Top 306 nurse supervisor Jobs in remote

Supervisor, Utilization Management
Toney HealthCare Consulting, LLC —Remote
- $53,129.39 - $63,983.79 a year
- Full-time
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
Quick Apply
RN School Support Manager (Remote Schedule with Travel)
Amergis Healthcare Staffing —Orange, CA
- $115,000 - $125,000 a year
- Remote
- School experience
- 18 years or older
- CPR Certification
- Health insurance
- Dental insurance
Quick Apply
Fully Remote Behavioral Health Therapist (LCSW / LMHC / LMFT)- Full Time
Octo Search Partners —Remote
- $80,000 - $85,000 a year
- Weekends as needed
- Remote
- LMFT
- Spanish
- Licensed Clinical Social Worker
- Paid holidays
- Health insurance
Quick Apply
Utilization Review Nurse (Remote)
tango —Remote
- Weekends as needed
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
Quick Apply
2d
Nurse Reviewer
Staffing Solutions Organization LLC —Remote
- $73,000 - $81,000 a year
- Full-time
- Remote
- Working with individuals with developmental disabilities
- Nursing
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Case Manager Assistant / LPN
MedWatch —Remote
- $23 - $27 an hour
- Full-time
- Remote
- Nursing
- Computer literacy
- Residential
Flu Shot Nurse
Health Advocate —Remote
- Part-time
- CPR Certification
- Blood sampling
- Organizational skills
Case Manager / RN
MedWatch —Remote
- $72,000 - $81,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Residential
Patient Access Representative
Clinical Health Network —Remote
- $17.00 - $25.50 an hour
- Weekends as needed
- Remote
- Medical office experience
- HIPAA
- No high school diploma
- Health savings account
- AD&D insurance
Clinical Administrative Assistant
XSOLIS, INC —Remote
- Full-time
- Background check
- Microsoft Outlook
- Pass drug screening
Quick Apply
12d
Nurse Specialist II, Clinical Denials
Knowtion Health —Remote
- Remote
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Registered Nurse Supervisor - Alerts
Cadence Health —Remote
- $80,000 - $100,000 a year
- Call employer
- Remote
- RN License
- Urgent Care
- Mid-level
- Paid parental leave
- Health insurance
Case Manager RN – Level I - Bilingual
MedWatch —Remote
- $72,000 - $81,000 a year
- Full-time
- Nursing
- RN License
- Writing skills
Weekend Admissions Coordinator
Givens Communities —Asheville, NC
- $30 an hour
- Part-time
- Remote
- Microsoft Excel
- Mid-level
- Microsoft Office
- Referral program
Quick Apply
Medication Technician-PRN
Brookdale Senior Living Inc. —Remote
- $19.38 - $24.23 an hour
- Part-time
- Patient care
- Military encouraged
- Cleaning
- Health savings account
- Paid holidays
Quick Apply
Associate Manager US Clinical Operations RN
Sagility —Remote
- Remote
- Nursing
- RN License
- Computer literacy
- Health insurance
Clinical Quality Assurance Coordinator - Supervisor
ExamWorks —Rockford, IL
- $35 - $40 an hour
- Weekends as needed
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Med-Tech
HeartLands Senior Living Village at Ellicott City —Remote
- $19 - $21 an hour
- Part-time
- Background check
- 18 years or older
- CPR Certification
- Paid training
- Paid holidays
Quick Apply
6d
Accounts Receivable Specialist I #Full Time #Remote
61st Street Service Corp —Remote
- $23.56 - $28.85 an hour
- Full-time
- Remote
- Entry level
- Under 1 year
- Health insurance
- Paid time off
Quick Apply
Remote Triage RN
CORE Occupational Medicine —Baton Rouge, LA
- $70,000 a year
- Full-time
- Remote
- RN License
- Mid-level
- In-person
- Paid holidays
- Disability insurance
Quick Apply
14d

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Supervisor, Utilization Management

Toney HealthCare Consulting, LLC -
Remote

Quick Apply

Job Details

Full-time
$53,129.39 - $63,983.79 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Nursing
Staff supervision
Inpatient
Medicare
Utilization review
Operations management
RN License
Team development
Health insurance knowledge
Medicare regulations
Case management
Utilization management
Centers for Medicare and Medicaid Services (CMS)
Resource utilization in healthcare
Leading team collaboration initiatives
Data-driven problem-solving
Medicaid regulations
Medicaid
Nursing

Full Job Description

Overview
The Clinical Utilization Management (UM) Supervisor is responsible for overseeing daily operations of the Utilization Management team to ensure timely, accurate, and appropriate clinical decision-making and case management. This role provides leadership, coaching, and clinical oversight to UM staff including nurses and support personnel, ensuring compliance with regulatory requirements, accreditation standards, and organizational policies.

Essential Functions/Key Responsibilities:

Supervise daily activities of the UM team, including nurses and administrative support staff.
Ensure timely and accurate medical necessity reviews for inpatient, outpatient, and other healthcare services according to internal protocols and regulatory guidelines.
Monitor workloads, productivity, and performance metrics to ensure team efficiency and effectiveness.
Provide clinical oversight and guidance on complex cases and escalate when needed.
Ensure adherence to federal and state regulations, NCQA/URAC standards, and payer requirements.
Collaborate with medical directors, providers, and case management staff to coordinate appropriate care and avoid unnecessary utilization.
Participate in audits, reporting, and performance improvement initiatives.
Train, mentor, and evaluate staff performance; participate in hiring and disciplinary processes.
Develop and implement standard operating procedures (SOPs) for UM functions.
Stay updated on changes in healthcare regulations, utilization trends, and evidence-based clinical guidelines.

Competencies:

Leads by example, motivates others, and supervisors team dynamics effectively.
Thrives in fast paced, evolving environments and adjusts quickly to changing client needs.
Applies sound clinical reasoning to support decision making and guidance.
Builds trust with clients, anticipates their needs, and delivers high value outcomes.
Sets clear expectations, measures performance, and takes ownership of outcomes.
Works cross functionally with internal teams and client stakeholders to achieve aligned goals.
Anticipates challenges, investigates root causes and develops solutions.
Provides regular feedback and mentors team.
Champions operational efficiency.

Required education and experience:

Minimum 5 years of Utilization Management experience.
At least 2 years of leadership or team management in a UM setting.
Active, unrestricted RN license required
Strong understanding of InterQual and/or MCG criteria.
Experience managing remote clinical teams across multiple engagements
Familiarity with Medicare, Medicaid, and commercial payer UM requirements.
Excellent communication, data analysis, and problem-solving skills.

Preferred education, certifications and/or experience:

Bachelor’s degree in Nursing (BSN)
Consulting or project-based experience preferred.

Physical Requirements/Work environment:

Remote role with occasional travel (Less than 5%)
Must have a home office, mobile phone, computer with security requirements met.
Prolonged periods of sitting at a desk and working on a computer.
Ability to speak, hear, and comprehend both written and verbal communications.

Pay: $53,129.39 - $63,983.79 per year

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

leadership (UM setting): 2 years (Required)
Utilization management: 5 years (Required)

License/Certification:

RN License (Required)

Work Location: Remote

Quick Apply

Refine Your Search

nurse supervisor jobs in remote

Supervisor, Utilization Management

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Utilization Review Nurse (Remote)

Nurse Reviewer

Case Manager Assistant / LPN

Flu Shot Nurse

Case Manager / RN

Patient Access Representative

Clinical Administrative Assistant

Nurse Specialist II, Clinical Denials

Registered Nurse Supervisor - Alerts

Case Manager RN – Level I - Bilingual

Weekend Admissions Coordinator

Medication Technician-PRN

Associate Manager US Clinical Operations RN

Clinical Quality Assurance Coordinator - Supervisor

Med-Tech

Accounts Receivable Specialist I #Full Time #Remote

Remote Triage RN

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