Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
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Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
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Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
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Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
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Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote ... Active RN or LPN license (RN preferred) -- Maryland compact/eligibility required * 5+ years ...
Baltimore, MD · Remote
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...
Baltimore, MD · Remote
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...
Baltimore, MD · Remote
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...
Baltimore, MD · Remote
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...
Baltimore, MD · Remote
$85K - $90K/yr
The Associate Medical Editor is a licensed oncology registered nurse, preferably with a master ... This is a fully remote position and can be based anywhere within the U.S. ESSENTIAL FUNCTIONS:
Baltimore, MD · Remote
$85K - $90K/yr
The Associate Medical Editor is a licensed oncology registered nurse, preferably with a master ... This is a fully remote position and can be based anywhere within the U.S. ESSENTIAL FUNCTIONS:
Baltimore, MD · Remote
Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...
Baltimore, MD · Remote
Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...
Baltimore, MD · On-site +1
$80K - $95K/yr
Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...
Baltimore, MD · On-site +1
$80K - $95K/yr
Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...
This role offers the flexibility of remote overnight call coverage during the week (with the option ... Active APRN license in Maryland with current CDS and DEA registrations. * Committed to providing ...
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This role offers the flexibility of remote overnight call coverage during the week (with the option ... Active APRN license in Maryland with current CDS and DEA registrations. * Committed to providing ...
This role offers the flexibility of remote overnight call coverage during the week (with the option ... Active APRN license in Maryland with current CDS and DEA registrations. * Committed to providing ...
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This role offers the flexibility of remote overnight call coverage during the week (with the option ... Active APRN license in Maryland with current CDS and DEA registrations. * Committed to providing ...
Deliver services through a combination of on-site visits and virtual/remote engagements * Maintain ... Bachelor of Science in Nursing (BSN) with active Registered Nurse (RN) license or * Master's degree ...
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Deliver services through a combination of on-site visits and virtual/remote engagements * Maintain ... Bachelor of Science in Nursing (BSN) with active Registered Nurse (RN) license or * Master's degree ...
Deliver services through a combination of on-site visits and virtual/remote engagements * Maintain ... Bachelor of Science in Nursing (BSN) with active Registered Nurse (RN) license or * Master's degree ...
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Deliver services through a combination of on-site visits and virtual/remote engagements * Maintain ... Bachelor of Science in Nursing (BSN) with active Registered Nurse (RN) license or * Master's degree ...
Washington, DC · Remote
Those fully remote associates residing in states where service is required by contract, law, or ... An active and unencumbered Registered Nurse (RN) license in the District of Columbia required ...
Washington, DC · Remote
Those fully remote associates residing in states where service is required by contract, law, or ... An active and unencumbered Registered Nurse (RN) license in the District of Columbia required ...
Baltimore, MD · Remote
$46 - $51/hr
Pay Range: $46.76hr - $51.76hr Requirement/Must Have: * RN license, utilization management, computer skills. * 5 years Clinical nursing experience. * 2 years Care Management. * In lieu of a Bachelor ...
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Baltimore, MD · Remote
$46 - $51/hr
Pay Range: $46.76hr - $51.76hr Requirement/Must Have: * RN license, utilization management, computer skills. * 5 years Clinical nursing experience. * 2 years Care Management. * In lieu of a Bachelor ...
Washington, DC · On-site +1
... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years ...
Washington, DC · On-site +1
... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years ...
Washington, DC · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Registered Nurse (RN) required * 5 years of experience in clinical or service quality improvement ...
Washington, DC · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Registered Nurse (RN) required * 5 years of experience in clinical or service quality improvement ...
Washington, DC · On-site +1
$93K - $129K/yr
Those fully remote associates residing in states where service is required by contract, law, or ... Registered Nurse (RN) required * 5 years of experience in clinical or service quality improvement ...
Washington, DC · On-site +1
$93K - $129K/yr
Those fully remote associates residing in states where service is required by contract, law, or ... Registered Nurse (RN) required * 5 years of experience in clinical or service quality improvement ...
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
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Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Baltimore, MD · Remote
$55 - $70/hr
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
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Baltimore, MD · Remote
$55 - $70/hr
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Baltimore, MD · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
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Baltimore, MD · Remote
$650/wk
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
$29.7K - $36K
1% of jobs
$36K - $42.2K
2% of jobs
$42.2K - $48.5K
2% of jobs
$48.5K - $54.7K
0% of jobs
$54.7K - $61K
5% of jobs
$61K - $67.2K
11% of jobs
$68.3K is the 25th percentile. Wages below this are outliers.
$67.2K - $73.5K
21% of jobs
The median wage is $75.8K / yr.
$73.5K - $79.7K
20% of jobs
$84K is the 75th percentile. Wages above this are outliers.
$79.7K - $86K
18% of jobs
$86K - $92.2K
11% of jobs
$92.2K - $98.5K
9% of jobs
$29.7K
$75.7K
$98.5K
Contractor
Medical, Dental, Vision, Life, Retirement
Re-posted 17 days ago
Utilization Management Specialist (UM / Utilization Review Nurse) — Remote
Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H
Job overview
In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.
What you’ll do
Required qualifications
Nice to have
System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
#M-1 #LI-AJ1 Ref: #851-Rockville-S1