Utilization Management Nurse – RN Remote-Based

Help us Achieve our Mission!

Our mission is to create a paradigm of healthcare quality and value for our patients, in Tandem with our Primary Care Physicians (PCPs).

Presently, we’re looking for a Utilization Management (UM) Nurse – RN to assist us with assuring the receipt of high quality, cost-efficient medical outcomes for the Tandigm members identified as having a need for inpatient or outpatient certification, preauthorization and or concurrent review.

The Utilization Management Nurse – RN utilizes advanced nursing knowledge, evidence-based best practice, critical thinking skills, and excellent oral and written communication skills to ensure appropriate utilization of resources and patient quality outcomes. To all of this, the UM Nurse brings a passion for the work, a belief in the role, and a commitment to the patients and physicians served.

To be successful in this challenging role, you must have:


Bachelor’s degree or graduate from an accredited school of Nursing, with a current Pennsylvania RN license and;



  • 3-5 years of nursing experience in an acute care setting, coupled with two (2) years’ prior experience with Utilization Management and/or


  • The above minimum experience along with three (3)+ years of case management, discharge planning, or home care experience.

Interested in learning more? See why we are going to create the biggest movement in the Philadelphia marketplace. Come see why we’re changing healthcare !

Apply Now