Average salary: $72,771 /yearly

More stats
Get new jobs by email

  • Utilization Management Registered Nurse

    $80k - $95k

     ...Utilization Management Registered Nurse Founded in 2007, The Oncology Institute (NASDAQ: TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting-edge, evidence-based cancer care to a population... 
    Suggested
    Remote work

    The Oncology Institute of Hope and Innovation

    Tampa, FL
    3 days ago

  • Registered Nurse Utilization Management

     ...Registered Nurse Utilization Manager Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM). The Nurse will be reviewing cases, educating patients on appropriate care and managing health care costs for the dependents of our... 
    Suggested
    Full time
    Contract work
    Work at office
    Remote work
    Monday to Friday
    Weekend work

    Spectrum Healthcare Resources

    Colorado Springs, CO
    2 days ago

  • Utilization Management Nurse - Home Solutions - Compact RN Required

    $71.1k - $97.8k

     ...Utilization Management Nurse 2 Become a part of our caring community and help us put health first. Full-Time, remote telephonic opportunity. The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation, and communication... 
    Suggested
    Full time
    Temporary work
    Work at office
    Remote work
    Home office

    Delaware Staffing

    Dover, DE
    8 hours ago

  • Medicare Utilization Management Nurse

     ...The Medicare UM Case Manager, RN performs utilization management activities primarily for Medicare Advantage, including review of authorizations for...  .... Education ~ Associate's Degree Nursing required; Bachelor's Degree Nursing preferred Licenses... 
    Suggested
    Work at office
    Local area
    Remote work

    Mass General Brigham Health Plan

    Somerville, MA
    2 days ago

  • UTILIZATION MANAGEMENT NURSE

     ...The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases are reviewed and processed... 
    Suggested
    Full time
    Work at office
    Remote work

    North East Medical Services

    Burlingame, CA
    2 days ago

  • Remote - Utilization Management Policy Initiatives Nurse II

     ...Title - Utilization Management Policy Initiatives Nurse II Job Type - Permanent | Onsite | Remote | Hybrid (Role will be expected to work PST hours; candidate can live outside of California (but they must have a CA RN license). Location - Los Angeles,... 
    Suggested
    Permanent employment
    Remote work
    All shifts
    Shift work

    Scout Exchange

    Los Angeles, CA
    3 days ago

  • Utilization Management Nurse

    $71.1k - $97.8k

     ...Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Flexible hours

    CenterWell

    Boston, MA
    2 days ago

  • UTILIZATION MANAGEMENT RN

     ...Job Description Job Description UTILIZATION MANAGEMENT RN There’s no place like Liberty Health Come explore career opportunities...  ...Department meetings JOB REQUIREMENTS: ~ Licensed Registered Nurse credentialed from an accredited school/college with 3–5... 
    Suggested
    Work at office
    Remote work

    Liberty Health

    Wilmington, NC
    11 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Part- time Day at Providence Health and Services summary: This part-time RN...  ...records to ensure compliance with utilization management standards in a healthcare setting. The role requires a strong nursing background, knowledge of medical necessity... 
    Suggested
    Minimum wage
    Full time
    Part time
    Local area
    Remote work
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    7 days ago

  • Review Nurse, Prior Authorization/Utilization Management

     ...and Healthiest Employer", seeks a Review Nurse. The Review Nurse conducts prior...  ...nurse cannot approve Consult with the Manager, Supervisor PA/UM, or Medical Directors...  ...nursing license required Preferred: ~ Utilization Review or Prior Approval Precertification... 
    Suggested
    Contract work

    Alliant Health Solutions, Inc.

    Atlanta, GA
    21 days ago

  • Travel LPN Utilization Review Case Manager

     ...Medical Solutions is seeking a LPN / LVN Utilization Review for a travel job in Tarzana,...  ...benefits enjoyed by Medical Solutions travel nurses and\n travel allied healthcare...  ...to be determined. Posted job title: Case Management (Utilization Review) About Medical Solutions... 
    Suggested
    Weekly pay
    Daily paid
    Work from home
    Shift work

    Medical Solutions

    Los Angeles, CA
    15 days ago

  • SNF Utilization Management RN - Compact Rqd

    $71.1k - $97.8k

     ...Utilization Management Nurse 2 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... 
    Suggested
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office

    Rhode Island Staffing

    Providence, RI
    3 days ago

  • Sr Utilization Management Nurse - Remote in Massachusetts

    $71.2k - $127.2k

     ...accuracy of the coding on the MDS/ MMQ to support payment to the nursing facility + Discuss Patient Care specifics with peers or...  ...other levels or segments within Optum, UHC, or UBH (e.g. Case Managers, Field Care Advocates) to identify appropriate course of action... 
    Suggested
    Minimum wage
    Full time
    Work experience placement
    Casual work
    Work at office
    Local area
    Remote work

    Optum

    Boston, MA
    2 days ago

  • Remote Utilization Management Clinician - AZ RN

     ...A leading health solutions company is seeking a full-time Utilization Management Clinical Consultant. This remote role requires an active Arizona RN license and involves managing cases in a hospital setting. Responsibilities include conducting care management reviews... 
    Suggested
    Full time
    Remote work

    Council Of State and Territorial Epidemiologists

    United States
    16 hours ago

  • Care Manager RN: Utilization Review

    $39.72 - $61.66 per hour

    Description Care Manager RN - Utilization Review at St Patrick Hospital-Broadway Bldg-Missoula MT Schedule: Part Time, Variable Shift working between...  ...6:30pm Sat/Sun & 8-12pm (Mondays) The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive,... 
    Suggested
    Minimum wage
    Part time
    Local area
    Remote work
    Shift work

    Providence Health and Services

    Hot Springs, MT
    1 day ago

  • Care Manager RN - Utilization Review

    $39.72 - $61.66 per hour

     ...Description Care Manager RN - Utilization Review at St Patrick Hospital-Broadway Bldg-Missoula MT Schedule: Part Time, Variable Shift...  ...pm Sat/Sun & 8-12pm (Mondays) The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient... 
    Minimum wage
    Part time
    Local area
    Remote work
    Shift work

    Providence Health and Services

    Polson, MT
    1 day ago

  • Travel PACU & Pain Management Nurse

     ...American Traveler is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel...  ...requiring travel experience, pain management proficiency, and a TX or compact RN license...  ...management of epidural or intrathecal Utilizes PCEA pump for patient-controlled epidural... 
    Daily paid
    Permanent employment
    Immediate start
    Shift work
    Day shift

    American Traveler

    Amarillo, TX
    10 days ago

  • Manager, Prior Authorization Utilization Management - LA Medicaid - RN

    $78.33k - $168.71k

     ...with heart, each and every day. Position Summary The Utilization Management Manager of Prior Authorization oversees a team of clinical...  ...Qualifications Louisiana resident Bachelor's degree in nursing Experience in managed care, insurance, or large health... 
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Flexible hours

    CVS Health

    Baton Rouge, LA
    3 days ago

  • Utilization Review Nurse

    $58.66k - $142.45k

     ...Utilization Management Clinical Manager Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research... 
    Remote work
    Shift work

    Massachusetts General Hospital

    Somerville, MA
    2 days ago

  • Utilization Management Clinician I (RN)

     ...lens to all our work. Reduce health disparities. 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,... 
    Full time
    Temporary work
    Part time
    Work at office
    Remote work
    Trial period
    All shifts
    Flexible hours

    Community Health Plan of Washington

    Seattle, WA
    20 days ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for...  ...Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call... 
    Contract work
    Live in
    Work at office
    Remote work

    Univera Healthcare

    Utica, NY
    2 days ago

  • Utilization Management Nurse - Post Acute | Remote

     ...Title : Utilization Management Nurse - Post Acute Location : Remote | Candidates must reside within Minnesota or Wisconsin Job Type : 6 month contract  Compensation : $40.00-48.00/hr W2 Industry: Health Insurance --- About the Role We are seeking... 
    Contract work
    Remote work

    Dahl Consulting

    Minnetonka, MN
    18 days ago

  • Utilization Management Nurse

     ...across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider...  ...healthcare is possible. About This Opportunity: As a Utilization Management Nurse, you will have a meaningful impact each day by delivering... 
    Full time
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours

    Valenz

    Phoenix, AZ
    a month ago

  • Per Diem Utilization Management Registered Nurse - Remote

    $28.27 - $50.48 per hour

     ...you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Utilization Management Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft... 
    Hourly pay
    Daily paid
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Flexible hours
    Weekend work
    Afternoon shift

    Lensa

    Boulder, CO
    7 days ago

  • Travel PACU & Pain Management Nurse - $1,768 per week

    $12 per hour

     ...American Traveler is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel...  ...requiring travel experience, pain management proficiency, and a TX or compact RN license...  ...management of epidural or intrathecal Utilizes PCEA pump for patient-controlled epidural... 
    Daily paid
    Permanent employment
    Full time
    Immediate start
    Shift work
    Day shift

    American Traveler

    Amarillo, TX
    9 days ago

  • Registered Nurse, Transplant Utilization Review

     ...Multistate Licensure: Quantum Health nurses must be willing and able to obtain and maintain...  ...The Registered Nurse (RN) - Transplant Utilization Review is responsible for reviewing and...  ...optimum benefit. Coordinate health management services to provide integrated health... 
    Permanent employment
    Casual work
    Work at office

    quantum-health

    Dublin, OH
    2 hours agonew

  • Utilization Management Nurse - LPN/LVN

    $60k

     ...is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual...  ...: KNOWLEDGE/SKILLS/ABILITIES The UM Nurse’s responsibilities include but are not limited... 
    Full time
    Temporary work
    Local area
    Remote work

    Integra Partners

    Troy, MI
    a month ago

  • Utilization Management Nurse Consultant - Medical Review (Remote)

    $29.1 - $62.32 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... 
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Lensa

    Lansing, MI
    7 days ago

  • Clinical Nurse - Utilization Manager

     ...Job Description Job Description Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great full-time opportunity with... 
    Full time
    Remote work

    Saratoga Medical Center

    Falls Church, VA
    14 days ago

  • Travel PACU & Pain Management Nurse - $1,768 per week

    $1,768 per week

     ...American Traveler is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel...  ...requiring travel experience, pain management proficiency, and a TX or compact RN license...  ...management of epidural or intrathecal Utilizes PCEA pump for patient-controlled epidural... 
    Daily paid
    Permanent employment
    Immediate start
    Shift work
    Day shift

    American Traveler

    Amarillo, TX
    3 days ago