Average salary: $72,771 /yearly
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- ...Utilization Management Registered Nurse We are seeking a Clinical Care Manager who is passionate about advancing high-quality, compliant, patient-centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory...SuggestedBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from home
Guidehealth
Saint Louis, MO2 days 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 workFlexible hours
Brighton Health Plan Solutions
Chapel Hill, NC4 days ago $72.8k - $130k
...to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results... ...for remote work based on business needs. As a Sr Utilization Management Nurse in the Boston MA Regional Area, the role centers on ensuring...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote workOptum
Plymouth, MA4 days ago$26.41 - $61.79 per hour
...Job Summary Join our passionate and skilled team as a Utilization Management Registered Nurse, where your expertise will greatly impact healthcare quality and enhance the services we provide to our members. In this essential role, you will assess the necessity and...SuggestedHourly payWork experience placementWork at officeRemote workMonday to FridayMolina Healthcare
Ann Arbor, MI4 days ago- ...Summary The Cincinnati VA Medical Center is seeking a Utilization Management RN in Quality and Patient Safety Services. The Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within the position. Uses UM...SuggestedPermanent employmentTemporary workSeasonal workImmediate startRemote workRelocation packageMonday to Friday
Veterans Affairs, Veterans Health Administration
Ohio4 days ago - ...Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025... ...recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and...SuggestedContract work
Alliant Health Group
Atlanta, GA4 days ago - ...a military spouse, and you must obtain eligibility to participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National Medicaid team. You will utilize training and engage formerly...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Madison, WI1 day ago $26.01 - $68.55 per hour
...simplify health care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH- 8A-5P in EST or CST Position Summary...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeFlexible hoursAfternoon shiftCVS Health
Rock Hill, SC2 days ago- Summary The Albuquerque VA is looking for Utilization Management Registered Nurse for Care Coordination in Operations Service! Qualifications Basic Requirements English Language Proficiency In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient...SuggestedPermanent employmentTemporary workLocal areaImmediate startRemote workRelocation package
- Summary The Cincinnati VA Medical Center is seeking a Utilization Management RN in Quality and Patient Safety Services. The Utilization Management (UM) Registered Nurse (RN) is responsible for providing competent - evidence-based practices within the position. Uses UM...SuggestedPermanent employmentTemporary workImmediate startRemote workRelocation packageMonday to Friday
- Summary The Utilization Management (UM) Staff RN has responsibility for coordination and implementation of the Utilization Management program for... ...RN will perform other duties under the direction of the Nurse Manager or designee as assigned. Basic Requirements English...SuggestedPermanent employmentTemporary workWork at officeImmediate startRemote workRelocation packageFlexible hoursShift workWeekend work
$60.2k - $107.4k
...Network Collaborate with peers in Medical Management, Case Management, RCM, Compliance, and... ...of the database and/or programs utilized by Optum and Bassett Healthcare Network... ...timely Work with the Utilization Management Nurse Manager to identify patient utilization...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workFlexible hoursShift work$54.1k - $116.76k
...be a 12.5% differential for this shift.Utilizes clinical skills to coordinate, document... ...all aspects of the utilization/benefit management program for preauthorization for mental... ...Education*** If RN, Bachelor's degree in nursing required with emphasis on Behavioral Health...SuggestedHourly payFull timeTemporary workLocal areaWork from homeFlexible hoursShift work$60.2k - $107.4k
A healthcare organization is looking for a Registered Nurse to support Utilization Management efforts. The ideal candidate will possess an Associate’s Degree in Nursing and have experience in critical care or med/surg. The role offers telecommute flexibility and requires...SuggestedRemote job$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$28.61 - $56.06 per hour
...Primary Responsibilities Performs all functions of an UM Nurse Consistently exhibits behavior and communication skills that... ...policies and procedures, standardization requirements set by the Utilization Management and by the UM Compliance department Implements and maintains...Remote jobHourly payMinimum wageFull timePart timeWork experience placementLocal areaRelocation packageNight shiftDay shift- ...pay range $45.00/yr - $52.00/yr Delivery Manager - Healthcare, Client Relationship Manager, VMS/MSPHiring Locums & Physicians/Nurses/Allied/Professional Coder Across with... ...explanation. Poor Computer Skills Summary : The Utilization Management team reviews the inpatient...Contract workTemporary workLocumWork at officeHome officeShift work
- A leading recruitment partner is seeking a Remote Utilization Management Specialist to leverage clinical expertise for effective patient outcomes. Responsibilities include reviewing admissions and collaborating with teams to ensure appropriate status, while utilizing strong...Remote job
- ...planning. Self-directed in goal setting for managing complex client situations. Assumes... ...English Graduate of a school of professional nursing approved by the appropriate accrediting... ...): Not Authorized Preferred Experience: Utilization Management per the paperwork. #J-18808-...Permanent employmentTemporary workImmediate startRemote workFlexible hoursShift work
- A leading health services organization is seeking a Utilization Management Nurse Consultant to work remotely, focusing on ensuring members receive appropriate care. Candidates must reside in the PST zone and hold an active RN license with at least 3 years of clinical experience...Remote job
$26.01 - $68.55 per hour
A leading healthcare provider is seeking a Remote UM Nurse Consultant to utilize clinical experience and skills in managing healthcare services for members. The ideal candidate will have at least 3 years of RN experience and an active license. This full-time role offers...Remote jobHourly payFull time$26.01 - $56.14 per hour
...division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-... ...lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you’ll play a...Remote jobHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursShift work- A healthcare staffing agency is currently seeking a remote Utilization Management RN. The candidate must reside in Pennsylvania, Delaware, or New Jersey and have an active Pennsylvania RN license or a Nurse Licensure Compact that includes PA. The role involves assessing...Remote job
$29.1 - $68.55 per hour
...something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote but must reside in PST zone. Normal Working Hours Monday through Friday between 8am-5...Hourly payFull timeTemporary workLive inWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workWeekend work- A healthcare organization is seeking a Utilization Management Nurse Consultant for a fully remote position. The role requires an active RN license and at least 3 years of clinical experience. You will coordinate medical reviews and ensure timely care for members through...Remote job
- ...and accountable for all elements of the nursing process when providing and/or... ...care focused on patient education - self-management - and customer satisfaction throughout... ...care process - clinical review criteria - utilization management standards - clinical documentation...Permanent employmentTemporary workWork at officeImmediate startRemote workRelocation package
- A healthcare provider is seeking a Utilization Management Nurse Consultant to work remotely, ensuring members receive appropriate care. This role requires active RN licensure and 3+ years of clinical experience, preferably in Med/Surg or related fields. Responsibilities...Remote jobFlexible hours
- A leading healthcare provider is seeking an UM Nurse Consultant who will utilize clinical expertise to coordinate healthcare services for members. The ideal candidate must have a minimum of 3 years of RN experience, along with an active RN licensure. This full-time, remote...Remote jobFull timeWork at office
$26.01 - $68.55 per hour
A healthcare organization seeks a UM Nurse Consultant for a fully remote role. You will utilize your RN experience to assess and coordinate healthcare services, ensuring members receive appropriate care. Candidates should have at least 3 years of RN experience and an active...Remote jobHourly pay$26.01 - $68.55 per hour
A healthcare organization is seeking a UM Nurse Consultant to work remotely, focusing on healthcare service facilitation and utilization management. Candidates must have over 3 years of RN experience, active state licensure, and familiarity with multiple IT systems. A competitive...Remote jobHourly pay
