Remote Utilization Management RN — Mon-Fri 9–6 ET

HealthCare Strategies; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

HealthCare Strategies is seeking a Utilization Management RN to work from a HOME OFFICE. This full-time position runs Monday–Friday, 9am–6pm ET, offering a 40-hour workweek and remote work from anywhere in the United States.

The role requires an active RN license, at least 1 year of hospital experience, and comfort with InterQual criteria and MS Office. Strong communication and independent work skills are essential to success.

Qualifications

• Active, unrestricted RN license.
• Minimum internet speeds of 25Mbps download; 25 Mbps upload.
• 1+ years experience in hospital setting.

Responsibilities

• Perform telephonic clinical assessments.
• Obtain information from providers, patients, or families regarding plans and discharge options.
• Interpret InterQual criteria to support service recommendations.
• Identify and refer individuals who may benefit from Case Management.
• Document calls accurately in the computer system and follow confidentiality policies.

Skills

Strong verbal communication

Problem-solving

Independent work capability

Organizational skills

Tools

Microsoft Office Suite

Job description

HealthCare Strategies is seeking a Utilization Management RN to work from a HOME OFFICE. This full-time position runs Monday–Friday, 9am–6pm ET, offering a 40-hour workweek and remote work from anywhere in the United States.

The role requires an active RN license, at least 1 year of hospital experience, and comfort with InterQual criteria and MS Office. Strong communication and independent work skills are essential to success.