Remote Inpatient Utilization Review Nurse
$77.91kE2E Alignment Healthcare USA, LLC
E2E Alignment Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing inpatient admissions, coordinating care, and ensuring quality and cost-effective patient outcomes. The ideal candidate will have a minimum of 3 years in case management and licensing as an LVN or RN in California. The role offers a pay range starting from US$77,905.00 based on qualifications. #J-18808-Ljbffr
$75k
...HealthHelp is looking for a Registered Nurse to perform inpatient utilization reviews, ensure compliance with medical necessity criteria, and actively engage... ...offers a flexible schedule and the possibility of remote work, with a base salary starting at $75,000 annually...Remote workFlexible hours- ...Baystate Medical Center is seeking a full-time UM Inpatient Clinical Review Nurse for a remote role based in Springfield, Massachusetts. This position involves performing clinical reviews for inpatient services, determining health needs, and collaborating with healthcare...Remote workFull time
- ...A healthcare solutions provider is seeking an experienced Inpatient RN Utilization Reviewer to manage a complex inpatient caseload remotely. The ideal candidate will possess strong clinical judgment and experience in utilization management. Responsibilities include applying...Remote workContract work
- ...A healthcare institution in the United States is hiring for a Concurrent Review Nurse responsible for performing utilization management activities remotely. The role involves conducting concurrent reviews, evaluating clinical documentation against guidelines, and collaborating...Remote work
$65k - $78k
...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent,... ...What we're looking for ~ Active RN license. ~3+ years of inpatient clinical experience. ~1+ year in prior authorization...Remote workFull timeContract workWork at officeWork from homeFlexible hours$41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX,... ...assessments, health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab, referrals, and select...Remote work- ...Position Summary The Utilization Review Nurse works as responsible for ensuring the receipt of high quality, cost efficient medical outcomes for enrollees with a need for inpatient/outpatient authorizations. This position receives and reviews prior authorization requests...Remote workWork at office
$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 -... ...Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare...Remote workHourly payMonday to Friday$64.17k - $96.26k
...to medical management. The Utilization Management Nurse and the Personal Health Nurse... ...UMN provides utilization review/pre-certification on various... ...-certification review of inpatient and outpatient medical services... ...functions. ~ Remote Work Environment TRAVEL...Remote workLocal areaRelocation packageFlexible hoursWeekend work$35 - $45.94 per hour
...Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About... ...Utilization Review. Work Location This is a remote position, open to candidates who... ...Previous experience conducting concurrent or inpatient reviews for a managed care plan At...Remote workHourly payFull timeWork from homeHome office$1,966 per week
...the first 25 applicants Nurses – are you looking for... ...Work-life balance. Remote/hybrid setting (once trained... ...This individual will utilize clinical knowledge and... ...treatment or inpatient confinement. This individual... ...decision to a second level reviewer. This individual...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...A leading healthcare solutions company seeks a skilled Utilization Review Nurse to conduct vital reviews for medical necessity and appropriateness... ...candidate will have an active RN license, 3+ years of inpatient clinical experience, and strong written communication...Remote workWork from homeFlexible hours
- ...great opportunity for a local remote position. There is no... ...commercial, behavioral health, inpatient, etc.) PRN (at minimum, two... ...hospitalized patients 2 years of Utilization Review (UR) experience reviewing... ...Minimum Requirements Education Nursing Diploma/Associate's Nursing...Remote workFull timeReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- ...Location: Remote (Requires an active Massachusetts RN license (non-compact)) Employment... ...We are seeking an experienced Inpatient RN Utilization Reviewer to independently manage a clinically... ...Requirements Education & Licensure: Registered Nurse with a current, unrestricted MA state...Remote workDaily paidContract workShift workWeekend work
- ...Management Location: 100% Remote Schedule: M-F 9:00am to 5... ...Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management... ...IL State Registered Nursing (RN) license in good...Remote workContract work
- ...max bill rate ***/hour remote within IL, TX, TN, NM, OK, MT Registered Nurse responsible for... ...resources. Medical necessity reviews may include: drugs and biologics, inpatient admissions, outpatient services... ...support of all Utilization Management activities to...Remote workWork at officeLocal areaFlexible hoursShift work
- ...Currently seeking a Utilization Management RN . Please... ...qualifications below: Position is remote - candidate must... ...PA license or a Nurse Licensure Compact to include... ...medical record review to determine medical necessity... ...medical necessity for inpatient admissions, continued...Remote workImmediate startDay shift
- ...objectives Responsibilities: Reviews documentation and evaluates... ...as an RN ~ Registered Nurse in state of residence ~ Must have prior authorization utilization experience ~ Experience with... ...MUST HAVE UM experience, inpatient utilization management review...Remote work
$55 per hour
...Akkodis is hiring a Concurrent Review Nurse to support our client in the... ...Healthcare space. Location: Remote (must be based in California... ...concurrent reviews of inpatient activities. This role is responsible... ...in case management, utilization management, or discharge planning...Remote workFull timeContract workTemporary workLocal area- ...Job Title: Utilization Review Nurse Location: Remote in IL, TX, NM, MT or OK Duration: 6+ months contract (possible extension) Pay: $40.00/hr on... ...Medical necessity reviews may include: drugs and biologics, inpatient admissions, outpatient services, surgical and...Remote workContract workLocal area
$30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time... ...requests for medical appropriateness; inpatient hospital stay including mental health,... ...skills to successfully perform in a remote healthcare environment. Ability to perform...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
- ...and... more! Description JOB DESCRIPTION: The Registry Utilization Review Nurse (PRN) is responsible for conducting medical necessity... ...timely and comprehensive review of all new observation and inpatient admissions for status designation as guided by criteria guidelines...Hourly payTemporary workCasual workReliefLocal areaShift work
- ...A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines... ...accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-...Remote workFull time
- ...Advanced Practice Professional (TEMP) (Nurse Practitioner) Inpatient Urology This is an Advanced Practice... ...program accredited by Accreditation Review Commission on Education for the Physician... ...are eligible for hybrid or mobile/remote work mode are at the discretion of...Remote workTemporary workInternshipShift workEarly shift
$38 - $40 per hour
...REMOTE - Candidates must be based in Texas: Austin area - Travis... ...performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and operational... ...(Required) ~ Registered Nurse (RN) with a valid, current,...Remote workHourly payContract workWork at office- 6AM City, LLC is looking for an experienced Utilization Review Nurse for a hybrid role based in Uniondale, Long Island. In this position, you will conduct utilization reviews, evaluate patient medical records, and collaborate with healthcare providers. The ideal candidate...Remote work
$85.99k - $105.34k
...A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams....Remote workFull time$47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting findings, and communicating with claims examiners. Candidates must have a current RN license and at least...Remote work- ...At NorthBay Health the Clinical Utilization Review Nurse II (URN) is an experienced registered nurse... ...concurrently evaluates appropriateness of inpatient and observation services based on... ...on specialty and role requirements. Remote Work Disclosure NorthBay Health is...Remote workDaily paidWork at officeLocal areaShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Inpatient Utilization Review Nurse. Be the first to apply!
- remote utilization review nurse part time California, MO
- remote education consultant California, MO
- remote nonprofit California, MO
- remote financial analyst California, MO
- remote virtual assistant California, MO
- remote real estate California, MO
- remote design intern California, MO
- remote legal internship California, MO
- software engineer internship remote California, MO
- remote data entry agent California, MO


