Average salary: $72,771 /yearly
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$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Baton Rouge. In this remote position, you will use clinical skills to support medical service coordination and determinations, and communicate with providers and members. Candidates must...SuggestedRemote workHumana
Baton Rouge, LA3 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, IL3 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 the...SuggestedBi-weekly payFull timeTemporary workApprenticeshipRemote workHome officeHumana
Santa Fe, NM3 days ago$71.1k - $97.8k
...A major healthcare provider is seeking a Utilization Management Registered Nurse based in Maryland. The role involves coordinating medical services, interpreting clinical information, and facilitating care while working remotely. Candidates must possess a Compact RN license...SuggestedRemote workHumana
Maryland3 days ago$71.1k - $97.8k
...A national health services provider is looking for a Utilization Management Registered Nurse to coordinate medical services and benefit administration determinations. Positioned remotely, the successful candidate will leverage clinical nursing skills, communicate with...SuggestedRemote workHumana
Tallahassee, FL1 day ago$71.1k - $97.8k
...A healthcare services organization seeks a Utilization Management Registered Nurse in Jackson, MS. This remote role involves utilizing nursing skills for coordinating medical services, ensuring members receive appropriate care levels. Required qualifications include a...SuggestedRemote workHumana
Jackson, MS2 days ago- ...pay range $45.00/yr - $52.00/yr Delivery Manager - Healthcare, Client Relationship Manager, VMS/MSPHiring Locums & Physicians/Nurses/Allied/Professional Coder Across with Best... .... Poor Computer Skills Summary : The Utilization Management team reviews the inpatient stays...SuggestedContract workTemporary workLocumWork at officeHome officeShift work
Pacer Staffing
Rancho Cordova, CA2 days ago $71.1k - $97.8k
...A leading health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills in coordinating and documenting medical services for members. This remote role emphasizes compassionate care, requiring at least one year of RN experience...SuggestedRemote workHumana
Topeka, KS2 days ago$71.1k - $97.8k
...A leading healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills for coordinating medical services. This remote position involves assessing care needs, communicating effectively with providers, and serving as part of a team ensuring...SuggestedRemote workHumana
Oklahoma City, OK2 days ago$71.1k - $97.8k
...A healthcare services company is seeking a Utilization Management Registered Nurse to work remotely from Alabama. The role involves supporting the coordination of care, communicating with healthcare providers, and making benefit determinations. Candidates must have a Compact...SuggestedRemote workHumana
Montgomery, AL2 days ago$71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Jefferson City, MO. In this remote role, you will utilize clinical nursing skills to support the coordination of medical services and facilitate care determinations. Candidates must hold...SuggestedRemote workHumana
Jefferson City, MO3 days ago- ...The Albuquerque VA is looking for Utilization Management Registered Nurse for Care Coordination in Operations Service! Basic Requirements English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they...SuggestedPermanent employmentTemporary workImmediate start
US-Department-of-Veterans-Affair
Albuquerque, NM2 days ago - ...A health insurance company is seeking a Utilization Management Registered Nurse to leverage clinical skills for coordinating medical services within a remote setting. The role involves interpreting medical documentation and collaborating with healthcare providers. Ideal...SuggestedRemote work
Humana
Indianapolis, IN2 days ago - ...A major healthcare organization is seeking a Utilization Management Registered Nurse to join their team in Richmond, Virginia. This remote role requires an RN license and a minimum of one year of clinical experience in an acute care setting. Responsibilities include coordinating...SuggestedRemote work
Humana
Richmond, VA3 days ago $71.1k - $97.8k
...A leading healthcare company is seeking a Utilization Management Registered Nurse in Montana. Key responsibilities include managing post-acute care services, coordinating medical documentation, and making care determinations using clinical skills. Candidates must possess...SuggestedRemote workHumana
Helena, MT3 days ago- ...A leading health organization is looking for a Utilization Management Registered Nurse in Boise, Idaho. The role involves using clinical nursing skills to support medical services coordination and benefit determinations. Applicants should possess a Compact RN license and...Remote work
Humana
Boise, ID3 days ago - ...A leading healthcare company is seeking a Utilization Management Registered Nurse to leverage clinical nursing skills in supporting medical service coordination and benefit determinations. Candidates must have a Compact RN license and over a year of clinical experience...Remote work
Humana
Montpelier, VT3 days ago $71.1k - $97.8k
...A healthcare organization is looking for a Utilization Management Registered Nurse to coordinate medical services and benefit administration. This role requires a Compact RN license and at least one year of clinical experience in a healthcare setting. You will ensure members...Remote workHumana
Little Rock, AR3 days ago- ...Department: Utilization Management Schedule: M-F 8am-5pm Work Location: Remote Benefits for eligible positions generous paid time... ...rules and regulations. What You Will Need ~ Registered Nurse credentialed from the Alabama Board of Nursing obtained prior...Remote work
UAB Medicine
Birmingham, AL2 days ago $71.1k - $97.8k
...A healthcare organization is seeking a Utilization Management Registered Nurse in Columbia, SC to utilize clinical nursing skills in the coordination and documentation of medical services. You will make determinations based on medical criteria and communicate with healthcare...Remote workHumana
Columbia, SC2 days ago- ...RN - Utilization Management RN - Utilization Management needed at Mountain Home Air Force Base in Mountain Home, Idaho. Duties include,... ..., coordinates with TRICARE Regional Office Clinical Liaison Nurse or reviews TRICARE Operations Manual. Receives and makes...For contractorsWork at officeLocal areaWork from homeMonday to Friday
Vantage Search Group Inc
Mountain Home, ID5 days ago - ...reimbursement, and high-quality patient care across skilled nursing and long-term care settings in Massachusetts. This is a... ...3+ years of clinical nursing experience ~ Experience in utilization management, medical record review, or long-term care ~ Strong understanding...Remote workWeekend workWeekday work
Optum
Boston, MA4 days ago $29.1 - $62.32 per hour
...CVS Health is seeking an experienced Registered Nurse for a remote position focusing on Utilization Management. The role offers a flexible work schedule requiring weekend availability and entails assessing, planning, and coordinating healthcare services for members. The...Hourly payRemote workFlexible hoursWeekend workHispanic Alliance for Career Enhancement
New York, NY2 days ago$32.01 - $68.55 per hour
...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....Hourly payFull timeLocal areaRemote work10 hours per weekFlexible hoursThe Muse
Albany, NY3 days ago$29.1 - $62.32 per hour
...bigger - helping to simplify health care one person, one family and one community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize clinical skills to...Hourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayCVS Health
Richmond, VA1 day ago$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend workkozmetickesluzby.vecnakraska.sk - Jobboard
Phoenix, AZ1 day ago$26.01 - $56.14 per hour
...: Monday – Friday 8:00 am to 5:00 pm in their time zone. Utilization Management is a 24/7 operation – schedules include evenings, weekends,... ...paced, technology-driven environment ~ Associates Degree in Nursing Preferred Med-Surg or specialty clinical experience...Hourly payFull timeTemporary workLocal areaRemote workMonday to FridayAfternoon shiftCVS Health
Mountain Home, AR5 days ago$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers...Hourly payWork at officeRemote workNeueHealth
Encino, CA3 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, CO2 days ago$26.01 - $56.14 per hour
...family and one community at a time. Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends... ...Required Qualifications 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have...Hourly payFull timeTemporary workWork at officeLocal areaRemote workAfternoon shiftCVS Health
United States4 days ago
