Average salary: $72,771 /yearly
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- ...System is recruiting for one RN to perform duties with the Utilization Management and Discharge Planning team. Qualifications English Language... ...and spoken English Graduate of a school of professional nursing approved by the appropriate accrediting agency and...SuggestedPermanent employmentFull timeTemporary workImmediate startRemote workRelocation packageMonday to Friday
- ...and appropriate length of stay Improved communication, awareness and adherence to regulatory requirements associated with utilization management Support for appropriate level of care and decreased inpatient bed day denials. Continuity and coordination of care Appropriate...SuggestedRemote job
$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 Utilization...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayWeekend 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 Utilization...SuggestedFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to FridayWeekend work- A leading healthcare organization is seeking a Utilization Management Nurse to utilize clinical skills in a remote role based in Louisiana. Candidates must possess a valid RN license and have at least 3 years of diverse nursing experience. Responsibilities include coordinating...SuggestedRemote jobFull timeWork at office
- ...relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts... ...Mass General Brigham.Staff Nurse - 40hr Variable Day - BWH Utilization Management**Job Summary**The Insurance Support Nurse participates in...SuggestedRemote workShift work
$83k - $99k
...balance, and the ability to contribute to something important, find out more about us at: Role and Responsibilities The Utilization Management Nurse collaborates with external entities such as Brokers, Group Contacts, and Stop Loss supports to provide updated...SuggestedFull timeWork at officeRemote workFlexible hours- ...and Healthiest Employer", seeks a Review Nurse. The Review Nurseconducts prior approval... ...a nurse cannot approve Consult with the Manager, Supervisor PA/UM, or Medical Directors... ...Georgia nursing license required Preferred: Utilization Review or Prior Approval...SuggestedContract work
- A leading healthcare organization is seeking a Utilization Management Clinical Manager to utilize clinical expertise in reviewing authorization... ...MA. The ideal candidate requires an Associate's degree in Nursing, a Massachusetts RN License, and preferably 2-3 years of...SuggestedRemote job
$26.01 - $68.55 per hour
...home with strong preference for those residing in EST or CST.*Utilization Management is a 24/7 operation and work schedule may include weekends,... ...Qualifications**-3+ years of experience as a Registered Nurse-Must hold active and unrestricted RN licensure in state of residence...SuggestedHourly payFull timeTemporary workWork at officeLocal areaWork from homeFlexible hoursAfternoon shift$32.01 - $68.55 per hour
...and every day. Position Summary This is a fulltime remote Utilization Management opportunity for RNs with a New York state licensure. The schedule... ...- Friday, 8:30am - 5pm EST. This role is a registered nurse that utilizes MCG rules and applies medical necessity guidelines...SuggestedHourly payFull timeTemporary workLocal areaRemote workMonday to FridayFlexible hours$26.01 - $68.55 per hour
A healthcare organization is seeking a Remote Registered Nurse for Utilization Management. This role requires 3+ years of RN experience and an active license. Responsibilities include assessing healthcare services, coordinating treatments, and working closely with providers...SuggestedRemote jobHourly payFull time- A leading health services company is seeking a Utilization Management Nurse Consultant for a fully remote position. The role involves utilizing clinical skills for benefit management, ensuring members receive appropriate care, and facilitating discharge planning. Candidates...SuggestedRemote jobFull time
$60.2k - $107.4k
A leading global healthcare organization is seeking a Utilization Management RN Coder. This role involves reviewing patient medical records and composing appeal letters while ensuring compliance with coding guidelines. Candidates must have an Associate's Degree, relevant...SuggestedRemote job- A leading healthcare organization is seeking a Utilization Management Nurse to coordinate patient care and facilitate medical services. This remote role requires an active RN license and at least three years of clinical experience. The ideal candidate will possess strong...SuggestedRemote job
- ...academic healthcare system, Company, as a RN Manager in the Rev Cycle Department. This... ...Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight... ...required.Required: Current Registered Nurse (RN) license, in good standing....Full timeContract workWork from homeShift work
The University of Chicago Medicine
Chicago, IL16 hours ago - ...and love what you do! We are currently hiring a per diem Utilization Management RN for Fremont Hospital! The Utilization Management RN is... ...Education Graduation from an accredited clinical program in Nursing. Bachelor’s Degree preferred. Experience Minimum of 2 years...Daily paidCurrently hiringLocal areaFlexible hours
- A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Remote jobHourly payDaily paidDay shift
- Overview The Registered Nurse-Utilization Management is responsible for providing competent - evidence-based practices within the position. Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. NOTE:...Permanent employmentTemporary workImmediate startRemote workRelocation package
- A leading healthcare organization is looking for a Staff Nurse in Somerville, Massachusetts. This role involves managing insurance denials and collaborating with care teams to ensure quality patient care. Candidates must have a Bachelor's Degree in Nursing, a Massachusetts...Remote jobFlexible hours
- ...lens to all our work. Become an anti-racist organization. Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies...Full timeTemporary workPart timeWork at officeRemote workTrial periodAll shiftsFlexible hours
$60.2k - $107.4k
...scale. Join us to start Caring. Connecting. Growing together. Utilization Management RN Coder will accurately and efficiently review and extract... ...while providing high quality reviews. The Appeals nurse will perform their job functions, adhering to both Optum and...Minimum wageFull timeWork experience placementLocal areaRemote work$60.2k - $107.4k
...global scale. Join us to start Caring. Connecting. Growing together. The Utilization Review Nurse, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent...Remote jobMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift work$60.2k - $107.4k
A leading healthcare organization is seeking a Utilization Review Nurse to provide effective inpatient utilization management. The role involves reviewing medical necessity for hospital admissions and ensuring high-quality care. Candidates must have a current RN license...Remote jobFlexible hours- A leading healthcare organization seeks a Utilization Review Nurse, RN to provide inpatient utilization management and ensure high-quality care. Responsibilities include applying evidence-based clinical guidelines, performing clinical reviews, and documentation. The role...Remote job
$40 - $45 per hour
...Title : Utilization Management Nurse - Post Acute Location : Remote | Candidates must reside within Minnesota or Wisconsin Job Type : Contract (3 months) Compensation : $40-45/hr W2 Industry: Health Insurance --- About the Role Our client, a well-...Contract workRemote work- A healthcare management company is seeking a Utilization Review Nurse to support evaluating medical necessity requests remotely. Responsibilities include reviewing requests, ensuring compliance, and advocating for members' care needs. Candidates must be licensed nurses...Remote job
- ...day accountability for the coordination, monitoring and management of patient care resources to promote cost‑effective... ...defining, implementing and evaluating patient care and nursing practice standards utilizing clinical expertise, the nursing process, current concepts...Full timeRemote workShift workWeekend work
- A leading academic healthcare system is seeking an RN Manager for the Rev Cycle Department. This hybrid position requires overseeing utilization review operations across multiple sites, ensuring compliance and effective communication. Responsibilities include developing...Remote job
- A leading medical institution in Chicago is seeking an RN Manager for the Rev Cycle Department. In this hybrid role, you will lead utilization review activities, ensuring compliance with medical necessity criteria and overseeing operations across multiple sites. Candidates...Remote job
