Average salary: $72,771 /yearly
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- ...Job Description Job Description Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients...SuggestedFull timeWork at officeRemote work
Cottingham & Butler
Dubuque, IA4 days ago $92.3k - $120k
...Registered Nurse (RN), Home Health Utilization Management Remote - USA At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and...SuggestedWork at officeLocal areaRemote workFlexible hoursClover Health
United States2 days ago- ...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’ll oversee and manage the Utilization Management process...SuggestedFull timeImmediate startRemote workMonday to FridayFlexible hours
Vālenz Health®
Phoenix, AZ2 days ago - ...and accountable for all elements of the nursing process when providing and/or... ...care focused on patient education, self-management, and customer satisfaction throughout the... ...members of the team. Responsibilities The Utilization Management (UM) Registered Nurse (RN) executes...SuggestedPermanent employmentTemporary workSeasonal workLocal areaImmediate startRemote workRelocation packageMonday to FridayFlexible hoursShift work
Veterans Affairs, Veterans Health Administration
West Palm Beach, FL3 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...SuggestedFull timeContract workWork at officeRemote work
Brighton Health Plan Solutions, LLC
Chapel Hill, NCa month ago - ...Summary Registered Nurse is responsible for providing competent - evidence-based practices... ...~ Self-directed in goal setting for managing complex client situations ~ An ADN or... ...simultaneously Preferred Experience: Utilization review experience Case management experience...SuggestedPermanent employmentTemporary workImmediate startRemote workRelocation package
Veterans Affairs, Veterans Health Administration
Shreveport, LAa month ago $70k - $75k
...embedded Healthguides™ and a centralized Managed Service Organization to build stronger... ...path!! Job Description The Utilization Management Registered Nurseis responsible... ...and education consistent with current nursing practice standards and the Illinois Nurse...SuggestedBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from homeGuidehealth
United States6 hours ago- ...Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant documentation and communications...SuggestedWork at officeRemote work
Brighton Health Plan Solutions
United States2 days ago $32.01 - $68.55 per hour
...of something bigger – helping to simplify health care one person, one family and one community at a time. Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeAfternoon shiftCVS Health
United States5 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...SuggestedContract workImmediate startRemote workMonday to FridayVarite
Aurora, CO3 days ago$32.01 - $68.55 per hour
...Utilization Management Position We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...Qualifications 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have...SuggestedHourly payFull timeTemporary workWork at officeRemote workAfternoon shiftCVS Health
United States4 days ago$29.1 - $62.32 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 Schedule : Monday-Friday 10:30AM- 7:30...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftCVS Health
Lansing, MI3 days ago- ...Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization... ...Your knowledge and experience: ~ Associate Degree in Nursing required ~ Bachelor of Science in Nursing or advanced degree...SuggestedFull timeContract workPart timeWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift2 days per week
$40 per hour
...Utilization Management Nurse We are seeking a dedicated Utilization Management Nurse to provide timely and appropriate prior approval services to members and healthcare providers. The role involves making clinical determinations based on medical policies and criteria...SuggestedContract workTemporary workWork at officeRemote work$29.1 - $62.32 per hour
...and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayAfternoon shiftWeekday workCVS Health
Arizona4 days ago$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond the bedside? Join our team and use your clinical expertise to ensure members receive the...Hourly payFull timeTemporary workWork at officeRemote workMonday to FridayAfternoon shiftWeekday workOak St. Health
United States5 days ago$29.1 - $62.32 per hour
...Registered Nurse (RN) – Utilization Management Make a difference in healthcare from a clinical review and care coordination perspective. We are seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you will leverage your...Hourly payFull timeTemporary workWork at officeRemote workWork from homeAfternoon shiftOak St. Health
United States2 days 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, AZ2 days ago$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...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$41.71 - $105.65 per hour
...Staff Nurse - Per Diem Rotating Day - BWH Utilization Management The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department. Through sound knowledge of utilization management, the nurse is able...Hourly payDaily paidRemote workShift work$34 - $55 per hour
...Utilization Management Nurse Full Time - Day shift (Monday-Friday, 8a-5p), hybrid (Work from both office & home. Must be in commutable distance). Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization...Full timeWork at officeWork from homeMonday to FridayDay shift- Valenz, a remote-first health services platform in the United States, seeks a Utilization Management Nurse to oversee the UM process for plan participants, ensuring appropriate, necessary, and cost-effective care. You will review prospective, concurrent, and retrospective...Remote 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...Contract workTemporary workLocumWork at officeHome officeShift work
- We’re seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you’ll perform both inpatient and outpatient utilization reviews while supporting transitions of care and ensuring patients receive...Remote 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...Full timeWork at officeRemote workFlexible hours- Vālenz Health® is seeking a Utilization Management Nurse for a fully remote role. You will oversee and manage UM processes to ensure appropriate, necessary, and cost-effective care for plan participants, reviewing prospective, concurrent, and retrospective reviews. You...Remote job
$42 per hour
IntusCare is seeking a Contract Utilization Management Nurse to ensure high-quality, cost-effective, and compliant care for PACE participants. The role collaborates with interdisciplinary teams to review utilization, guide care decisions, and support transitions across...Remote jobHourly payContract work- Valenz Health is seeking a Utilization Management Nurse to oversee and manage the UM process, ensuring the delivery of high-quality, cost-effective care for plan participants. You will review prospective, concurrent, and retrospective UM activities and collaborate with...Remote job
$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...Minimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote work$42 per hour
...care coordination, risk adjustment, population health, and utilization management. IntusCare empowers teams to take control of their operations... ...system. Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective...Contract workRemote work
