Average salary: $72,771 /yearly
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$34.98 - $42.85 per hour
...Clever Care is hiring a UM Nurse I - RN to conduct clinical reviews of authorization requests in California. The role involves... ...minimum of three years of clinical experience, preferably in utilization management. This remote position offers a wage range of $34.98 to $42.8...SuggestedHourly payRemote workSanta Barbara Cottage Hospital
New York, NY4 days ago- ...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, IL1 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...SuggestedRemote work
Brighton Health Plan Solutions
Chapel Hill, NC1 day ago - ...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 while...SuggestedContract workWork at officeRemote work
Santa Barbara Cottage Hospital
New York, NY4 days ago - ...Mass General Brigham Health Plan is hiring for a role that utilizes clinical expertise for utilization management in a remote environment. Ideal candidates should hold an Associate's Degree in Nursing, possess strong decision-making and problem-solving skills, and have...SuggestedRemote work
Santa Barbara Cottage Hospital
New York, NY4 days ago $45 - $45.5 per hour
...Overview Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months (Contract possibly Extension) Schedule: Monday... ...services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate,...SuggestedContract workImmediate startRemote workMonday to FridayAfternoon shiftMindlance
New York, NY4 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 and... ...a related field Active and unrestricted Compact Registered Nurse (RN) license with no disciplinary action (including Nevada)...SuggestedBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeWeekend workHumana
Washington DC16 hours ago- ...Curana Health, Inc. is seeking a Utilization Management Nurse to join their remote team. In this role, you will review healthcare services' utilization to ensure cost-effective care while actively coordinating transitions and discharges for patients. You will engage closely...SuggestedRemote work
Curana Health, Inc.
New York, NY4 days ago - ...Utilization Management, Registered Nurse (RN) Remote - USA At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and technology through...SuggestedWork at officeRemote workFlexible hours
Clover Health
New York, NY4 days ago - ...Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the medical appropriateness of inpatient and outpatient...SuggestedFull timeWork at officeRemote workWeekend work
Regency Integrated Health Services
United States2 days ago $71.1k - $97.8k
...Become a part of our caring community The Utilization Management Nurse uses clinical nursing skills to support the coordination, documentation and communication of medical services and benefit administration determinations. The Utilization Management Nurse uses...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeCenterwell
Providence, RI2 days ago$72.8k - $130k
...Sr Utilization Management Nurse Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote workUnitedHealthcare
Boston, MA2 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
Denver, CO16 hours ago$74.16 - $107.75 per hour
...Utilization Review Nurse Work Location: Los Angeles, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday-Friday 8am-4:30pm... ...The Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric Hospital, supporting...SuggestedHourly payWork at officeRemote workMonday to FridayUniversity of California
United States2 days 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, CA16 hours ago$90.86k - $136.29k
...Job Title Utilization Management Concurrent Review Nurse Job Description 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...Full timeContract workWork at officeRemote workBlue Shield Of California
El Dorado Hills, CA16 hours ago- ...We’re seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you’ll perform both inpatient and outpatient utilization reviews while supporting transitions of care and ensuring patients...Remote work
Appworkshub
New York, NY4 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...Hourly payPermanent employmentTemporary workWork at officeRemote workMorgan Stephens
United States3 days ago$50.68 per hour
...Email this Job Job Overview The Utilization Review RN participates as a member of a... .... Department Name: Utilization Management Job Status: flex, not eligible for benefits... ...* EDUCATION - Bachelor of Science in Nursing (BSN) * EXPERIENCE - Three years of...Hourly payTemporary workLive inImmediate startRemote workRelocationFlexible hoursShift workWeekend workDay shiftAfternoon shiftChildren's Hospital Colorado
Aurora, CO1 day ago$34.98 - $42.85 per hour
...innovation. Job Summary The UM Nurse I - RN performs clinical review of... ...organizational policies. This role conducts utilization review activities under established... ...• At least one (1) year in utilization management or case management preferred. Skills...Hourly payWork at officeRemote workClever Care Health Plan
Huntington Beach, CA16 hours ago$45 - $50 per hour
...Job Title: Utilization Management Nurse Location: Remote Position Overview The Utilization Management Nurse is responsible for reviewing inpatient admissions and applying nationally recognized medical necessity criteria to determine appropriate levels of care...Contract workTemporary workRemote workActalent
Rancho Cordova, CA8 days ago$102.33k - $125.07k
...Registered Nurse / RN - Utilization Management I The Registered Nurse - Utilization Management I is responsible for supporting specific utilization management (UM) program functions within the Clinical Operations department. UM program functions include Benefit Management...Work at officeLocal areaWork from homeFlexible hoursCareOregon
Portland, OR11 hours agonew- ...Job Title: Acute / Post-Acute Utilization Management (UM) Nurse (RN) Location: Remote (Telecommute) Duration: 03 Months Contract extensions Shift: 8:00 AM - 5:00 PM CST Hours : 40 hours per week Position Overview: The...Contract workRemote workShift work
The Judge Group
Pearland, TX11 hours agonew - ...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...Remote work
Macpower Digital Assets Edge
United States4 days ago $8 per hour
...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los Angeles, CA Employment Type: Travel/Contract Shift: Day (5x8 Hours) 8:00 17:00 Start Date: 2/24/2025 Job Duration: 13...Hourly payContract workRemote workShift workZenex Partners
Los Angeles, CA16 hours ago$32.01 - $68.55 per hour
...it all with heart, each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS... ...remote role. Candidates must hold a New York Registered Nurse license. The employee will work four 10-hour days per week. This...Hourly payFull timeLocal areaRemote work10 hours per weekFlexible hoursThe Muse
Albany, NY1 day ago- ...Hispanic Alliance for Career Enhancement is seeking a Nurse Consultant to join their Utilization Management team. In this 100% remote role, you will apply your clinical judgement to review inpatient and outpatient services. Candidates should have an active RN license,...Remote workFlexible hours
Hispanic Alliance for Career Enhancement
Columbus, OH1 day ago $29.1 - $62.32 per hour
...CVS Health is hiring a Nurse Consultant for their Utilization Management team based in Columbus, Ohio. This fully remote position involves applying critical clinical judgement to assess and authorize inpatient and outpatient services. Qualified candidates should possess...Hourly payRemote workCVS Health
Columbus, OH1 day ago- ...A healthcare provider in the United States is seeking a Utilization Management Nurse to work remotely. This role involves performing clinical utilization reviews, collaborating with healthcare partners, and adhering to national standards and regulations. Candidates must...Work at officeRemote work
Santa Barbara Cottage Hospital
New York, NY4 days ago $1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,600 – $1,800/week (based on experience) Contract Length: 1-year minimum (Current POP ends 11/30/25, TO POP ends 11/30/27) Schedule...Contract workImmediate startRemote workMonday to FridayJ Edward Staffing LLC
Aurora, CO16 hours ago
