Remote Preservice Review RN Utilization Management
Unitedhealth Group
UnitedHealth Group is seeking a Preservice Review RN responsible for evaluating provider requests using established protocols. This role requires a current RN license in Nevada and at least 2 years of relevant nursing experience. You can enjoy the flexibility of remote work while playing a vital part in reviewing medical necessity and benefit eligibility. If you're detail-oriented and eager to make a difference in the health care experience, we invite you to apply. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Preservice Review RN Utilization Management in Las Vegas, NV vacancy
$28.94 - $51.63 per hour
...UnitedHealthcare is seeking a Preservice Review RN in Las Vegas, NV. The RN will review provider requests for medical necessity and benefit level, working remotely and collaborating with other staff. Candidates must possess a Nevada RN license and have at least 2 years...Remote workHourly payCrains Cleveland
Las Vegas, NV2 days ago- ...Texas Health Institute is seeking a Preservice Review RN responsible for evaluating requests from providers based on medical necessity. This role allows remote work flexibility while engaging with critical patient evaluations. Key responsibilities include verifying eligibility...Remote work
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Las Vegas, NV3 days ago - ...The University of Minnesota School of Nursing is seeking a Preservice Review RN to evaluate requests from providers, ensuring they meet medical... ...criteria. This position offers the flexibility to work remotely within the U.S. and requires a current RN license in Nevada....Remote workWork at office
University of Minnesota School of Nursing
Las Vegas, NV3 days ago $28.94 - $51.63 per hour
...Stryker Corporation is seeking a dedicated Preservice Review RN to work remotely while reviewing requests from providers. Candidates must hold a current RN license for Nevada and have experience in critical care or ER nursing. The position involves assessing eligibility...Remote workHourly payStryker
Las Vegas, NV2 days ago- ...in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience... ...position offers the flexibility of remote work while supporting professional...Remote work
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Chicago, IL2 days ago - ...patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as... ...3 days/week for 6-8 weeks. This role will be remote, including most training but monthly meetings/...Remote workRelief3 days per week
IntelyCare
United States1 day ago - Ascension is seeking a Remote Registered Nurse for Utilization Management. Your vital role will involve providing healthcare services related to admissions and... ...compliance with federal regulations. You will review service requests for medical necessity and assist with...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
- A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...Remote jobFlexible hours
- Humana is offering a remote internship for a Utilization Management Behavioral Health Registered Nurse (RN) Intern. This role supports the National Medicaid team, focusing on clinical reviews and patient care. Candidates must be transitioning military service members or...Remote jobInternshipWork at officeWeekday work
- Industrial Asset Management Council, Inc is seeking a remote RN to support various units, requiring at least 2 years of experience in patient care and Utilization Review. Candidates must live within one hour of St. Louis, MO, hold an active RN license, and be available...Remote jobFull time
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full Time... ...Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review/...Remote workHourly payFull timeWork at officeRelocation packageShift workGibson Area Hospital
Gibson City, IL1 day ago- GoTo Meeting is seeking a Manager, UM Preservice Review in Florida to oversee daily utilization management operations. The role involves leading a team of clinicians,... ...communication skills. This position is eligible for remote work with quarterly travel to Tampa. An active...Remote job
- ...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 experience in healthcare. The...Remote workWork from home
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Peoria, IL7 days ago - ...A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Remote workHourly payDaily paidDay shift
Providence Swedish Medical Center
Seattle, WA2 days ago - ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...Remote workFlexible hoursWeekend workDay shift
The Judge Group, LLC
New York, NY3 days ago - ...A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization... ...coordinating discharge planning. Candidates must have an active RN license in New Jersey, strong analytical skills, and...Remote workContract work
Rangam
Pennington, NJ4 days ago - ...Note: Candidates can be remote but must have an active... ...unrestricted Massachusetts RN License Job Summary The Clinical Reviewer, Precertification RN, is... ...and is responsible for managing a clinically complex... ...Precertification / Outpatient Utilization Management (UM) team and...Remote workContract workWork at officeWork from home
AppCast
Lowell, MA3 days ago $1,600 - $1,800 per week
...HIRING: Registered Nurse - Utilization Management Location: Buckley AFB &... ...no holidays, no telehealth/remote work Minimum Qualifications... ...full, active, and unrestricted RN license ~... ...Utilization Management, Utilization Review, or Case Management ~•...Remote workContract workImmediate startMonday to FridayVarite
Aurora, CO4 days ago- ...A healthcare management company is looking for a Part-time remote Utilization Review Nurse based in Coos Bay, OR. The ideal candidate holds a nursing degree and has experience in acute care and utilization review. Key responsibilities include performing clinical reviews...Remote workHourly payPart time
DOCS Management Services
Coos Bay, OR22 days ago - ...healthcare analytics firm is seeking a Registered Nurse for a remote role focused on utilization review and clinical determinations. The position requires... ...5+ years of varied healthcare experience, and an active RN license in Illinois. Responsibilities include conducting...Remote work
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Chicago, IL12 days ago - ...Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside in the tri-state area (PA, DE, NJ) M-F,... ...clinical conditions through medical record review to determine medical necessity for services...Remote workImmediate startDay shift
The Judge Group, LLC
New York, NY3 days ago $45.9 - $71.4 per hour
...Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health... ...Coord-Qual Med Mgmt will provide administration of medical management programs for prior authorization. These programs are developed...Remote workMinimum wageLocal areaShift workProvidence Health & Service
Portland, OR2 days ago- ...Registered Nurse for a clinical role focusing on utilization review and care coordination. The ideal... ...in healthcare, a strong understanding of managed care processes, and be proficient in Microsoft 365. This role offers remote work and a comprehensive benefits package...Remote work
Guidehealth
Rockford, IL2 days ago $45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development...Remote workHourly payLocal areaProvidence Health & Service
Renton, WA4 days ago$50.68 per hour
...Email this Job Job Overview The Utilization Review RN participates as a member of a... ...payors. Department Name: Utilization Management Job Status: flex, not eligible for... .... **This position will be primarily remote but there may be occasions when you are...Remote workHourly payTemporary workLive inImmediate startRelocationFlexible hoursShift workWeekend workDay shiftAfternoon shiftChildren's Hospital Colorado
Aurora, CO2 days ago$35.29 - $47.37 per hour
...individual and their work-life balance Remote work options and Flexible scheduling Every... ..., improving quality of care, managing costs, and honoring diversity and equity... ...are currently hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed nurse with...Remote workHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to FridayFlexible hoursDOCS Management Services
Coos Bay, OR4 days ago$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy...Remote workMinimum wageFull timeLocal areaShift workProvidence Service
Renton, WA1 day ago- A healthcare administration company seeks a Utilization Management Nurse to perform medical necessity reviews while working remotely. The ideal candidate will be an active Licensed Practical Nurse (LPN) with strong proficiency in the Utilization Review process. Responsibilities...Remote job
- A leading medical review company in Washington is seeking a Utilization Management Nurse Reviewer. The role involves assessing medical necessity, reviewing patient... ...The position offers a competitive salary range, remote work options, and a comprehensive benefits package...Remote job
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