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Entry Level Remote Um Nurse Jobs (NOW HIRING)

Enterprise Engineering

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UM Nurse

OR · Remote

UM Nurse (California License) - Must be licensed in California- Remote Opportunity Work Hrs : (8am - 5pm PDT) would like to include evening, weekend and holiday coverage. 3 month contract plus Remote ...

RIT Solutions

UM Nurse (California License)

UM Nurse (California License) - Must Be Licensed In California- Remote Opportunity The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating ...

Astrana Health

UM Review Nurse - Remote

$34 - $42/hr

UM Review Nurse - Remote Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to ...

Astrana Health, Inc.

UM Review Nurse

$34 - $47/hr

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · On-site +1

$34 - $47/hr

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...

Vytwo

Epic Tapestry UM Analyst

Prosper, TX · Remote

$50/hr

^Remote Work **Must be authorized to work in USA. We are seeking an experienced Epic Tapestry ... Clinical background (e.g., RN) or strong experience partnering with clinical reviewers and Medical ...

Apply Early

Astrana Health

UM Review Nurse - Remote

Monterey Park, CA · Remote

$34 - $42/hr

This is a remote position for CA-licensed nurses. Candidates may reside in any state, but will be ... At least 1 year of UM/UR experience * Experience with Microsoft applications such as Word, Excel ...

Astrana Health

UM Review Nurse - Remote

Monterey Park, CA · Remote

$34 - $47/hr

This is a remote position for CA-licensed nurses. Candidates may reside in any state, but will be ... At least one year of outpatient UM experience * Experience with Microsoft applications such as Word ...

Oak St. Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse ... Through the use of clinical tools and information/data review, the UM Nurse Consultant reviews ...

Astrana Health

UM Review Nurse

Monterey Park, CA · Remote

$34 - $47/hr

This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... At least 1 years of outpatient UM experience * Experience with Microsoft applications such as Word ...

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · Remote

$34 - $47/hr

This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... At least 1 years of outpatient UM experience * Experience with Microsoft applications such as Word ...

Apply Early

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Entry Level Remote Um Nurse information

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$39K

$89.5K

$163K

How much do entry level remote um nurse jobs pay per year?

As of Jul 1, 2026, the average yearly pay for entry level remote um nurse in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Entry Level Remote UM Nurse, and why are they important?

To thrive as an Entry Level Remote UM Nurse, you need a current RN license, a solid understanding of clinical guidelines, and foundational knowledge of utilization management processes. Familiarity with case management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is typically required. Strong communication, critical thinking, and organizational skills help you collaborate with providers and manage cases efficiently in a remote environment. These skills ensure accurate and compliant utilization reviews, support cost-effective patient care, and maintain quality standards in a virtual setting.

What is the difference between Entry Level Remote Um Nurse vs Entry Level Remote Medical Assistant?

AspectEntry Level Remote Um NurseEntry Level Remote Medical Assistant
Required CredentialsRN license, Basic Life Support (BLS)High school diploma, Certified Medical Assistant (CMA) or similar
Work EnvironmentRemote patient care, telehealth platformsRemote administrative support, scheduling, data entry
Employer & Industry UsageHospitals, clinics, telehealth companiesMedical offices, clinics, healthcare providers
Common Search & ComparisonPatient care, nursing duties, telehealthAdministrative tasks, patient scheduling, data management

Entry Level Remote Um Nurses primarily focus on patient care and nursing responsibilities via telehealth, requiring an RN license. In contrast, Entry Level Remote Medical Assistants handle administrative and support tasks, often with a CMA certification. Both roles are remote but serve different functions within healthcare organizations.

What are Entry Level Remote UM Nurses?

Entry Level Remote Utilization Management (UM) Nurses are registered nurses who work from home to review medical records and ensure that healthcare services are medically necessary and compliant with insurance policies. They typically assess treatment plans, coordinate with healthcare providers, and help determine coverage for procedures and hospital stays. These nurses use their clinical knowledge and understanding of insurance guidelines to make decisions that support quality patient care while controlling healthcare costs. Remote positions allow them to perform these duties virtually, offering flexibility and the ability to work from various locations. Entry-level roles usually require an active RN license and some clinical experience, but extensive UM experience may not be necessary.

What are some common challenges faced by entry level remote UM Nurses, and how can they be overcome?

Entry level remote Utilization Management (UM) Nurses often face challenges such as adapting to virtual communication, managing a high volume of case reviews, and mastering multiple digital platforms. Building strong organizational and time management skills is key, as is regularly collaborating with more experienced team members for guidance. Proactively seeking feedback and participating in ongoing training can also help new UM Nurses stay current with best practices and regulatory requirements. Establishing a dedicated and distraction-free workspace can further support productivity and focus in a remote environment.
More about Entry Level Remote Um Nurse jobs
What cities are hiring for Entry Level Remote Um Nurse jobs? Cities with the most Entry Level 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 Entry Level Remote Um Nurse jobs? States with the most job openings for Entry Level Remote Um Nurse jobs include:
What job categories do people searching Entry Level Remote Um Nurse jobs look for? The top searched job categories for Entry Level Remote Um Nurse jobs are:
Entry Level Remote Um Nurse jobs near you
Infographic showing various Entry Level Remote Um Nurse job openings in the United States as of June 2026, with employment types broken down into 2% Locum Tenens, 1% As Needed, 5% Full Time, 1% Part Time, 82% Contract, and 9% Nights. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.
UM Nurse

UM Nurse

Enterprise Engineering

OR • Remote

Contractor

Posted 19 days ago

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Key responsibilities

  • Perform prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members.

  • Review cases for medical necessity and apply appropriate clinical criteria, including Medicare, Medicaid/Medi-cal, Interqual, Milliman, or Health Plan specific guidelines.

  • Collaborate with the Medical Director to ensure the integrity of adverse determination notices based on quality standards.

Job description

Job Title: UM Nurse (California License) – Must be licensed in California- Remote Opportunity

Work Hrs: (8am – 5pm PDT) would like to include evening, weekend and holiday coverage.

3 month contract plus

Remote Opportunity


Ready to Hire ASAP.

JD: The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure members receive the services and resources required to meet desired health and social outcomes. The UM Nurse is responsible for providing patient-centered care across the care continuum.

This position is not patient facing, they will be reviewing patient records and providing recommendations.

Role and Responsibilities

  • Perform prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members
  • Review cases for medical necessity and apply the appropriate clinical criteria; to include, but not limited to Medicare criteria, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan specific guidelines
  • Collaborate with the Medical Director to ensure the integrity of adverse determination notices based on the quality standards for adverse determinations
  • Ensure discharge planning is timely and appropriately communicated to the transition of care teams, when applicable.
  • Meet or exceed productivity targets set forth
  • Serve as a resource to non-clinical team members when applicable

Qualifications and Education Requirements

  • Associate's degree in Nursing, preferred
  • Minimum 2 years of experience in medical management clinical functions.
  • UM Reviewer in patient experience required
  • Working knowledge of MCG, InterQual, and NCQA standards
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About Enterprise Engineering

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Our team is composed of architects and application experts skilled in Open Banking and Digital Transformation. Financial Data is in our DNA, and for years we have been helping our clients design, develop and deploy modern, innovative solutions bringing the greatest value to our clients and their business. If you have a constant thirst for emerging technology and a passion for pushing the needle towards excellence, you might be just like us. Life at EEI At EEI, our cultural pillars have been and continue to be a collaborative work environment that cultivates teamwork, mentoring, knowledge sharing, individual and team development. We are a humble bunch that cares for the personal and professional wellbeing of our clients and coworkers and support a healthy work life balance. Do you share our values?

Industry

It services

Company size

51 - 200 Employees

Headquarters location

NY, US

Year founded

1995

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