72 Utilization Management RN jobs in United States

Pennsylvania, US (Hybrid)

$72.7–116.6K / year

Company : Endorsed Job Description : JOB SUMMARY This is a full-time hybrid work from home position requiring travel within the assigned territory.

Massachusetts, US (Hybrid)

$100–105K / year

Job Description: Candidates must live in Massachusetts and hold an active, unrestricted Massachusetts RN license at the time of hire.

Mission, Texas, US (Hybrid)

$36.00 – $65.00 / hour

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of…

Harrisburg, Pennsylvania, US (Hybrid)

Category: Health Care Location: Harrisburg Pennsylvania United States Are you a registered nurse ready to take your career in an exciting new…

New Hampshire, US (Hybrid)

$31.00 – $55.00 / hour

Position Purpose: Provides expertise based on experience with identifying, overseeing, and managing the coordination of transition of members in the community.

Riverside, California, US (Hybrid)

Job Description Job Summary Provides support for clinical facility site reviews.

Florida, US (Hybrid)

$71.2–115.7K / year

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.

Boston, Massachusetts, US (Hybrid)

$84.1–126.2K / year

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare.

Florida, US (Hybrid)

$71.2–115.7K / year

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.

United States (Remote)

$63.1–94.7K / year

Thank you for considering a career at Ensemble!

United States (Remote)

This is a remote position.

United States (Remote)

$63.1–94.7K / year

Thank you for considering a career at Ensemble!

United States (Remote)

$38.00 – $44.00 / hour

Overview Who We Are Because health is personal.

United States (Remote)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

United States (Remote)

JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care…

United States (Remote)

Kingman Healthcare Incorporated (KHI) Staff Position Description Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case…

United States (Remote)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

United States (Remote)

$68.4–105.9K / year

Company : Highmark Inc.

United States (Remote)

$39.00 – $70.00 / hour

Job Description Summary ‎ Manages a caseload of patients with complex or chronic conditions, applying RN-level clinical judgment to assess needs,…

United States (Remote)

$100–130K / year

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors.