Remote Utilization RN: Case Review & Patient Education

Spectrum Healthcare Resources; Los Angeles (CA); On-site; USD 90,000 - 110,000; Full time

Job summary

Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of active duty and eligible retirees.

The position is remote, with a Monday–Friday schedule of 8 hours per day, requiring an RN with a Bachelor's degree, state licensure, and CPUR/CCM certification.

Qualifications

• RN with Bachelor’s degree and active license; compact licensure preferred.
• At least 2 years as UMRN in remote or hybrid setting.
• Certification CPUR or CCM required.
• Two years of full-time RN experience in utilization/case management within last 5 years.

Responsibilities

• Review cases and educate patients on appropriate care.
• Manage health care costs for dependents of Active Duty and retirees.
• Work remotely Monday–Friday, 8 hours per day.
• Demonstrate strong communication skills in written and verbal form.

Skills

Remote work experience

Strong written and verbal comms

Microsoft Office proficiency

Self-directed, organized

Secure high-speed internet

Education

Bachelor's Nursing Degree

Active RN license (state)

CPUR or CCM certification

Job description

Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of active duty and eligible retirees.

The position is remote, with a Monday–Friday schedule of 8 hours per day, requiring an RN with a Bachelor's degree, state licensure, and CPUR/CCM certification.