions... ...authorization (outpatient review) experience in a managed care setting with commercial health plan... ...system. Education Associate's Degree Nursing required or Bachelor's Degree Nursing...Remote work
Mass General Brigham Health Plan
Somerville, MA3 days ago $38.34 - $69.02 per hour
...Job Title Utilization Management / Medical Management Nurse – California HMO (JR179164) Work Arrangement Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy...Full timeWork at officeLocal areaShift work1 day per weekElevance Health
Norfolk, VA2 days ago$88.36k - $100k
...diversity and innovation. Job Summary The UM Nurse II – RN performs advanced clinical... ...resource for UM Nurse I staff. This role manages high-acuity, specialty, and escalated cases... ...experience. At least three (3) years of utilization management experience preferred. Skills...Work at officeRemote workClever Care Health Plan
Arcadia, CA3 days ago- ...Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly... ..., transplant and NICU/HROB. The Utilization Management Nurse, Consultant will report to the Manager, Utilization and Medical...Full timeContract workPart timeWork at officeLocal areaRemote workWork from homeHome office
Blue Shield Of California
California, MO3 days ago $71.1k - $97.8k
...Unrestricted RN license Possession of or ability to obtain Compact Nursing License 3+ years of clinical RN experience; Prior clinical experience, managed care experience, DME, Florida Medicaid OR utilization management experience Ability to work independently and within a...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeWeekend workHumana
Raleigh, NC4 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...For 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...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeHumana
Richmond, VA4 days ago$38.34 - $69.02 per hour
...A national health provider is seeking a Utilization Management / Medical Management Nurse. This remote role offers flexibility, with in-person training and occasional onsite work requirements. Ideal candidates will have a nursing degree, extensive care management experience...Hourly payCasual workRemote workElevance Health
Columbus, OH1 day ago- ...A healthcare administration company is seeking a Utilization Management Nurse to conduct clinical reviews and collaborate with healthcare partners while working remotely. The ideal candidate must be a current Licensed Practical Nurse, skilled in utilization review processes...Remote work
Brighton Health Plan Solutions
Chapel Hill, NC3 days ago $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...Minimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote workUnitedHealth Group
Boston, MA3 days ago- ...Senior Utilization Management Nurse – Field RN Location: Boston, MA Regional Area Schedule: Full-time | Weekdays only — no weekends, no holidays, no on-call About the Role At Optum, you’ll use your clinical expertise to ensure accurate medical record documentation, appropriate...Full timeRemote workWeekday work
Optum
Boston, MA3 days ago $75k - $100k
...A leading health solutions company seeks a Utilization Management RN to evaluate medical services and provide authorization according to clinical... ...include a current RN license with 4+ years of nursing experience and 2+ years in managed care. This role offers a...Remote workWPS Health Solutions
Omaha, NE3 days ago- ...A leading health solutions company seeks a Utilization Management RN to evaluate efficiency and medical necessity for services. The role requires nursing experience and collaboration with medical directors while offering remote and hybrid work options. Candidates should...Remote work
WPS Health Solutions
Columbus, OH3 days ago - ...A leading health solutions company is seeking a Utilization Management RN to evaluate the necessity of medical services and ensure quality care... ...candidate has strong analytical skills, a background in nursing with experience in managed care, and familiarity with health...Remote work
WPS Health Solutions
Charlotte, NC3 days ago $38.34 - $69.02 per hour
...A healthcare services company is seeking a Utilization Management / Medical Management Nurse to work virtually. This position involves analyzing clinical data, collaborating with healthcare providers, and ensuring optimal care delivery. Candidates must hold an associate...Hourly payRemote workElevance Health
Norfolk, VA2 days ago
