Utilization Management Nurse
$80K - $95K/yr
Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$80K - $95K/yr
Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$80K - $95K/yr
Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Utilization Management Nurse We are seeking a dedicated Utilization Management Nurse to provide ... Work Environment This 100% remote role involves working primarily on prior approval reviews. Our ...
Utilization Management Nurse We are seeking a dedicated Utilization Management Nurse to provide ... Work Environment This 100% remote role involves working primarily on prior approval reviews. Our ...
$80K - $95K/yr
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$80K - $95K/yr
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$80K - $95K/yr
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$80K - $95K/yr
Role Overview The Utilization Management Nurse plays a critical role in ensuring high-quality, cost ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
$32.01 - $68.55/hr
Registered Nurse (RN) - Utilization Management Remote | Utilization Management | Work from Home Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our ...
$32.01 - $68.55/hr
Registered Nurse (RN) - Utilization Management Remote | Utilization Management | Work from Home Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
The Utilization Management Nurse 2 work assignments are varied and frequently require ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...
$29.10 - $62.32/hr
Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote ... Utilization Management is a 24/7 operation and work schedules will include holidays and evening ...
$29.10 - $62.32/hr
Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote ... Utilization Management is a 24/7 operation and work schedules will include holidays and evening ...
Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$26.01 - $56.14/hr
... evening hours. Schedule: 3-11 or 11-8 Location: Remote (Central Time) * Utilizes clinical ... N licensure in state of residence Utilization Management is a 24/7 operation and work schedules ...
$26.01 - $56.14/hr
... evening hours. Schedule: 3-11 or 11-8 Location: Remote (Central Time) * Utilizes clinical ... N licensure in state of residence Utilization Management is a 24/7 operation and work schedules ...
$29.10 - $62.32/hr
Registered Nurse (RN) - Utilization Management Remote | Afternoon/Evening Shifts Available | 24/7 Operations Are you an experienced RN looking to bring your clinical expertise to a fast-paced ...
$29.10 - $62.32/hr
Registered Nurse (RN) - Utilization Management Remote | Afternoon/Evening Shifts Available | 24/7 Operations Are you an experienced RN looking to bring your clinical expertise to a fast-paced ...
$60K - $107K/yr
Utilization Management Nurse Optum is a global organization that delivers care, aided by technology ... Monday - Friday (40 Hours a Week) Flexible start times with the ability to support evening, weekend ...
New
$60K - $107K/yr
Utilization Management Nurse Optum is a global organization that delivers care, aided by technology ... Monday - Friday (40 Hours a Week) Flexible start times with the ability to support evening, weekend ...
New
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Quick apply
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
$26.01 - $56.14/hr
... evening hours. Schedule: 3-11 or 11-8 Location: Remote (Central Time) * Utilizes clinical ... N licensure in state of residence - Utilization Management is a 24/7 operation and work schedules ...
$26.01 - $56.14/hr
... evening hours. Schedule: 3-11 or 11-8 Location: Remote (Central Time) * Utilizes clinical ... N licensure in state of residence - Utilization Management is a 24/7 operation and work schedules ...
$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
Cities with the most Evening Remote Utilization Management Nurse job openings:
The most popular types of Remote Utilization Management Nurse jobs are:
States with the most job openings for Evening Remote Utilization Management Nurse jobs include:
The top searched job categories for Evening Remote Utilization Management Nurse jobs are:
Remote
$80K - $95K/yr
Other
Medical, Dental, Vision
Posted 11 days ago
IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. IntusCare empowers teams to take control of their operations and improve outcomes for dual-eligible seniors – some of the most socially vulnerable and clinically complex individuals in the US healthcare system.
The Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This individual partners closely with PACE Interdisciplinary Teams, Medical Directors, and provider networks to review service utilization, guide care decisions and support timely, appropriate transitions across care settings. Blending clinical expertise with analytical thinking, the Utilization Management Nurse ensures services are medically necessary, aligned with care plans and consistent with PACE regulations and best practices. This role is essential to maintaining program integrity, improving participant outcomes and supporting the delivery of coordinated, value-based care.
Responsibilities include rigorous adherence to PACE program service authorization policies, ensuring that participant care and related claims are reasonable and necessary for diagnosis or treatment and consistent with PCP coordination decisions. Active involvement in various aspects of the utilization management process, including concurrent review of all hospital admissions, retrospective review of inpatient admissions under 48 hours, and coordination and review of all other services delivered by contracted providers. Employ effective use of knowledge, critical thinking, and skills to advocate quality care and enhanced quality of life, maintain accurate records of all patient related interactions, and appeal management in cases of claim rejection.
Qualifications include 3 to 5 years of utilization management experience, current RN license, proven experience working in risk based integrated models of care, ability to use data to drive decisions and collaboration with internal and external stakeholders, strong strategic thinking, problem solving, and decision making skills, and excellent communication and leadership abilities.
What We Offer includes a chance to be a part of a trailblazing team in healthcare technology, competitive salary and equity package, comprehensive benefits including health, dental, and vision insurance, a collaborative, inclusive, and dynamic work environment, and opportunities for professional growth and development.
Compensation: The salary range for this role is $80K-$95K. Work location: This is a fully remote role based in the United States. Sponsorship: This position is not eligible for sponsorship.
Sourced by ZipRecruiter
Health care and social assistance
1 - 10 Employees
Providence, RI, US
2019