25 Remote Utilization Management Nurse jobs in San Francisco, California, United States

Medical Necessity Criteria

Utilization Review

Utilization Management RN

Your IT Recruiter·United States (Remote)

Your IT Recruiter

United States (Remote)

4w ago

Registered Nurse (RN) License

Utilization Review RN

Clinical Guide Part A: Utilization Management Nurse

Devoted Health·United States (Remote)

Devoted Health

United States (Remote)

$85K – $95K Yearly1w ago

Utilization Review Nurse

RN License

Supervisor, Utilization Management (RN)

Centene Corporation·California, United States (Remote)

Centene Corporation

California, United States (Remote)

$75.3K – $135.4K Yearly7d ago

Clinical Management

Registered Nurse (RN)

Registered Nurse (RN), Home Health Utilization Management

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$92.3K – $120K Yearly7d ago

Clinical Review Nursing

CMS Regulations

Medicare Advantage

Utilization Case Manager (RN)

The Ohio State University·United States (Remote)

The Ohio State University

United States (Remote)

4w ago

Utilization Case Manager

RN Case Manager

RN Licensure

Supervisor, Utilization Management

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$75.3K – $135.4K Yearly2w ago

Clinical Management

Prior Authorization

Med Mgmt Nurse CA

The Elevance Health Companies, Inc.·California, United States (Remote)

The Elevance Health Companies, Inc.

California, United States (Remote)

$44 – $69 Hourly4w ago

Medical Management Nurse

Utilization Review Nurse

Nursing

RN License

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

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78K – $88K Yearly2w ago

Utilization Review

Prior Authorization

RN Utilization Management Reviewer

Sagility·United States (Remote)

Sagility

United States (Remote)

$35 – $40 Hourly3w ago

InterQual

RN Utilization Management

Arkansas Blue Cross·United States (Remote)

Arkansas Blue Cross

United States (Remote)

2w ago

Analytical Decision Making

Active Listening

RN, Care Manager, Utilization Management (Part-time, Every weekend - Remote)

Adventist Health·California, United States + 1 more (Remote)

Adventist Health

California, United States + 1 more (Remote)

3w ago

Care Manager

Utilization Review

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare, Inc.·California, United States (Remote)

Molina Healthcare, Inc.

California, United States (Remote)

3w ago

Discharge Planning

Registered Nurse (RN)

Clinical Program Manager RN - Full time - REMOTE

Providence·California, United States (Remote)

Providence

California, United States (Remote)

3w ago

Clinical Administration

InterQual

Case Manager Registered Nurse

CVS Health·United States (Remote)

CVS Health

United States (Remote)

$60.5K – $129.6K Yearly3w ago

Case Manager, Registered Nurse

CVS Health·United States (Remote)

CVS Health

United States (Remote)

$54.1K – $155.5K Yearly3w ago

Case Manager

Telephonic Case Management

Part-Time, UM LVN

Advanced Medical Management·California, United States (Remote)

Advanced Medical Management

California, United States (Remote)

$30 – $35 Hourly5d ago

LVN Utilization Management

Licensed Vocational Nurse

EZCAP

EZNet

Case Manager, Registered Nurse (Oncology experience required)

Lifelancer·United States (Remote)

Lifelancer

United States (Remote)

$54.1K – $155.5K Yearly3d ago

Telephonic Case Management

Case Manager

Oncology

Registered Nurse (RN) Medicare Quality Assurance Reviewer

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$92K – $120K Yearly4w ago

Utilization Management & Appeals