31 Remote Utilization Management Nurse jobs in Gainesville, Florida, United States

Compact Registered Nurse (RN) License

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly2 wk. ago

Registered Nurse (RN)

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly2 wk. ago

Utilization Review RN

Medical Necessity Criteria

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly2 mo. ago

Medical Necessity Criteria

Peer to Peer Nurse Author RN

R1 RCM Holdco Inc.·United States (Remote)

R1 RCM Holdco Inc.

United States (Remote)

$65.5–96.9K Yearly2 mo. ago

Peer-to-Peer Nurse

RN License

Clinical Guide Part A: (UM) Utilization Management Nurse

Devoted Health·United States (Remote)

Devoted Health

United States (Remote)

$82.7–96.5K Yearly3 wk. ago

Utilization Review RN

RN License

Utilization Review Nurse- Remote (Any city, AK, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78–88K Yearly8 mo. ago

Case Management

Prior Authorization

Utilization Review Nurse (RN)

Evry Health·United States (Remote)

Evry Health

United States (Remote)

2 wk. ago

Utilization Review Nurse

Care Coordinator

Care Coordination

Utilization Management RN

Your IT Recruiter·United States (Remote)

Your IT Recruiter

United States (Remote)

5 mo. ago

Registered Nurse (RN) License

Utilization Review RN

Registered Nurse - Utilization Management - 8 Hour Per Deim

Cedars-Sinai·United States (Remote)

Cedars-Sinai

United States (Remote)

2 wk. ago

InterQual

MCG

Registered Nurse (RN) | Work from home | $34/hr | Starts 9/28/26

Carenet Health·Alabama, United States + 27 more (Remote)

Carenet Health

Alabama, United States + 27 more (Remote)

$34.00 Hourly1 wk. ago

Clinical Review Nurse - Concurrent Review

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly3 days ago

Concurrent Review Nurse

Concurrent Review

Clinical Quality Assurance

Clinical Quality Nurse Reviewer, Sr. Specialist - Prior Auth/UM- Remote (Any city, TX, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$80–95K Yearly3 wk. ago

Registered Nursing

InterQual Criteria

UM Prior Authorization Nurse, RN

NeueHealth·United States (Remote)

NeueHealth

United States (Remote)

$74.3–111.4K Yearly3 wk. ago

Prior Authorization

Prior Authorization

Complex Discharge Planner

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$27.00 – $49.00 Hourly3 days ago

Discharge Planning

Case Management Nursing

Compact RN License

Discharge Planning

RN Utilization Management

Arkansas Blue Cross·United States (Remote)

Arkansas Blue Cross

United States (Remote)

4 wk. ago

Microsoft Word

Microsoft Excel

Lead Utilization Management Specialist - Appeals

Sanford Health·United States (Remote)

Sanford Health

United States (Remote)

$29.00 – $47.00 Hourly1 mo. ago

Healthcare Appeals

Utilization Management RN

Appeals Processing

Care Review Clinician (RN) Remote

Molina Healthcare, Inc.·United States (Remote)

Molina Healthcare, Inc.

United States (Remote)

2 mo. ago

Care Review Clinician

Registered Nurse (RN)

Medicaid

Utilization Review Clinician - ABA

Centene Corporation·Florida, United States (Remote)

Centene Corporation

Florida, United States (Remote)

$27.00 – $49.00 Hourly3 days ago

Utilization Review Clinician

ABA Clinical Review

BCBA

Applied Behavior Analysis (ABA)

Clinical Claims Reviewer/ RN

Sentara Health·Virginia, United States + 28 more (Remote)

Sentara Health

Virginia, United States + 28 more (Remote)

$93.4–132.4K Yearly3 days ago

Healthcare Claims Review