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Remote Um Nurse Jobs (NOW HIRING)

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... The UM Nurse collaborates with interdisciplinary teams and community providers to promote ...

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · On-site +1

$34 - $47/hr

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr ... This is a remote position for CA-licensed nurses. Candidates must live in California. We are ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... The UM Nurse collaborates with interdisciplinary teams and community providers to promote ...

Vytwo

Epic Tapestry UM Analyst

Prosper, TX · Remote

$50/hr

^Remote Work **Must be authorized to work in USA. We are seeking an experienced Epic Tapestry ... , RN) or strong experience partnering with clinical reviewers and Medical Directors. • Prior ...

Centene

RN Supervisor, Appeals, Managed Care, UM

OR · On-site +1

$75K - $135K/yr

NOTE: REMOTE RN candidates may reside in any state but a current and active RN license from the ... Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and ...

New

Astrana Health

UM Review Nurse

Monterey Park, CA · Remote

$34 - $47/hr

This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... At least 1 years of outpatient UM experience * Experience with Microsoft applications such as Word ...

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · Remote

$34 - $47/hr

This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... At least 1 years of outpatient UM experience * Experience with Microsoft applications such as Word ...

Devoted Health

Post-Acute UM Supervisor

Nottingham, MD · On-site +1

$95K - $120K/yr

Active unrestricted RN license with a minimum of 4 years of clinical experience * At least 3 years ... Remote Salary Ragne: $95,000-$120,000 The pay range listed for this position is the range the ...

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Remote Um Nurse information

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$39K

$89.5K

$163K

How much do remote um nurse jobs pay per year?

As of Jul 22, 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 are the key skills and qualifications needed to thrive in the Remote Um Nurse position, and why are they important?

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.

What is a Remote UM Nurse job?

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.

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:
Remote Um Nurse jobs near you
Infographic showing various Remote Um Nurse job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 57% Full Time, 15% Part Time, and 25% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.
Inpatient UM Nurse Case Manager

Inpatient UM Nurse Case Manager

MedPOINT Management

Sherman Oaks, CA • Remote

$38 - $42/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Vision insurance
  • Wellness resources
  • Company parties
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development

About the Role:
Join MedPOINT Management as an Inpatient UM Nurse Case Manager in Sherman Oaks, CA, where you will play a vital role in patient care coordination. Be part of a dynamic team dedicated to improving health outcomes and ensuring high-quality care for our patients.
Responsibilities:
  • Conduct comprehensive assessments of patients to determine care needs.
  • Collaborate with healthcare providers to develop and implement care plans.
  • Monitor patient progress and adjust care plans as necessary.
  • Facilitate communication between patients, families, and healthcare teams.
  • Ensure compliance with regulatory and accreditation standards.
  • Educate patients and families about treatment options and resources.
  • Document all case management activities in accordance with policies.
  • Participate in quality improvement initiatives and team meetings.
Requirements:
  • Active RN license in California with a minimum of 2 years nursing experience.
  • Experience in case management or utilization management preferred.
  • Strong clinical assessment and critical thinking skills.
  • Excellent communication and interpersonal skills.
  • Ability to work collaboratively in a fast-paced environment.
  • Knowledge of healthcare regulations and managed care principles.
  • Certification in Case Management (CCM) is a plus.
  • Proficient in electronic health records and documentation practices.
About Us:
MedPOINT Management has been a leader in healthcare management for over 15 years, dedicated to enhancing patient care through innovative solutions. Our commitment to excellence has earned us the trust of our clients and a supportive environment for our employees.

This is a remote position.