Remote Utilization Management RN & Coding Specialist
Optum
- Remote job
A healthcare solutions company based in Newtown Square is seeking a Utilization Management RN Coder. This role involves reviewing patient medical records and composing appeal letters. Candidates must possess an Associate’s Degree, relevant coding certifications, and an unrestricted RN license. The position supports remote flexibility, ensuring compliance with healthcare regulations and involvement in quality improvement initiatives. Competitive salary and a comprehensive benefits package are included based on experience and qualifications. #J-18808-Ljbffr Optum
$60.2k - $107.4k
...Utilization Management Rn Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...interpreting and utilizing ICD 9 and 10, CM and PCS, CPT coding system, and HCPCS guidelines. They will recommend changes...Remote workMinimum wageFull timeWork experience placementLocal area$60.2k - $107.4k
Stryker Corporation is hiring a Utilization Management RN Coder who will review medical records and craft appeal letters. This remote role requires a working knowledge of coding systems like ICD-9, ICD-10, and CPT. The ideal candidate should possess an Associate's degree...Remote job$60.2k - $107.4k
The University of Minnesota School of Nursing seeks a Utilization Management RN Coder. The successful candidate will review patient medical records, write appeal letters, and ensure accurate coding practices. Requirements include an Associate's degree, RN license, and relevant...Remote job$60.2k - $107.4k
UnitedHealth Group is hiring a Utilization Management RN Coder in San Francisco. This role involves reviewing patient medical records, drafting appeal letters, and educating clients about coding compliance. Candidates need an Associate's degree and a valid RN license, with...Remote job$60.2k - $107.4k
Job Overview The Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical... ...in tele‑hearings. The role requires a thorough knowledge of coding systems (ICD‑9, ICD‑10, CM, PCS, CPT, HCPCS) and the ability...Remote workMinimum wageFull timeLocal area- Ascension is seeking a Remote Registered Nurse for Utilization Management. Your vital role will involve providing healthcare services related to admissions and discharge planning, ensuring compliance with federal regulations. You will review service requests for medical...Remote job
- Cedarparktexasedc is seeking a Licensed Registered Nurse for a remote position focused on admissions, case management, and utilization management. This role involves reviewing service requests for compliance and coordinating with interdisciplinary teams for discharge planning...Remote jobFull time
$72.8k - $130k
...Sr Utilization Management Nurse Optum Insight is improving the flow of health... ...occasional opportunity for remote work based on business needs... ...accuracy of medical record coding, supporting proper payment to... ...Must be a Registered Nurse (RN) with a current, active, unrestricted...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area- ...seeking a Full-Time Home Health Workflow Specialist to enhance patient care in their homes. This remote role focuses on reviewing OASIS... ...and ensuring compliance and accuracy in coding while supporting chronic illness management. The ideal candidate will have a degree...Remote jobFull timeFlexible hours
- ...integrating, and monitoring the utilization of behavioral health (... ...work closely with Case Management to address member needs... ...for pricing, coding, researching claims to... ...degree and active NYS RN license required. Bachelors... ...may be opportunity for remote work within all jobs posted...Remote workContract workWork at office
- ...Work remote and travel 75% Optum is a global organization that delivers... ...record for accuracy of the coding on the MDS/ MMQ to support... ...Optum, UHC, or UBH (e.g. Case Managers, Field Care Advocates) to identify... ...Current unrestricted RN nurse license in Massachusetts...Remote workCasual workWork at office
- Ascension Health is seeking a Licensed Registered Nurse for a remote role within Ascension Network Services. This position focuses on healthcare services related to admissions, case management, and utilization review, ensuring compliance with regulations. The ideal...Remote job
$75k
...in Houston, Texas, is looking for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing... ...health, dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive...Remote jobMonday to Friday- ...Santa Barbara Cottage Hospital is hiring an LTC Utilization Management Reviewer for remote work in New Mexico. The role involves conducting Nursing Facility Level of Care determinations, performing utilization reviews, and ensuring services meet long-term care criteria...Remote work
- ...Denial Specialist - Epic PB Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing... ..., lack of authorization, coding errors, timely filing, incorrect... ...or in a role heavily utilizing Epic PB for operational analysis...Remote workPermanent employment
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year, based on... ...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment...Remote work$34 - $39 per hour
...specializes in accounts receivable management services offering two... ...domestic, high-quality medical coding and revenue cycle management... ...industry with our unique focus on utilizing cutting-edge technology and... ...isolation that can come with remote work, so we’ve dialed in on...Remote workHourly payFull timePart timeFlexible hours$18.92 - $23.46 per hour
...matters. Proven knowledge and skill in utilizing MS Office suite of software and pharmacy... ...of home infusion therapy is required. Coding Course Certification is highly preferred.... ...detailed work. This position is a full-time remote position. The salary range for this...Remote workFull timeContract workTemporary workLocal areaFlexible hours$28.83 - $46.14 per hour
...: $28.83 - $46.14 per hour. Location: Remote in Washington State only. Posted wage... ...Collaborates with departments including Case Management, Coding, and Health Information Management (... ...of experience in denial management, utilization review or prior authorization in a...Remote workHourly payContract workFlexible hoursShift work- ...Department: Managed Services Please make sure you read the following details carefully... ...6 open positions for this role. The Utilization Management (UM) RN performs utilization review... ...manner. This position is hybrid with remote and in-office assignment. SPECIFIC SKILLS...Remote workWork at officeWork from homeRelocation package
- A healthcare services organization seeks a Utilization Management Representative I to manage incoming calls and claims work. This role enables virtual work with flexibility, focusing on customer relations and authorization processes. Candidates must have a high school...Remote job
- ...electrical make ready design, and utility standards• Review and approve... ...designers, technicians, and specialists• Mentor team members (10-15... ...teams• Partner with project managers and leadership on workload... ...This role is designated as remote, giving you the flexibility to...Remote workWork at officeWork from home
- A health services provider in Virginia seeks a Utilization Management Representative I to handle incoming calls and manage claims work. The successful candidate will need a high school diploma and at least 1 year of customer service experience. Responsibilities include...Remote job
- A healthcare services company seeks a Utilization Management Representative I, offering remote work with in-person training. Responsibilities include managing service claims, ensuring contract eligibility, and maintaining customer relations. Candidates must have a HS diploma...Remote jobContract workFlexible hours
- ...Documentation Improvement (CDI) specialist is responsible for... ...Health Information Management (HIM) coding staff to ensure that... ...clinical information utilized in profiling and... ...This position will be remote. Minimal travel may... ...or ACDIS Active RN (Preferred) or MD...Remote work
- ...Job Description Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM) . These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients on appropriate...Remote workFull timeContract workWork at officeWork from homeMonday to Friday
- Utility Vegetation Management Specialist Responsibilities Assesses vegetation around powerlines and plans necessary work to meet utility standards Collects... ...operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
$60 per hour
A staffing and placement agency is seeking a dedicated RN for a Utilization Management role in Hamden, CT. The contract lasts for 12 weeks at a pay rate of $60.00/hr. Ideal candidates will have at least 6 months of Utilization Management experience and a valid RN license...Contract work$29.7 - $31.8 per hour
...technology-enabled revenue cycle management solutions for health... ...based on experience The Acute Coding Appeals Specialist integrates medical coding... ...the clinical documentation utilized in the decision‑making... ...client experiences. This is a remote position; however, candidates...Remote workTemporary workWork at officeLocal area- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing... ...Innovative revenue cycle management and advanced billing... ...LSW, LMHC, PT, OT, SLP, RN) Proven experience in utilization...Remote workWork at officeFlexible hours
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