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 ...
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 ...
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 ...
Utilization Management Nurse
$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 ...
Utilization Management Nurse
$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 ...
Utilization Management Nurse
$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 ...
Utilization Management Nurse
$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 ...
Utilization Management Nurse Consultant
$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 ...
Utilization Management Nurse Consultant
$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 ...
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 ...
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 ...
Registered Nurse - Utilization Review (Remote) This is a fully remote Utilization Review RN role ... Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital ...
Registered Nurse - Utilization Review (Remote) This is a fully remote Utilization Review RN role ... Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital ...
Lead Utilization Management Nurse
Oak Brook, IL · On-site +1
We have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings ...
Quick apply
Lead Utilization Management Nurse
Oak Brook, IL · On-site +1
We have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings ...
Utilization Management Nurse Reviewer
New Orleans, LA · On-site +1
$73K - $139K/yr
Summary The Utilization Management Nurse Reviewer Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
Utilization Management Nurse Reviewer
New Orleans, LA · On-site +1
$73K - $139K/yr
Summary The Utilization Management Nurse Reviewer Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
Utilization Management Nurse
Chapel Hill, NC · On-site +1
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 ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
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 ...
As a Utilization Management (UM) Nurse, you will play a vital role in improving the health and well ... This is a remote position supporting members and providers throughout Illinois with periodic in ...
As a Utilization Management (UM) Nurse, you will play a vital role in improving the health and well ... This is a remote position supporting members and providers throughout Illinois with periodic in ...
Overnight Remote Utilization Management 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 overnight remote utilization management nurse jobs pay per hour?
As of Aug 25, 2026, the average hourly pay for overnight remote utilization management 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 does an overnight remote utilization management nurse do?
An overnight remote utilization management nurse reviews patient records and medical data to determine appropriate care and resource utilization. They work independently, often using electronic health records and clinical guidelines, to ensure efficient and effective patient care during overnight shifts.
What cities are hiring for Overnight Remote Utilization Management Nurse jobs?
Cities with the most Overnight Remote Utilization Management Nurse job openings:
What are the most commonly searched types of Remote Utilization Management Nurse jobs?
The most popular types of Remote Utilization Management Nurse jobs are:
What states have the most Overnight Remote Utilization Management Nurse jobs?
States with the most job openings for Overnight Remote Utilization Management Nurse jobs include:
$80K - $95K/yr
Other
Medical, Dental, Vision
Posted 11 days ago
Job description
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 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.
About Intus Care
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1 - 10 Employees
Headquarters location
Providence, RI, US
Year founded
2019