Average salary: $72,771 /yearly
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$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...SuggestedMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote workUnitedHealth Group
Boston, MA3 days ago- ...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
Gary, IN2 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
Denver, CO2 days ago- ...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...SuggestedRemote work
Macpower Digital Assets Edge
United States1 day 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, CO4 days ago$71.1k - $97.8k
A healthcare organization is seeking a Utilization Management Registered Nurse to support coordination of medical services. The role requires a Compact RN license, relevant clinical experience, and offers a compensation range between $71,100 and $97,800 annually, along...SuggestedRemote jobWork at office$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 job- 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...SuggestedRemote job
- ...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...SuggestedContract workTemporary workLocumWork at officeHome officeShift work
- 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...SuggestedFull timeRemote workWeekday work
$71.1k - $97.8k
A leading health services organization is seeking a Utilization Management Registered Nurse in Austin, Texas. This remote position involves using clinical nursing skills to evaluate medical services, ensuring members receive appropriate care. The ideal candidate will have...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- Blue Shield is looking for a Senior Utilization Management Nurse in Rancho Cordova, CA. In this role, you will manage prior authorizations and inpatient reviews, using clinical criteria and guidelines. Ideal candidates will have a Bachelor of Science in Nursing and a current...SuggestedWork at officeRemote work
$90.86k - $136.29k
The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly applies... ..., transplant and NICU/HROB. The Utilization Management Nurse, Senior will report to the Manager, Utilization and Medical...SuggestedFull timeContract workPart timeWork at officeLocal areaRemote workWork from homeHome office$71.1k - $97.8k
A healthcare company is seeking a Utilization Management Registered Nurse to support coordination and communication of medical services. The role requires a Compact RN license and over a year of clinical experience in relevant settings. Responsibilities include interpreting...SuggestedRemote job$71.1k - $97.8k
A leading health services company is looking for a Utilization Management Registered Nurse based in Ohio. The role involves using clinical skills to support the coordination and documentation of medical services. Candidates should possess a Compact RN license and at least...Remote job- 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...Remote job
- ...to cover shifts to assist with coverage of PT and FT nurses taking PTO. Assignments: managing recommendation of patients being admitted to the hospital... ...adherence to regulatory requirements associated with utilization Support for inappropriate level of care and decreased...Remote jobReliefShift work
- 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...Remote job
- Harris Health System, Inc. seeks a Utilization Management Review Nurse (UMRN) in Bellaire, Texas. This role involves evaluating the appropriateness and efficiency of medical services, working closely with physicians and care management teams to promote high-quality, cost...Remote workFlexible hours
$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...Remote job- A leading healthcare organization is seeking a Utilization Management Registered Nurse to join their team in Trenton, New Jersey. The role involves utilizing clinical skills to coordinate medical services and ensure members receive appropriate care. Candidates must possess...Remote job
- 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 job
- 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...Contract workWork at officeRemote workFlexible hours
- A healthcare provider in South Carolina is seeking a Utilization Management Nurse 2. The role involves using clinical expertise to assess treatment and care for members, coordinating with healthcare professionals for optimal outcomes, and performing duties remotely while...Remote job
$71.1k - $97.8k
A healthcare organization is seeking a Utilization Management Registered Nurse. This role requires clinical nursing skills to manage medical services and benefit determinations. Responsibilities include reviewing physician information and facilitating member care coordination...Remote job- Summary The Utilization Management Discharge Nurse uses the nursing process and nursing expertise in using review criteria to determine medical necessity for inpatient admissions and continued stays. This nurse will collaborate with patients - family - caregivers - and...Permanent employmentFull timeTemporary workImmediate startRemote workRelocation packageFlexible hoursWeekend workWeekday work
- A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities include determining service eligibility and facilitating care. This remote role requires an RN license and clinical experience...Remote jobWork from home
$71.1k - $97.8k
A healthcare organization is seeking a Utilization Management Nurse 2 to utilize clinical knowledge and critical thinking skills in patient care coordination. The ideal candidate should have an active RN license and over 3 years of relevant nursing experience, especially...Remote job$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 job
