RN Care Management(Remote)
Anacalifornia
- Remote job
Optum is seeking an Utilization Review Nurse, RN, to support inpatient utilization management. The role reviews admissions and preauthorization requests using evidence-based guidelines, ensuring medical necessity and cost-effective care, with a focus on patient outcomes.
The position allows remote work for those in PST/MST, with a Monday-Friday 8am-5pm schedule and weekend rotation. Candidates must hold an active RN license and be able to obtain CA licensure within 90 days.
#J-18808-Ljbffr Anacalifornia
- ...is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and... ...medical necessity criteria, and coordinating with Medical Directors. Remote options are available for eligible... ...position demands 3+ years of acute care nursing and 1+ year in Utilization...Remote job
- Optum is seeking a Utilization Review Nurse (RN) to perform inpatient utilization management, applying evidence-... ...strong clinical judgment, documentation in care management systems, and collaboration with physician leadership. Remote work is available for those in PST/MST...Remote workWeekend work
- Optum is seeking a Utilization Review Nurse (RN) to perform inpatient utilization management, applying... ...clinical judgment, documentation in the care management system, and collaboration... ...Monday-Friday schedule with potential remote work for those in PST or MST and weekend...Remote jobMonday to FridayWeekend work
$35 - $56 per hour
...Inpatient Services RN CAP 1 The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement... ...and responsible for the provision and coordination of clinically competent care including assessment, planning,...Remote workWork experience placementImmediate startNight shiftWeekend work- ...seeking an experienced Utilization Review Nurse (RN) to perform inpatient utilization management and medical... ...ensure cost-effective, high-quality patient care. The role requires a current RN license, 3+ years of acute care/UM experience, and the ability to work in Pacific...Remote jobContract workWeekend work
$38 - $45 per hour
...Overview RN / Registered Nurse IPC, Hospice Location: Naperville... ...Type: Full-Time Remote/Virtual Position: No... ...Area: AccentCare Inpatient Hospice Unit... ...Career in Hospice Caring for others is more than... ...and their families Coordinate with physicians, the...Remote workFull timeFlexible hoursShift workNight shiftRotating shiftWeekend work- UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing... ...Medical Directors for complex cases. The position may offer remote work options and requires working a Monday-Friday schedule...Remote jobMonday to FridayWeekend work
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services. You will assess member needs and... ...role features a Monday-Friday 8 AM-5 PM EST schedule with remote work options for EST/CST locations; Minneapolis or...Remote jobWork at officeMonday to Friday
- ...Utilization Management (UM) Nurse How would you like... ...administrative compliance. Unlike remote roles, this position... ...is a Registered Nurse (RN) responsible for... ...correct Patient Class (e.g., Inpatient vs. Outpatient with... ...the current level of care. Medical Provider Liaison...Remote workImmediate startShift work
$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization... ...that delivers care, aided by technology to... ...and effective Inpatient utilization management... ...care principles in the coordination of care. Prepares any... ...the flexibility to work remotely* as you take on some tough...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift work$37.33 - $76.26 per hour
...RN Care Coordinator At Merrimack Health, we are committed to... ...salary growth. Can be remote!! The RN Care... ...utilization reviews and other UM activities, as needed,... ...service assignment (inpatient vs observation) and... ...Master's degree preferred (Nursing Masters not required...Remote work$38 - $45 per hour
...Naperville, IL Position: RN / Registered Nurse IPC, Hospice Position Type: Full-Time Remote/Virtual Position: No... ...Area: AccentCare Inpatient Hospice Unit Naperville... ...Career in Hospice. Caring for others is more than... ...and their families Coordinate with physicians, the...Remote workHourly payFull timeFlexible hoursShift workNight shiftRotating shiftWeekend work$41.2 - $62.17 per hour
...Job Description: The RN Hospital Care Manager I delivers... ...departments, including both Inpatient and Outpatient areas.... ..., adjusts, and coordinates care plans to address... ...Current Registered Nurse (RN) license in state... ...expectations. If applying for a remote or hybrid role, this...Remote workHourly payShift workWeekend work- ...Registered Nurse (RN)- Seidman Oncology Inpatient Units University Hospitals Seidman... ...advanced forms of cancer care, encompassing prevention,... ...Constantly Eye/Hand/Foot Coordination - Constantly Primary... ...Professional Travel: No Remote Work: No University HospitalsRemote workHourly payFull timeRelocation packageShift work
- ...PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical... ...accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and...Remote workImmediate startNight shiftWeekend work
- ...Job Category: Nursing - Registered Nurse... ...effective outcomes. Coordinates a team approach... ...the next level of care; Responsible for length... ...to practice as an RN in Georgia.... ...responsibility of inpatient or post-hospitalization... ...rotation, and remote coverage. Physical...Remote workAll shiftsShift workDay shift
$84.45k - $181.86k
...Registered Nurse/RN - Dialysis (Inpatient & Outpatient) Position Summary The Dialysis... ...a spectrum of dialysis care to both chronic outpatients... ...specialist, pharmacy, etc., to coordinate care. Working 40 hours... ...Posting Category Nursing Remote Eligibility Onsite Only...Remote workFull timeWork at officeShift workNight shiftRotating shift- ...Description We are looking for an Inpatient Care Coordinator to join this growing... ..., the position is partially remote and benefits/perks start on... ...the role with preference for RN, PT, or OT credentials ~ Current... ...1year min of recent skilled nursing facility experience ~...Remote work
- ...Introduction Are you looking for a place to deliver excellent care patients deserve? At Research Medical Center we support... ...in their positions. Join our Team as a(an) Clinical Nurse Coordinator RN Inpatient Oncology and access programs to assist with every stage of...Hourly payFull timeTemporary workPart timeFlexible hoursShift work
- ...a comprehensive continuum of care that includes primary and preventive... .... As a Coding Quality Coordinator, you'll play a key role in guiding... ...CCS. Minimum 5 years of inpatient coding experience Strong... ...Additional Information Position is fully remote...Remote work
$70k - $75k
...Guidehealth leverages remotely-embedded... ...Intensity and duration of inpatient or outpatient... ...services Quality of care concerns... ...friendly. Care Coordination & Quality Support... ...the development of UM/PHM Committee materials... ...consistent with current nursing practice standards...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...provide a comprehensive continuum of care that includes primary and preventive services... ...GENERAL SUMMARY: As the Coordinator of Inpatient Coding Quality & Education, you'll be... ...facility preferred. Additional Information This position is fully remote....Remote work
- ...seeking a Utilization Management Nurse Consultant (RN) for a remote role. You will perform concurrent reviews for acute inpatient admissions and support timely transitions of care. Required RN license, 5+ years acute care, 2+ years UM/Case Management experience, and familiarity...Remote job
- ...directly supports high-quality patient care. At Henry Ford Health, we're looking... ...continuous improvement. As a Coding Quality Coordinator, you'll play a key role in guiding and... ...Administrator (RHIA) or CCS. Minimum 5 years of inpatient coding experience Strong...Remote workFull time
- Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical necessity... ..., and familiarity with Medicare/Medicaid guidelines, MCg/InterQual, and care coordination processes. #J-18808-Ljbffr NHSHPRemote job
- ...Shift; Call Assignment Type: Inpatient Call Required: Yes... ...designed to support quality patient care delivery across its... ...environment is structured to support coordinated, patient-centered anesthesia... ...and 7:00 AM - 7:00 PM, with remote on-call coverage from 7:00 PM...Remote workContract workLocumImmediate startMonday to FridayShift workWeekend workDay shiftWeekday work
- ...Job Posting Aug 11, 2026 Registered Nurse (RN) - Inpatient Adult Unit - ( 26161922 ) Natchaug Hospital doesn't just take great care of our patients; we take great care of our Registered Nurses too! Our benefit options at Natchaug Hospital are designed so you can care...Remote workDaily paidPart timeRelocation packageShift work
- UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services and coordinate care for patients. The role... ...criteria. You will work remotely from the Pacific, Mountain,... ...improvement of care processes. A RN license and clinical...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization... ...assessing member needs and coordinating care. Based in Phoenix, AZ with a fully remote work style, the role requires... ...acute settings and an active RN license. You will perform...Remote job
- ...through integrated delivery of care across the continuum.... ...Adheres to utilization management (UM) policies and procedures. Required... ...in hospital acute care, inpatient review, prior authorization, managed... ...and experience. Registered Nurse (RN). License must be active and...Remote jobWork at office
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