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Keywords: Utilization Management RN Nurse - Remote, Location: USA

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RN Utilization Review Part- time Day

necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse... requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical...

Posted Date: 03 Oct 2025

RN Clinical Manager

as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. Home health... Type: On-site Branch Location: Avon, IN This is not a remote or work-from-home position. This position requires you to sit...

Location: Avon, IN
Posted Date: 29 Sep 2025
Salary: $77200 - 106200 per year

RN Clinical Manager

as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. Home health... Type: On-site Branch Location: Portage, MI This is not a remote or work-from-home position. This position requires you to sit...

Location: Portage, MI
Posted Date: 22 Sep 2025
Salary: $77200 - 106200 per year

RN Clinical Operations Manager, Home Health

and unrestricted Registered Nurse (RN) license or Compact State RN license with authorization to practice in the state of South... insurance and reliable transportation. A minimum of 2 years of experience as a Registered Nurse (RN). Home health experience...

Posted Date: 29 Sep 2025
Salary: $77200 - 106200 per year

Utilization Review RN

. Accepted licensure includes but is not limited to RN, LMSW, LMHC. Successful completion of UR nurse orientation program... plan with company match, fully vested after 1 year. No weekends and nights! Paid Holidays Work-life balance. Remote...

Location: Freeport, IL
Posted Date: 03 Oct 2025

Utilization Review Registered Nurse

. Accepted licensure includes but is not limited to RN, LMSW, LMHC. Successful completion of UR nurse orientation program... plan with company match, fully vested after 1 year. No weekends and nights! Paid Holidays Work-life balance. Remote...

Location: Rockford, IL
Posted Date: 03 Oct 2025

Utilization Review Registered Nurse

. Accepted licensure includes but is not limited to RN, LMSW, LMHC. Successful completion of UR nurse orientation program... plan with company match, fully vested after 1 year. No weekends and nights! Paid Holidays Work-life balance. Remote...

Location: Elgin, IL
Posted Date: 03 Oct 2025

Acute Care Manager (RN)

hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager, Complex Care (RN) is responsible...’s degree in a related clinical field preferred A valid, active Registered Nurse (RN) license in State of employment...

Company: ChenMed
Location: Philadelphia, PA
Posted Date: 05 Sep 2025

Utilization Management RN Nurse - Remote

The purpose of the Utilization Management Nurse is to ensure quality of patient care, effective utilization... management, engagement team, and disease management). Attend all mandatory meetings and training. Maintains and keeps in total...

Company: Tenet Healthcare
Location: USA
Posted Date: 27 Sep 2025
Salary: $30.85 - 46.28 per hour

Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) - Remote in VA and NC

Sentara Health Plans is hiring a Behavioral Health Utilization Management Care Coordinator (LCSW/LPC/LMFT/RN) remotely.... Job Description Summary: Behavioral Health Utilization Management clinician is responsible for review of clinical information received...

Company: Sentara Health
Location: Norfolk, VA
Posted Date: 12 Sep 2025
Salary: $58572.8 - 97635.2 per year

Utilization Management Nurse Consultant – Behavioral Health (Remote)

Utilization Management (UM) Nurse to join our remote team. In this role, you’ll be at the forefront of clinical decision-making... of a computer. Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams...

Company: CVS Health
Location: New Mexico
Posted Date: 02 Oct 2025

Utilization Review Nurse – RN or LVN - Full Remote

Utilization Review NurseRN or LVN (Remote, $43/hr) Join one of the nation’s leading managed care organizations... health utilization management experience to join a dedicated Utilization Management (UM) team. This is a fully remote, full...

Company: Morgan Stephens
Location: Columbus, OH
Posted Date: 12 Sep 2025
Salary: $43 per hour

RN Registered Nurse, Utilization Coordinator Denver Health Medical Plan - Remote (Must be a Colorado Resident)

We are recruiting for a motivated RN Registered Nurse, Utilization Coordinator Denver Health Medical Plan - Remote..., behavioral health or social needs preferred Certification in Case Management preferred Licenses: RN-Registered Nurse - DORA...

Company: Denver Health
Location: Colorado
Posted Date: 09 Aug 2025
Salary: $69900 - 108300 per year

Behavioral Health Utilization Management Clinician - Tues to Sat Shift- Remote VA and NC

Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management... - 9:00AM Overview Behavioral Health Utilization Management Clinician is responsible for review of clinical information...

Company: Sentara Health
Location: Norfolk, VA
Posted Date: 18 Sep 2025
Salary: $58572.8 - 97635.2 per year

Behavioral Health Utilization Management Clinician - Remote VA and NC

Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management... Behavioral Health Utilization Management Clinician is responsible for review of clinical information received from providers...

Company: Sentara Health
Location: Norfolk, VA
Posted Date: 18 Sep 2025
Salary: $58572.8 - 97635.2 per year

Manager Clinical Utilization Management RN (Waukesha WI)

Utilization Management is responsible for leading and optimizing the hospital's utilization review processes to ensure appropriate... Responsibilities: Lead and manage the daily operations of the utilization management team, including staffing, scheduling...

Location: Waukesha, WI
Posted Date: 02 Oct 2025
Salary: $89900 - 160600 per year

Utilization Management Rn

Remote Utilization Management RN Leading healthcare facility that aims to improve the health and wellness... as soon as possible! Description: REMOTE RN with experience in providing Case Management services to the Pediatric population. Includes, knowledge of "whole...

Company: Actalent
Location: Santa Barbara, CA
Posted Date: 02 Oct 2025
Salary: $47 per hour

Utilization Management RN-Hometown Health

Utilization Management RN, documents all chart and phone reviews, identifies and communicates potentially avoidable days... include weekends to provide coverage for the department as needed. The Utilization Management RN will follow the Hometown...

Company: Renown Health
Location: Reno, NV
Posted Date: 20 Sep 2025

Centralized UR RN - Case Management Utilization Review

Job Requirements The Centralized UR RN will be remote after a minimum of 6 weeks of onsite orientation at the HF... relief. Shift Times: 5 day, 8 hour shifts POSITION SUMMARY The Utilization Review (UR) nurse performs medical necessity...

Company: Health First
Location: Melbourne, FL
Posted Date: 14 Aug 2025

RN Utilization Management Initial Review-Part-Time-Mid Shift-Onsite Position

. Communicates effectively and professionally regarding modality. Provides education regarding utilization management to patients..., and confidentiality Proficiency with computer systems required to perform job Licenses and Certifications Registered Nurse (RN...

Posted Date: 10 Aug 2025