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

Page: 1

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 Nurse RN - Remote

to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse... compact RN licensure Function is responsible for utilization management which includes Prior Authorization Review of skilled...

Location: Seattle, WA
Posted Date: 04 Oct 2025
Salary: $58800 - 105000 per year

Utilization Management Nurse RN - Remote

to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse... compact RN licensure Function is responsible for utilization management which includes Prior Authorization Review of skilled...

Location: Seattle, WA
Posted Date: 04 Oct 2025
Salary: $58800 - 105000 per year

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

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 - 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

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

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: 03 Oct 2025
Salary: $89900 - 160600 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

RN UTILIZATION REVIEW Remote

more at HonorHealth.com. Responsibilities: Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health... utilization of available resources. Performs medical record reviews, as required by payer. Interfaces with Care Management team...

Company: HonorHealth
Location: Arizona
Posted Date: 28 Sep 2025

RN UTILIZATION REVIEW Remote

and Certifications Registered Nurse (RN) State And/Or Compact State Licensure - Required Certified Case Management (ACM) Case... of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist...

Company: HonorHealth
Location: Arizona
Posted Date: 27 Sep 2025

RN Coordinator-Utilization Review/Full Time/Remote

) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES...GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization...

Posted Date: 26 Sep 2025

Utilization Management Nurse, Senior

Concurrent Review Utilization Management Nurse will report to the FEP Utilization Management Manager. In this role... California RN License Requires at least 5 years of prior relevant experience * Previous experience in utilization management...

Posted Date: 03 Oct 2025

Registered Nurse - Utilization Management

Overview: ERP International is seeking a full-time Registered Nurse (RN) Utilization Management for a temporary... contract position in support of the . NOTE: This is NOT a Tele-Health/Remote Practice Opportunity. Be the...

Posted Date: 14 Sep 2025
Salary: $40.19 - 54 per hour

Utilization Management Nurse, Senior

Post Service Clinical Review nurse will report to the manager of FEP Post Services. In this role you will be reviewing... claims and medical records review of services rendered to FEP members. Post-Service Clinical Nurse reviews for medical...

Posted Date: 26 Sep 2025