Remote Part-Time Telephonic Utilization Management Nursing Jobs Full Time

Are you seeking an opportunity to advance your nursing career with flexibility and innovation? Look no further! Good news for those passionate about healthcare and looking for Remote Part-Time Telephonic Utilization Management Nursing Jobs.

At Elevance Health, a well-reputed leader in the healthcare industry, we are recruiting skilled Registered Nurses to join our dynamic team.

As a telephonic utilization management nurse, you will leverage your expertise and clinical experience to conduct remote patient assessments, ensuring quality care while enjoying the benefits of part-time flexibility.

With a current RN license, you’re invited to join Elevance Health to showcase your skills in remote utilization management roles and enjoy the flexibility of work-from-home healthcare jobs.

Remote Part-Time Telephonic Utilization Management Nursing Jobs – Key Points Highlighted

• Open Position Title: Remote Part-Time Telephonic Utilization Management Nursing
• Recruitment Authority: Elevance Health
• Position Type: Remote/Virtual
• Working Hours: Flexible working hours/part-time
• Compensation Range: 2100$- 1800$
• Qualification: Registered Nurse License
• Experience: Two years of clinical experience
• Closing Date: 28 November, 2025

Important Job Duties & Responsibilities

• Patient Assessment: Conduct thorough telephonic assessments to identify patient needs, leveraging your clinical expertise to maintain appropriate and effective care levels.
• Case Management Support: You will support our case management team by offering insights and recommendations to enhance patient care processes and outcomes efficiently.
• Review Documentation: At Elevance Health, reviewing medical documentation is a fundamental aspect of your role. It ensures the precise use of health services and adherence to industry standards.
• Collaborate with Providers: You’ll actively engage with healthcare providers, discussing patient care and treatment alternatives to optimize outcomes for every individual under your care.
• Quality Assurance: At Elevance Health, your role includes responsibility for maintaining high-quality standards in utilization management, ensuring all telephonic interactions reflect best practices.
• Prioritization: Assessing multiple patient cases and determining the order of urgency is vital. Your skilled prioritization allows Elevance Health to address critical needs promptly.
• Data Reporting: Your daily duties will include generating detailed reports on patient interactions, and providing insights into care delivery and resource utilization to maintain optimal service levels.
• Policy Implementation: By implementing Elevance Health’s policies, you’ll ensure that all care plans and procedures follow established organizational guidelines and regulatory requirements.

Vital Requirements To Succeed

• Qualification: You must possess a current and unrestricted Registered Nurse (RN) license to practice in applicable states.
• Experience: You need several years of clinical experience, including roles in case management, utilization review, or related nursing fields to excel in this role.
• Certification: Candidates with certification in utilization management or case management are preferred to ensure adherence to high professional standards.
• Technological Proficiency: Elevance Health values candidates skilled in using telehealth platforms and electronic health records for seamless patient interactions.
• Licensure: Must have a valid multistate RN license covering practice jurisdictions where Elevance Health operations occur.
• Adaptability: Required ability to efficiently adjust and manage diverse patient scenarios in a remote telephonic setting.
• Dedicated Approach: You need a proactive approach to patient care that aligns with Elevance Health’s commitment to excellence in healthcare.
• Education: Preferred candidates will have completed specialized courses in utilization management or have industry-specific certifications.
• Regulatory Knowledge: Understand and adhere to state and federal regulations impacting telephonic nursing practices.
• Professionalism: Elevance Health expects you to maintain high levels of professionalism in all interactions and communication with patients and peers.

Why Join Elevance Health as a Telephonic Utilization Management Nurse

Joining Elevance Health as a telephonic utilization management nurse opens doors to a fulfilling and impactful career. This unique opportunity allows Registered Nurses to apply their clinical expertise in a telephonic setting, ensuring quality patient care from the comfort of their homes.

As a Telephonic Utilization Management Nurse with Elevance Health, you will play a pivotal role in assessing patient needs, managing care processes, and optimizing healthcare outcomes.

This position not only guarantees stimulating work but also provides a competitive monthly compensation ranging from $2,100 to $2,800, based on your experience and expertise.

ith Elevance Health, you benefit from a robust 401(k) plan to secure your future, while the chance to learn from healthcare experts enriches your knowledge and skill set, greatly enhancing your resume.

Our substantial yearly bonus rewards your dedication and contributions, paving the way for professional growth and a promising future in healthcare.

Elevance Health recognizes the value of growth opportunities and ensures that each Telephonic Utilization Management Nurse can advance their career and expand their influence in this evolving field.

Application Process

Interested in joining Elevance Health as a Remote Part-Time Telephonic Utilization Management Nurse?

Qualified candidates should submit their updated resume and a comprehensive cover letter detailing their relevant expertise and skills to the recruitment team. The online application is open, and applicants are encouraged to demonstrate their suitability for this engaging role.

Ensure your documents highlight your telephonic nursing skills and reflect your commitment to healthcare excellence. Please send your application via email to our recruitment department as outlined on the Elevance Health careers page.

FAQs

What does a Telephonic Utilization Management Nurse do?

At Elevance Health, a Telephonic Utilization Management Nurse plays a crucial role in healthcare delivery by leveraging their clinical expertise to evaluate the necessity, appropriateness, and efficiency of healthcare services over the phone.

These professionals conduct comprehensive assessments of patient cases, coordinate care plans, and ensure treatments adhere to medical guidelines and standards.

Are there any continuing education opportunities provided by Elevance Health?

Yes, we offer continuing education opportunities for telephonic utilization management nurses. These programs keep staff updated with the latest healthcare practices and technology, maintaining a high standard of care.

Through workshops, seminars, or online courses, Elevance Health ensures nurses have access to valuable learning experiences that enhance their expertise and career progression.

How is the monthly compensation determined for this position?

The monthly pay for a telephonic utilization management nurse considers factors like experience, education, certifications, and skills. The organization values the expertise of seasoned nurses and offers competitive pay to reflect their qualifications and contributions.