Remote LVN: Utilization Review & Care Coordination
TryApplyNow
TryApplyNow is seeking a Licensed Vocational Nurse (LVN) for a full-time remote position in Utilization Review within San Diego County. This role involves reviewing and managing cases to determine medical necessity and eligibility for services provided to Scripps Clinic Health Plan Services members. Qualified candidates should hold a current California LVN license, possess three years of recent clinical experience, and have managed care experience. Comprehensive health and wellness benefits, along with career development opportunities, are offered. #J-18808-Ljbffr
- ...A healthcare organization is seeking a dedicated Utilization Management LVN to ensure timely access to care. This remote role involves coordinating authorization workflows, reviewing clinical documents for CPT verification, and supporting high-needs members. Required qualifications...Remote work
$20.38 - $36.44 per hour
...Utilization Review Specialist (LVN) Explore opportunities with Kelsey-Seybold Clinic... ...the nation's leading health care organizations and build... ...recognized for delivering coordinated and accountable care. As a... ...have the flexibility to work remotely* as you take on some tough...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaFlexible hours- ...is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license and significant...Remote workWork from home
- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including... ...in Oregon and Washington. This role encompasses care coordination and discharge planning, along with various compliance...Remote work
- ...experienced Registered Nurse for a clinical role focusing on utilization review and care coordination. The ideal candidate will have 5+ years in healthcare,... ..., and be proficient in Microsoft 365. This role offers remote work and a comprehensive benefits package including...Remote work
- ...residential, outpatient and virtual treatment. We provide care for drug and alcohol addiction, trauma, sexual addiction,... ...be a perfect fit for you! Position Summary: As the Utilization Review Coordinator, you will develop and implement systems for authorizations...Remote workLocal area
$27.1 - $40.65 per hour
...Utilization Management Nurse, LVN/LPN (Work from Home) California, United States NeueHealth is... ...consumers are entitled to high-quality, coordinated care. By uniquely aligning the... ...authorization. Responsibilities include reviewing prior authorizations for...Remote workHourly payFull timeContract workWork at officeWork from home$20 - $30 per hour
...industry by delivering exceptional care, utilizing state-of-the-art facilities,... ...Department/Location: Remote FLSA Status: Exempt... ...Responsibilities Utilization Review on Behalf of the Clinics:... ...treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation...Remote work- ...connects comprehensive care with a modern... ...seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports... ...authorization and utilization review activities to ensure... ...processes, coordinate clinical information... ...This position is fully remote Monday‑Friday 8am –...Remote workLocal areaMonday to FridayShift work
$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is... ...entitled to high-quality, coordinated care. By uniquely aligning the... ...The Concurrent Utilization Review (UR) Nurse is responsible... ...office preferred / remote may be considered Collaborative...Remote workHourly payWork at office- ...BlueCross BlueShield of South Carolina is seeking a Utilization Management Coordinator I to perform medical reviews and manage services within the LPN/LBSW scope. This is a remote position with scheduled on-site requirements. Candidates need a Bachelor's degree and LPN...Remote work
$18 - $20 per hour
...so, keep reading! Title of Job: Remote Utilization Management LPN/LVN Location: REMOTE (anywhere in the... ...for ensuring timely and accurate review of authorizations, helping maintain... ...ensure compliance Assist with care coordination activities, including benefit explanations...Remote workHourly payWeekly payFull timeTemporary workLive inImmediate startHome officeMonday to Friday- ...A leading healthcare analytics firm is seeking a Registered Nurse for a remote role focused on utilization review and clinical determinations. The position requires strong communication skills, 5+ years of varied healthcare experience, and an active RN license in Illinois...Remote work
$35.5 - $53.25 per hour
...Management Group: Charlotte - Utilization Management Status: Part... ...develop an individualized plan of care. Ensures essential... ...Performs admission and concurrent reviews. Applies clinical guidelines... ...as needed to facilitate care coordination. Refers pertinent cases to...Remote workDaily paidFull timeContract workTemporary workPart timeWork at officeFlexible hoursShift workDay shift- ...BlueShield of South Carolina is hiring a Utilization Management Coordinator I to handle medical surgical and pharmacy reviews. This remote full-time role involves evaluating service... ...degree in a relevant field and an active LPN/LVN license. Experience and strong...Remote jobFull time
- ...BlueShield of South Carolina is seeking a Utilization Management Coordinator I. This role involves performing medical-surgical and pharmacy reviews, managing utilization within LPN/LBSW... .... The position is full-time and remote, with occasional onsite requirements for...Remote jobFull time
$30 - $34 per hour
...A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly pay- ...telephonic and e-referral case review and authorization of services utilizing established mental health... ...to provide quality care appropriate to clinical needs... ...emergency resources to coordinate transport for face-to-... ...position is full-time, fully remote (work from home) and...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...Guidehealth leverages remotely-embedded Healthguides™... ...ll Be DoingUtilization Review & Clinical... ...appropriateness, or quality-of-care review.Communicate routinely... ...representatives.Care Coordination & Member... ...settings.Knowledge of utilization review, managed care processes...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal area
$34 - $47 per hour
...UM Review Nurse - LVN Department: HS - UM Employment Type: Full Time... ...looking for a CA-licensed Utilization Review Nurse to assist our Health... ...shifts per week. This is a remote position for CA-licensed... ...Entrepreneurial Provider and Care Teams Operate with Integrity...Remote workHourly payFull timeLive inWork at officeMonday to FridayShift work$45.9k - $102.1k
.... Job Summary This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care. Required Job Qualifications: ~ LPN with valid, current, unrestricted...Remote workContract workWork at officeWork from home$60k
...Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will... ...programs Career development opportunities Remote Opportunities We are actively seeking...Remote workTemporary workLocal area$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...and will include 80% travel. Remote role. Will require a driver’... ..., and need for services for care plan development. Monitor... ...contact Authorize and coordinate referral for services. Ensure...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
- ...growing in the Bay Area. Today, we care for more than 4,000 patients... ...patients in their homes. Remote/work-from-home positions are... ...Weekend Clinical Intake Coordinator (LVN / RN) Full-Time Role; Saturday... ...handle your information, please review our Privacy Policy: * You...Remote workFull timeTemporary workWork at officeLocal areaWork from homeFlexible hoursWeekend workWeekday work
$45.9k - $102.1k
...development. Job Summary This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care. Required Job Qualifications: LPN with valid, current, unrestricted...Remote workContract workWork at officeWork from home$33.6 - $51.39 per hour
...Missouri Categories: Case Coordination Job Status: PRN Req ID... ...great opportunity for a local remote position. There is no communication... ...years of RN experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing...Remote workHourly payFull timeWork experience placementReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work- ...Advanced Health Coordinated Care Organization is hiring a part-time remote Utilization Review Nurse. The ideal candidate will be a licensed RN with experience in acute care and utilization review. Responsibilities include reviewing prior authorizations, ensuring quality...Remote workPart time
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...and will include 80% travel. Remote role. Will require a driver’... ..., and need for services for care plan development. Monitor... ...contact Authorize and coordinate referral for services. Ensure...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...Health Information Coordinator It's fun to work in a company... ..., leadership and care. The Health Information... ...and/or hospice teams to utilize a collaborative process to review, plan, monitor, and evaluate... ...patient for palliative care or remote patient monitoring...Remote workWork at officeLocal areaImmediate startNight shiftWeekend workAfternoon shift
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