Remote Preservice Review RN - Clinical Decisions (HI)
Optum
UnitedHealth Group is seeking a Preservice Review RN to work remotely in Hawaii. The role involves reviewing non-clinical and clinical documentation to support determinations, with duties across research, coding validation, and care coordination support. Location in Hawaii allows remote work while handling complex cases.
The role requires an Hawaii RN license, 3+ years acute RN experience, strong computer skills, and Saturday availability. A background in utilization management is preferred.
#J-18808-Ljbffr$29 - $52 per hour
...Growing together. Job Description - Preservice Review RN - Remote in HI (2392416) Preservice Review RN -... ...less experience CPS_Conduct Non-Clinical Research to Support Determinations... ...business implications of clinical decisions to drive high quality of care...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$29 - $52 per hour
...About This Role The Preservice Review RN position at UnitedHealth Group involves... ...issues, and conducting clinical research to support medical... ...experienced RNs looking to work remotely in Hawaii while making a... ...hour **Location:** Honolulu, HI **Department/Unit:**...Remote workFull timeDay shift- ...Optum in Hawaii seeks a Preservice Review RN to work remotely from HI, handling non-clinical and clinical review tasks to support determinations. You will assess needs, interpret clinical documentation, and apply guidelines to determine appropriate actions with minimal...Remote work
$29 - $52 per hour
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...: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours... ...AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN... ..., unrestricted license: RN Minimum 3+ years clinical experience (med/surg and/... ...Quality / Utilization Review / Case Review experience...Remote workHourly payDay shift- ...through technology, services, and clinical expertise. Our mission is to... ...improve processes, enhance decision‑making, and drive better... ...Health is looking for a Clinical Reviewer to join our growing team.... ...requirements. ~*Position is remote* ~*Required Work Hours: On‑call...Remote workContract workReliefWeekend workAfternoon shift
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...Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...with it. In this role, you'll be accountable for making decisions that directly impact on our members. And at the same time,...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaHome office- ...a Licensed Practical Nurse (LPN) to serve as a Clinical Reviewer for the Illinois PASRR program. This fully remote role involves reviewing clinical documentation,... ...health and medical information to guide clinical decisions. You will collaborate with healthcare providers...Remote workContract work
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$35 - $40 per hour
...Job Title: Clinical Prior Authorization Reviewer Job Description This role focuses on reviewing prior... ...reviews and inform authorization decisions. Document clinical review... ...Workplace Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workShift work- ...Position Title : Clinical Review Nurse - Concurrent Review Work Location : Remote - Central, Mountain or Pacific preferred... ...criteria applied, communications, decisions, and next review date clearly and... ...Licensure Required: RN - State Licensure Preferred:...Remote workTemporary work
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