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Remote Optum Rn Jobs (NOW HIRING)

TapestryHealth

RN-RPM

$75K - $85K/yr

Job Overview The Full-Time Registered Nurse (RN) within the Remote Patient Monitoring (RPM) Notification Center is responsible for reviewing all notifications received through remote monitoring ...

Saratoga Ascend

Registered Nurse

Registered Nurse Saratoga Medical is hiring a Registered Nurse in Springfield, VA (remote allowed; onsite required for initial training and as requested by the client). Package includes competitive ...

Tapestryhealth

RN-RPM

$75K - $85K/yr

Job Overview The Full-Time Registered Nurse (RN) within the Remote Patient Monitoring (RPM) Notification Center is responsible for reviewing all notifications received through remote monitoring ...

Great Lakes Mgmt Co

Triage RN-REMOTE MN, WI and CO

$40/hr

Triage RN - Remote On Call Sat and Sun 7am-7pm (every other weekend) Sat 7pm-7am We are hiring for a part time Sat 7am-7pm and every weekend Triage RN! This is a remote position, if you are ...

Women's Care

Remote Clinical Support - RN

$39.21/hr

... RNs to manage patient message triage through our electronic medical record system. These are fully remote positions focused on reviewing and responding to patient portal messages--not answering ...

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All JobsOptum Rn JobsRemote Optum Rn Jobs

Remote Optum Rn information

What is the difference between Remote Optum Rn vs Remote UnitedHealth Group Rn?

AspectRemote Optum RnRemote UnitedHealth Group Rn
CredentialsRegistered Nurse (RN) license, applicable certificationsRegistered Nurse (RN) license, applicable certifications
Work EnvironmentRemote healthcare services, telehealth platformsRemote healthcare services, telehealth platforms
Employer & IndustryOptum, healthcare and health services industryUnitedHealth Group, healthcare and insurance industry

Both Remote Optum Rn and Remote UnitedHealth Group Rn roles involve providing remote nursing care within the healthcare industry. They require similar credentials and work environments, often utilizing telehealth platforms. The main difference lies in the employer and specific focus areas within the healthcare sector, with Optum focusing on health services and UnitedHealth Group encompassing broader health insurance and services.

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What cities are hiring for Remote Optum Rn jobs? Cities with the most Remote Optum Rn job openings:
What are the most commonly searched types of Optum Rn jobs? The most popular types of Optum Rn jobs are:
What states have the most Remote Optum Rn jobs? States with the most job openings for Remote Optum Rn jobs include:
What job categories do people searching Remote Optum Rn jobs look for? The top searched job categories for Remote Optum Rn jobs are:
Remote Optum Rn jobs near you
Infographic showing various Remote Optum Rn job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 53% Full Time, 15% Part Time, and 29% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

RN, Care Manager, Utilization Management (Full-time, Remote)

Adventist Health

Roseville, CA • On-site, Remote

$59.23 - $81.24/hr

Full-time

Posted 7 days ago

Adventist Health rating

7.7

Company rating: 7.7 out of 10

Based on 243 frontline employees who took The Breakroom Quiz

158th of 887 rated healthcare providers

Job description


Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Reviews patient medical records, assessing the appropriateness and necessity of proposed treatments, and collaborating with healthcare providers and insurance companies to ensure a seamless care experience and the practicing of financial stewardship and denial prevention. Focuses on maximizing patient outcomes and optimizing resource allocation. Utilizes exceptional clinical knowledge, excellent communication skills, and the ability to thrive in a fast-paced and ever-changing healthcare environment.
Job Requirements:
Education and Work Experience:
  • Associate's Degree in nursing or equivalent combination of education/related experience: Required
  • Bachelor's Degree in Nursing (BSN): Preferred
  • Five years' acute hospital experience required with preferred experience in critical care areas: Required
  • Two years' utilization review experience using the Optum/Inter Qual product within the last 12 months: Required

Licenses/Certifications:
  • Registered Nurse (RN) licensure in the state of practice: Required

Essential Functions:
  • Completes clinical reviews of acute medical patients using the Optum/Inter Qual tool to determine if the patient is in the right acute setting, receiving the right acute services, during the appropriate length of stay.
  • Participates in annual Optum/Inter Qual training required. Takes the required annual Optum/Inter Qual Interrater Reliability (IRR) test with a minimum passing score as defined in the yearly departmental goals.
  • Meets weekly productivity metrics within 90 days of completing orientation and maintains on a weekly basis as defined in the yearly departmental goals. Meets quality audit metrics within 90 days of completing orientation and maintained on the audit cadence set within the department as defined in the yearly departmental goals.
  • Completes all required departmental education assigned with timeliness and accuracy. Follows all departmental workflows in communication variances to the on-site care management teams when appropriate. Reviews and analyzes medical records to assess the necessity and appropriateness of treatments and interventions.
  • Collaborates with healthcare professionals to develop and implement comprehensive patient care plans. Facilitates communication between the patient, healthcare team, insurance providers, and other stakeholders to ensure a coordinated and efficient care process. Stays up to date with the latest healthcare regulations, insurance guidelines, and evidence-based practices to ensure the delivery of optimal healthcare services.
  • Performs other job-related duties as assigned.

Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
About Us
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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