The Judge Group
Judge Healthcare is seeking a UM RN for a remote position with one of our biggest clients!
****All applicants must reside in one of the following states: IL, TX, NM, OK, MT, or TN)****
Type:
Contract W2 November 2025 – March 2026 Location:
Fully remote! Schedule:
Monday–Friday, 8:00 AM–5:00 PM EST or CST Compensation:
$40/hour
Role Overview: We’re looking for a passionate and experienced Nurse Case Manager to join our team for a remote contract assignment. This role supports members through clinical assessments, utilization management, and care coordination aligned with physician treatment plans. If you're ready to make a meaningful impact while enjoying a flexible, weekday-only schedule—this is your moment. Key Responsibilities: Execute delegated case management tasks independently with access to senior team support Assess, plan, implement, and evaluate healthcare services to ensure optimal outcomes Coordinate care plans and monitor service effectiveness and cost-efficiency Conduct utilization reviews (prospective, concurrent, retrospective) for inpatient, rehab, referrals, and select outpatient services Provide health education and clinical assessments to members Manage assigned caseload and resolve escalated issues from junior staff Apply forward planning to anticipate member needs and service issues
Required Qualifications: Active, unrestricted RN license Minimum 2 years of Utilization Management RN experience (Prior Authorization and Concurrent Review) Experience working for a health plan (payer) within the last 3 years Proficiency with Milliman Care Guidelines (MCG preferred) or InterQual Criteria (must be listed on resume)
Ready to Apply? If you're a dedicated RN with a passion for care coordination and a background in health plan utilization management, we want to hear from you. Apply now and bring your expertise to a team that values your skills and supports your growth.
Type:
Contract W2 November 2025 – March 2026 Location:
Fully remote! Schedule:
Monday–Friday, 8:00 AM–5:00 PM EST or CST Compensation:
$40/hour
Role Overview: We’re looking for a passionate and experienced Nurse Case Manager to join our team for a remote contract assignment. This role supports members through clinical assessments, utilization management, and care coordination aligned with physician treatment plans. If you're ready to make a meaningful impact while enjoying a flexible, weekday-only schedule—this is your moment. Key Responsibilities: Execute delegated case management tasks independently with access to senior team support Assess, plan, implement, and evaluate healthcare services to ensure optimal outcomes Coordinate care plans and monitor service effectiveness and cost-efficiency Conduct utilization reviews (prospective, concurrent, retrospective) for inpatient, rehab, referrals, and select outpatient services Provide health education and clinical assessments to members Manage assigned caseload and resolve escalated issues from junior staff Apply forward planning to anticipate member needs and service issues
Required Qualifications: Active, unrestricted RN license Minimum 2 years of Utilization Management RN experience (Prior Authorization and Concurrent Review) Experience working for a health plan (payer) within the last 3 years Proficiency with Milliman Care Guidelines (MCG preferred) or InterQual Criteria (must be listed on resume)
Ready to Apply? If you're a dedicated RN with a passion for care coordination and a background in health plan utilization management, we want to hear from you. Apply now and bring your expertise to a team that values your skills and supports your growth.