Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract ... Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and ...
Quick apply
Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract ... Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and ...
Contract Remote We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment for ...
Contract Remote We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment for ...
Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment ...
Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment ...
Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented ... This is a fully remote opportunity requiring discipline, accuracy, and effective collaboration ...
Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented ... This is a fully remote opportunity requiring discipline, accuracy, and effective collaboration ...
Case Management Leader - AI Trainer
Houston, TX · Remote
$100 - $150/hr
... N/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role ... Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and ...
New
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Case Management Leader - AI Trainer
Houston, TX · Remote
$100 - $150/hr
... N/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role ... Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and ...
New
Evenings Digital Triage Registered Nurse (Contract) Remote, United States Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating ...
Evenings Digital Triage Registered Nurse (Contract) Remote, United States Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating ...
Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment ...
Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment ...
Senior Director, Complex Care Management and Utilization Management - 2947
Baltimore, MD · On-site +1
... clinicians, UM nurses, and community health workers. - Foster a culture of accountability ... Working conditions This job operates in a remote location from your home location. This role ...
Senior Director, Complex Care Management and Utilization Management - 2947
Baltimore, MD · On-site +1
... clinicians, UM nurses, and community health workers. - Foster a culture of accountability ... Working conditions This job operates in a remote location from your home location. This role ...
Utilization Management RN
Bakersfield, CA · Remote
$57.37 - $85.33/hr
Job Summary and Responsibilities As our UM RN (Utilization Management Registered Nurse), you will ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...
Utilization Management RN
Bakersfield, CA · Remote
$57.37 - $85.33/hr
Job Summary and Responsibilities As our UM RN (Utilization Management Registered Nurse), you will ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...
$57.37 - $85.33/hr
Job Summary and Responsibilities As our UM RN (Utilization Management Registered Nurse), you will ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...
$57.37 - $85.33/hr
Job Summary and Responsibilities As our UM RN (Utilization Management Registered Nurse), you will ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...
Contract Remote We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment for ...
Contract Remote We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance environment for ...
The BH UM Reviewer will use professional judgment to evaluate the request to ensure that ... Those fully remote associates residing in states where service is required by contract, law, or ...
New
The BH UM Reviewer will use professional judgment to evaluate the request to ensure that ... Those fully remote associates residing in states where service is required by contract, law, or ...
New
The BH UM Reviewer will use professional judgment to evaluate the request to ensure that ... Those fully remote associates residing in states where service is required by contract, law, or ...
New
The BH UM Reviewer will use professional judgment to evaluate the request to ensure that ... Those fully remote associates residing in states where service is required by contract, law, or ...
New
Highmark Inc. : JOB SUMMARY This is a full-time REMOTE position requiring weekend availability ... N experience * RN Case Management, Care Management * Experience in UM/CM/QA/Managed Care
Highmark Inc. : JOB SUMMARY This is a full-time REMOTE position requiring weekend availability ... N experience * RN Case Management, Care Management * Experience in UM/CM/QA/Managed Care
... Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract ... Bachelor of Science in Nursing (BSN) OR Associate Degree in Nursing (ADN)
... Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract ... Bachelor of Science in Nursing (BSN) OR Associate Degree in Nursing (ADN)
Partner with Care Management and UM teams to identify utilization trends, reduce avoidable ... This is a 100% remote, high-impact contract opportunity starting immediately, offering you the ...
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Partner with Care Management and UM teams to identify utilization trends, reduce avoidable ... This is a 100% remote, high-impact contract opportunity starting immediately, offering you the ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
San Ramon, CA · On-site +1
$100K - $123K/yr
... using contracts, medical policies, and evidence-based clinical guidelines while also ensuring ... Prepare and present cases to physician reviewers/UM Medical Director in a concise, objective and ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
San Ramon, CA · On-site +1
$100K - $123K/yr
... using contracts, medical policies, and evidence-based clinical guidelines while also ensuring ... Prepare and present cases to physician reviewers/UM Medical Director in a concise, objective and ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
Sacramento, CA · On-site +1
$100K - $123K/yr
... using contracts, medical policies, and evidence-based clinical guidelines while also ensuring ... Prepare and present cases to physician reviewers/UM Medical Director in a concise, objective and ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
Sacramento, CA · On-site +1
$100K - $123K/yr
... using contracts, medical policies, and evidence-based clinical guidelines while also ensuring ... Prepare and present cases to physician reviewers/UM Medical Director in a concise, objective and ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
Sacramento, CA · On-site +1
$100K - $123K/yr
... using contracts, medical policies, and evidence-based clinical guidelines while also ensuring ... Prepare and present cases to physician reviewers/UM Medical Director in a concise, objective and ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
Sacramento, CA · On-site +1
$100K - $123K/yr
... using contracts, medical policies, and evidence-based clinical guidelines while also ensuring ... Prepare and present cases to physician reviewers/UM Medical Director in a concise, objective and ...
Staff Pharmacist, Indian Health Service Facility, Travel Contract, Remote Arizona
Venice, CA · Remote
$66.75 - $78.50/hr
... nurses, and healthcare team members on medication therapy and patient care needs Ensure safe ... remote community health setting Flexible and open to a truly unique pharmacy experience ...
New
Quick apply
Staff Pharmacist, Indian Health Service Facility, Travel Contract, Remote Arizona
Venice, CA · Remote
$66.75 - $78.50/hr
... nurses, and healthcare team members on medication therapy and patient care needs Ensure safe ... remote community health setting Flexible and open to a truly unique pharmacy experience ...
New
Contract Remote Um Nurse information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do contract remote um nurse jobs pay per hour?
As of Aug 14, 2026, the average hourly pay for contract remote um nurse in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.
What is the difference between Contract Remote Um Nurse vs Contract Remote Medical Coder?
| Aspect | Contract Remote Um Nurse | Contract Remote Medical Coder |
|---|---|---|
| Required Credentials | RN license, Urology certification | Certification in coding (CPC, CCS) |
| Work Environment | Remote healthcare settings, telehealth | Remote medical billing and coding |
| Employer & Industry Usage | Hospitals, clinics, urology practices | Insurance companies, healthcare providers |
| Search & Comparison Intent | Job duties, certifications, remote work | Certification requirements, remote coding jobs |
The Contract Remote Um Nurse and Contract Remote Medical Coder roles both involve remote healthcare work but differ in credentials and job focus. Um Nurses require nursing licenses and clinical knowledge, while Medical Coders focus on coding certifications. Both roles are remote and serve healthcare providers, but they cater to different professional skills and industry needs.
More about Contract Remote Um Nurse jobs
What cities are hiring for Contract Remote Um Nurse jobs?
Cities with the most Contract Remote Um Nurse job openings:
What are the most commonly searched types of Remote Um Nurse jobs?
The most popular types of Remote Um Nurse jobs are:
What states have the most Contract Remote Um Nurse jobs?
States with the most job openings for Contract Remote Um Nurse jobs include:
What job categories do people searching Contract Remote Um Nurse jobs look for?
The top searched job categories for Contract Remote Um Nurse jobs are:
$150/hr
Full-time
Re-posted 14 days ago
Job description
About the job
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Position: Utilisation Management / Case Management leader (RN/Physician-advisor)
Type: Contract
Compensation: $100–$150/hour
Location: Remote
Role Responsibilities
- Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination.
- Evaluate AI-generated medical necessity determinations and clinical review outputs for accuracy and clinical appropriateness.
- Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations.
- Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals.
- Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning.
- Annotate AI outputs and provide structured clinical feedback to support AI training datasets.
Qualifications
Must-Have
- 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role.
- Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise.
- Deep knowledge of InterQual, MCG, or Milliman clinical review criteria.
- Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria.
- Experience managing physician advisor programs and peer-to-peer review processes with payers.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs.
Preferred
- CPUR, ACM, or CCM credential.
- MD or DO with UM/physician advisor experience preferred for physician advisor roles.
- Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent).
- Familiarity with AI tools and comfort evaluating AI-generated clinical review content.
- Background in health system, ACO, or value-based care organisation UM programs.
Resources & Support
- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
- For any help or support, reach out to: support@mercor.com
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.