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Home Utilization Management Nurse Jobs (NOW HIRING)

Intus Care

Utilization Management Nurse

$80K - $95K/yr

Utilization Management Nurse 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 ...

Intus, Inc

Utilization Management Nurse

$80K - $95K/yr

Role Overview 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 ...

INTUS INC

Utilization Management Nurse

$80K - $95K/yr

Role Overview 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 ...

Humana

Utilization Management Nurse

Reporting to the Manager, Utilization Management Nursing, the Part C Grievance & Appeals (G&A ... To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided ...

Humana

Utilization Management Nurse

Reporting to the Manager, Utilization Management Nursing, the Part C Grievance & Appeals (G&A ... To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided ...

Humana

Utilization Management Nurse

Reporting to the Manager, Utilization Management Nursing, the Part C Grievance & Appeals (G&A ... To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided ...

Minnesota Jobs

Utilization Management Nurse

Reporting to the Manager, Utilization Management Nursing, the Part C Grievance & Appeals (G&A ... To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided ...

Intus Care

Contract Utilization Management Nurse

$42/hr

Contract Utilization Management Nurse 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 ...

Intus, Inc

Contract Utilization Management Nurse

$42/hr

Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This ...

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Home Utilization Management Nurse information

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$39K

$89.5K

$163K

How much do home utilization management nurse jobs pay per year?

As of Sep 9, 2026, the average yearly pay for home utilization management 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 popular job titles related to Home Utilization Management Nurse jobs?

For Home Utilization Management Nurse jobs, the most frequently searched job titles are:

Utilization Management Nurse

Los Angeles, CA • On-site

Presidential Staffing Solutions LLC
See more jobs at Presidential Staffing Solutions LLCexternal

$60 - $75/hr

Other

Re-posted 11 days ago

Job description

Utilization Management Nurse

We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role will be to ensure we are running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The ideal candidate has deep experience in a similar medical setting, has a bachelor's or higher in Nursing, and has a certification in either Case Management or Utilization Management.

Compensation: $60.00 - $75.00 per hour

Responsibilities:

  • Review patient files and treatment information for efficiency
  • Monitor the activity of staff to ensure effective patient treatment
  • Advocate for quality patient care to prevent complications
  • Review discharge information for outgoing patients
  • Work closely with clinical staff to provide excellent patient care
  • Prepare reports on patient management and cost assessments

Qualifications:

  • BSN and/or MSN preferred.
  • Minimum of 5 years of successful nursing practice, encompassing education, administration, leadership, and Quality Management Performance Improvement (QM/PI) experience preferred.
  • Basic computer literacy proficiency with the use of Microsoft Office programs or comparable word processing, spreadsheet and graphic software and the ability to learn new programs specific to the VA preferred.
  • Ability to work variable and flexible tours to meet program demands.
  • Demonstrated ability to accurately implement policies, regulations, standards of care and standards of practice preferred.
  • Demonstrated ability to review patient clinical records.
  • Proven ability to facilitate group problem solving preferred.
  • Proven ability to utilize sound judgment in making patient transfer decisions preferred.
  • Ability to lead and effectively direct staff within program unit/team/group preferred.
  • Excellent organizational, communication, writing, and time management skills preferred.
  • Excellent interpersonal skills and the ability to work independently as well as collaboratively with multiple service lines and disciplines preferred.

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