Registered Nurse Utilization Management - Remote

Spectrum Healthcare Resources
Seattle, WA, United States
Remote
Full-time

Registered Nurse Utilization Management - Remote ID 2024-22896 Category Registered Nurse specialties - Case Manager Facility Nationwide - Washington - Seattle Job Description Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM).

These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients on appropriate care and managing health care costs for the dependents of our Nation's Active Duty and eligible retirees.

Requirements : Bachelors Nursing Degree At least one active state nurse license, preferably compact state licensure At least 2 years' experience working as an RNUM, preferably in a remote or hybrid environment.

Possess current certification in either Completion of an accredited Certified Professional Utilization Review (CPUR) program Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.

OR Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years.

Notwithstanding the aforementioned experience requirements, the HCWs must have pertinent clinical experience within the past two (2) years sufficient to demonstrate current clinical competency for the setting and procedures required by this contract.

Highly organized, self-directed worker able to function in a high-volume environment without distractions. Strong verbal and written communication skills.

Proficient level of experience with Microsoft Office applications and strong technical aptitude. Must have access to secure, high speed internet.

Work Schedule : Monday - Friday No nights and weekends 8 hours a day Company Overview : Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems.

SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles.

A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.

Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

EOE / AA / Disability / Vet Location : Location US-WA-Seattle Recruiter : Full Name : First Last Alison Johnson Direct phone number 314-744-4199 Recruiter : Email Alison Johnson@spectrumhealth.

com Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, religion, sex, national origin, age, marital status, sexual orientation, gender identity, veteran status, disability, or other protected characteristic.

2 days ago
Related jobs
Promoted
Spectrum Healthcare Resources
Seattle, Washington
Remote

Registered Nurse Utilization Management - Remote ID 2024-22896 Category Registered Nurse specialties - Case Manager Facility Nationwide - Washington - Seattle Job Description Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM). OR-- Possess two (2) yea...

Promoted
VirtualVocations
Seattle, Washington

A company is looking for a Utilization Management Nurse - LPN/LVN to perform utilization reviews and appeals in a managed care payor environment. ...

Promoted
Kaiser Permanente
Seattle, Washington

Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Seattle, Washington. The Mental Health Case Manager contributes to the medical teams understanding of patient beliefs, behaviors, and barriers regarding the members illness and also works to support the clinica...

Promoted
VirtualVocations
Seattle, Washington

A company is looking for a Utilization Management Nurse (MLTC Focus) to perform clinical reviews for Managed Long-Term Care members. ...

Promoted
Cambia Health Solutions
Renton, Washington
Remote

What You Bring to Cambia: Qualifications: * Associates or Bachelor's Degree in Nursing or related field * 3 years of case management, utilization management, disease management, or behavioral health case management experience * Equivalent combination of education and experience * Must have licensure...

Promoted
VirtualVocations
Seattle, Washington
Remote

A company is looking for a Registered Nurse (RN) for a remote Telehealth/Virtual position in Iowa. ...

Promoted
EmpRes Healthcare Management LLC
Seattle, Washington

Registered Nurse (RN) - $10,000 Sign On Bonus!. ...

HealthEcareers - Client
Seattle, Washington

Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire. Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Seattle, Washington. Minimum two (2) years of RN experience in utilization review, ambulatory case m...

Molina Healthcare
Bothell, Washington
Remote

We are seeking a Registered Nurse with previous Case Management experience. Remote position with field travel in Pierce WA. Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health...

Food Management Search
Seattle, Washington

Registered Nurse- Medical Surgical. We are seeking Registered Nurses for a Medical Surgical Unit at a large regional hospital. Nurses must have 1 year of medical surgical experience. The Nurses will coordinate the patients care and treatment plans. ...