Remote Utilization Management RN Specialist

SHR (Spectrum Healthcare Resources); Honolulu (HI); On-site; USD 80,000 - 100,000; Full time

Job summary

Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees.

This role operates Monday through Friday, 8 hours per day. Requirements include a Bachelor’s in Nursing, active state license (compact preferred), and at least 2 years of RN UM experience (remote/hybrid preferred).

Qualifications

• Bachelor’s degree in nursing.
• Active state nursing license (compact state preferred).
• At least 2 years’ experience as a UMRN, preferably remote or hybrid.
• CPUR or CCM certification (CPUR or CCM).
• Two years of RN experience in utilization management or case management within the last five years (or equivalent).
• Must be highly organized and self-directed in a high-volume environment.
• Strong verbal and written communication skills.
• Proficient with Microsoft Office and tech-savvy.
• Must have access to secure high-speed internet.

Responsibilities

• Review cases and educate patients on appropriate care.
• Manage health care costs for dependents of Active Duty and eligible retirees.
• Work remotely from home Monday–Friday, 8 hours per day.

Skills

Organizational skills

Verbal communication

Written communication

Microsoft Office

Internet access

Education

Bachelor’s nursing degree

Tools

Microsoft Office

Job description

Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees.

This role operates Monday through Friday, 8 hours per day. Requirements include a Bachelor’s in Nursing, active state license (compact preferred), and at least 2 years of RN UM experience (remote/hybrid preferred).