UM Nurse (California License) - Must Be Licensed In California- Remote Opportunity The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating ...
UM Nurse (California License) - Must Be Licensed In California- Remote Opportunity The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating ...
Inpatient UM Nurse Case Manager
Sherman Oaks, CA · Remote
$38 - $42/hr
Join MedPOINT Management as an Inpatient UM Nurse Case Manager in Sherman Oaks, CA, where you will ... This is a remote position.
Quick apply
Inpatient UM Nurse Case Manager
Sherman Oaks, CA · Remote
$38 - $42/hr
Join MedPOINT Management as an Inpatient UM Nurse Case Manager in Sherman Oaks, CA, where you will ... This is a remote position.
Utilization Management Nurse Consultant (UM) - Work at home in CST Zone
$26.01 - $56.14/hr
Utilization Management (UM) Nurse Consultant 100% WorkFromHome | Full-Time | Open to CST residents ... This is a fully remote role available to candidates in any U.S. state in the CST Zone. You'll apply ...
Utilization Management Nurse Consultant (UM) - Work at home in CST Zone
$26.01 - $56.14/hr
Utilization Management (UM) Nurse Consultant 100% WorkFromHome | Full-Time | Open to CST residents ... This is a fully remote role available to candidates in any U.S. state in the CST Zone. You'll apply ...
UM Nurse Consultant | Specialty UM - Spine
$29.10 - $62.32/hr
Utilization Management Nurse Consultant, Specialty Spine Team (Remote) Schedule: Monday-Friday, 8 ... Join our Utilization Management (UM) Spine Team and play a critical role in ensuring members ...
UM Nurse Consultant | Specialty UM - Spine
$29.10 - $62.32/hr
Utilization Management Nurse Consultant, Specialty Spine Team (Remote) Schedule: Monday-Friday, 8 ... Join our Utilization Management (UM) Spine Team and play a critical role in ensuring members ...
Utilization Management Nurse, LVN/LPN
$26.35 - $39.53/hr
Utilization Management Nurse, LVN/LPN Remote Who We Are NeueHealth is a value-driven healthcare ... Scope Of Role The role of the UM Nurse is to promote quality, cost-effective outcomes for a ...
Utilization Management Nurse, LVN/LPN
$26.35 - $39.53/hr
Utilization Management Nurse, LVN/LPN Remote Who We Are NeueHealth is a value-driven healthcare ... Scope Of Role The role of the UM Nurse is to promote quality, cost-effective outcomes for a ...
Knowledge/Skills/Abilities The UM Nurse's responsibilities include but are not limited to ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Knowledge/Skills/Abilities The UM Nurse's responsibilities include but are not limited to ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
The Remote UM Medical Director/ Physician Advisor (UM MD/PA) reports to the Senior VP of Clinical ... Required: 3-5 years of experience in hospital-wide or skilled nursing facility position involving ...
The Remote UM Medical Director/ Physician Advisor (UM MD/PA) reports to the Senior VP of Clinical ... Required: 3-5 years of experience in hospital-wide or skilled nursing facility position involving ...
Utilization Management Nurse Consultant - Eastern Time Zone
$32.01 - $68.55/hr
This Utilization Management (UM) Nurse Consultant role is fully remote but preference is for candidates residing in Massachusetts. Normal Working Hours: * Monday through Friday between 8am-5pm EST.
Utilization Management Nurse Consultant - Eastern Time Zone
$32.01 - $68.55/hr
This Utilization Management (UM) Nurse Consultant role is fully remote but preference is for candidates residing in Massachusetts. Normal Working Hours: * Monday through Friday between 8am-5pm EST.
The Utilization Management (UM) team supports members throughout their care journey by combining ... Additionally, we embrace a remote-first culture that supports collaboration and flexibility ...
The Utilization Management (UM) team supports members throughout their care journey by combining ... Additionally, we embrace a remote-first culture that supports collaboration and flexibility ...
Utilization Management Nurse Consultant (RN) - Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and ...
Utilization Management Nurse Consultant (RN) - Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and ...
Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to ...
Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to ...
Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Louisiana Medicaid Preferred Are you an experienced RN with a background in Utilization Management and Prior Authorization?
Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Louisiana Medicaid Preferred Are you an experienced RN with a background in Utilization Management and Prior Authorization?
Utilization Review Nurse - Remote
Franklin, TN · On-site +1
The primary role of the Utilization Management (UM) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that members receive all appropriate ...
Utilization Review Nurse - Remote
Franklin, TN · On-site +1
The primary role of the Utilization Management (UM) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that members receive all appropriate ...
The primary role of the Utilization Management (UM) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that members receive all appropriate ...
The primary role of the Utilization Management (UM) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that members receive all appropriate ...
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral.
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral.
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral.
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral.
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral.
RN Supervisor UM Prior Auth
Rancho Cordova, CA · Remote
$53.46 - $79.52/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral.
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral.
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral.
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 ...
Remote Um Nurse information
See salary details
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
How much do remote um nurse jobs pay per year?
As of Sep 2, 2026, the average yearly pay for remote um 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 is a Remote UM Nurse?
A Remote Utilization Management (UM) Nurse reviews medical records and authorization requests to ensure that healthcare services are medically necessary and cost-effective. They work from home, using clinical guidelines and insurance policies to determine approvals or denials. Their role helps balance quality patient care with cost efficiency by coordinating with healthcare providers and insurance companies.
What are the key skills and qualifications needed to thrive as a Remote UM Nurse?
To excel as a Remote UM Nurse, you need an active RN license, strong clinical assessment skills, and experience in utilization management or case review. Familiarity with utilization management software, electronic health records (EHRs), and medical coding systems such as ICD-10 and CPT is typically required, along with certifications like CCM or CPUR being advantageous. Exceptional organizational abilities, clear written/verbal communication, and self-motivation are critical soft skills for success in this autonomous, remote position. These competencies allow Remote UM Nurses to accurately evaluate medical necessity, efficiently manage case loads, and collaborate effectively with healthcare teams on care decisions.
What are some common challenges faced by Remote UM Nurses and how are they addressed?
Remote UM Nurses often encounter challenges such as managing high case volumes, interpreting complex medical documentation, and coordinating care across various providers without direct patient contact. These challenges are typically addressed through strong organizational skills, continuous professional development, and efficient use of digital tools for communication and case management. Many employers provide thorough onboarding, standardized protocols, and ongoing support from team leads and peers to help UM Nurses excel. Staying current with changing guidelines and participating in regular team meetings are also essential strategies for success in this role.
More about Remote Um Nurse jobs
What cities are hiring for Remote Um Nurse jobs?
Cities with the most Remote Um Nurse job openings:
What states have the most Remote Um Nurse jobs?
States with the most job openings for Remote Um Nurse jobs include:
What job categories do people searching Remote Um Nurse jobs look for?
The top searched job categories for Remote Um Nurse jobs are:
Job description
Job Title: UM Nurse (California License) – Must be licensed in California- Remote Opportunity
Work Hrs: (8am – 5pm PDT) would like to include evening, weekend and holiday coverage.
3 month contract plus
Remote Opportunity
Ready to Hire ASAP.
JD: The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure members receive the services and resources required to meet desired health and social outcomes. The UM Nurse is responsible for providing patient-centered care across the care continuum.
This position is not patient facing, they will be reviewing patient records and providing recommendations.
Role and Responsibilities
- Perform prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members
- Review cases for medical necessity and apply the appropriate clinical criteria; to include, but not limited to Medicare criteria, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan specific guidelines
- Collaborate with the Medical Director to ensure the integrity of adverse determination notices based on the quality standards for adverse determinations
- Ensure discharge planning is timely and appropriately communicated to the transition of care teams, when applicable.
- Meet or exceed productivity targets set forth
- Serve as a resource to non-clinical team members when applicable
Qualifications and Education Requirements
- Associate's degree in Nursing, preferred
- Minimum 2 years of experience in medical management clinical functions.
- UM Reviewer in patient experience required
- Working knowledge of MCG, InterQual, and NCQA standards
About Enterprise Engineering
Sourced by ZipRecruiter
Our team is composed of architects and application experts skilled in Open Banking and Digital Transformation. Financial Data is in our DNA, and for years we have been helping our clients design, develop and deploy modern, innovative solutions bringing the greatest value to our clients and their business. If you have a constant thirst for emerging technology and a passion for pushing the needle towards excellence, you might be just like us. Life at EEI At EEI, our cultural pillars have been and continue to be a collaborative work environment that cultivates teamwork, mentoring, knowledge sharing, individual and team development. We are a humble bunch that cares for the personal and professional wellbeing of our clients and coworkers and support a healthy work life balance. Do you share our values?
Industry
It services
Company size
51 - 200 Employees
Headquarters location
NY, US
Year founded
1995