34 Remote Utilization Management Nurse jobs in San Jose, California, United States

Compact Registered Nurse (RN) License

Utilization Management Nurse, LVN - Casual

Altais Health Solutions·California, United States (Remote)

Altais Health Solutions

California, United States (Remote)

$36.00 – $43.00 Hourly2 wk. ago

Licensed Vocational Nurse

LVN Utilization Review

LVN License (California)

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly4 days ago

Registered Nurse

Registered Nurse (RN)

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70–75K Yearly4 days 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 wk. ago

Peer-to-Peer Nurse

RN License

Utilization Management Nurse, RN

Altais Health Solutions·United States (Remote)

Altais Health Solutions

United States (Remote)

$45.00 – $54.00 Hourly4 wk. ago

ICD-10

Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior Authorization)

Devoted Health·United States (Remote)

Devoted Health

United States (Remote)

$82.7–96.5K Yearly2 wk. ago

Prior Authorization Nurse

Registered Nurse (RN) License

Grievance & Appeals Nurse, RN (Remote)

Inland Empire Health Plan·United States (Remote)

Inland Empire Health Plan

United States (Remote)

$91.3–120.9K Yearly4 days ago

Healthcare Appeals RN

RN Case Management

Case Management

Utilization Review Nurse - RN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$30.00 – $38.00 Hourly1 mo. ago

Utilization Review 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 Yearly2 wk. ago

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 Yearly4 wk. ago

Case Management

Utilization Management RN

Your IT Recruiter·United States (Remote)

Your IT Recruiter

United States (Remote)

2 wk. ago

Registered Nurse (RN) License

Utilization Review Nurse (RN)

Evry Health·United States (Remote)

Evry Health

United States (Remote)

5 days ago

Utilization Review Nurse

Care Coordinator

Care Coordination

RN, Utilization Management (Clinical Claims Review)

Humana·United States (Remote)

Humana

United States (Remote)

$71.1–97.8K Yearly1 day ago

Healthcare Claims Review

Registered Nurse (RN)

Registered Nurse - Utilization Management - 8 Hour Per Deim

Cedars-Sinai·United States (Remote)

Cedars-Sinai

United States (Remote)

5 days ago

InterQual

MCG

Utilization Management Clinical Reviewer (California) - Remote

The Cigna Group·California, United States (Remote)

The Cigna Group

California, United States (Remote)

$31.00 – $52.00 Hourly2 days ago

Clinical Review

Registered Nurse (RN)

Telephonic Nursing Assessment

Registered Nurse (RN) | Work from home | $34/hr | Starts 9/14/26

Carenet Health·United States (Remote)

Carenet Health

United States (Remote)

$34.00 Hourly2 wk. ago

Registered Nurse

Healthcare Support

Health Education

UM Nurse, RN

NeueHealth·California, United States (Remote)

NeueHealth

California, United States (Remote)

2 wk. ago

Utilization Management Nursing

Prior Authorization Nurse

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 Yearly1 wk. ago

Registered Nursing

InterQual Criteria

UM Prior Authorization Nurse, RN

NeueHealth·United States (Remote)

NeueHealth

United States (Remote)

$74.3–111.4K Yearly2 wk. ago