Remote Utilization Review Clinician - Home Health
tango
- Remote job
tango is seeking a UM Clinical Reviewer in Phoenix, AZ to ensure the proper utilization of home health services. This fully remote role involves reviewing prior authorization requests, evaluating medical records, and collaborating with providers to promote high-quality patient outcomes. The ideal candidate will have a clinical background with strong knowledge in home health regulations and utilization management principles. #J-18808-Ljbffr tango
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote workWork from homeContract work
- ...insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments... .... The position offers flexibility with work-from-home options, competitive benefits, and a supportive office environment...Remote workWork from homeFull timeWork at office
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active... .... This is a unique opportunity to work from home while contributing to quality medical reviews. #J-...Remote workWork from homeFull time
- ...Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling with...Remote workWork from homeFlexible hours
- ...? Be able to work from home 50% of the time once trained... ...! *Must have Mental Health and/or Substance Abuse... ...Work-life balance. Remote setting ROLE DESCRIPTION... ...: This individual will utilize clinical knowledge and... ...decision to a second level reviewer. This individual...Remote workWork from homeTemporary workWork at officeMonday to FridayFlexible hours
- ...Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical... ...position is full-time, fully remote (work from home) and requires some weekend,...Remote workWork from homeFull timeShift workWeekend workAfternoon shift
- ...Apply Refer a Friend Back Remote Work from Home Share This Page Share on... ...: 669090 Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category... ...are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health...Remote workWork from homeFull timeLocal areaMonday to FridayDay shift
- ...seeking a high-performing Physician Reviewer to join our Group Health division. The role is responsible... ...delivering timely, defensible utilization review determinations across a high... ...systems Work Environment Remote work from home Full-time, Monday–Friday Availability...Remote workWork from homeFull timeTemporary workWork at officeMonday to FridayNight shift
$33.6 - $51.39 per hour
...Role Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no... .../staff (commercial, behavioral health, inpatient, etc.) PRN (at minimum... ...hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital...Remote workWork from homeHourly payFull timeWork experience placementReliefLocal areaMonday to FridayFlexible hoursShift work$70k - $80k
...Gainwell Technologies is seeking a Nurse Reviewer, Associate, who will conduct clinical reviews to assess if medical records support the need for services based on defined criteria. In this home-based full-time role, you will review and interpret medical documentation,...Remote workWork from homeFull time- ...leading healthcare company is looking for a Physician Clinical Reviewer - Dermatology for a remote position. The successful candidate will review medical... ...to make impactful medical decisions while working from home, contributing to a mission of providing exceptional care....Remote workWork from home
$35.29 - $47.37 per hour
...considering a career at Advanced Health! We are searching for... ...their work-life balance ~ Remote work options and Flexible scheduling... ...hiring a Part-time REMOTE Utilization Review Nurse . If you are a... ...works within a remote work from home environment. Travel may be...Remote workWork from homeHourly payPart timeCurrently hiringWork at officeLocal areaMonday to FridayFlexible hours$27.02 - $48.55 per hour
...our Medical Management/Health Services team. Centene... ...Performs a clinical review and assesses care related... ...and appropriate utilization of services Provides education... ...for behavioral health clinicians required Clinical... ...approach to work with remote, hybrid, field, or office...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Utilization Review Clinician, Advocate, Remote We are an equal employment opportunity employer. All qualified applicants will receive consideration for... ...members and providers with information on behavioral health benefits and community resources. Candidates must hold...Remote workDaily paid
- Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility... ...medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided,...Remote jobWork from homeContract work
- ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour... ...and will include 80% travel. Remote role. Will require a driver’s... ...experience preferred. Hospital CM, Home health, discharge planning,...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports... ...collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or...Remote work
- 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
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
$60.2k - $107.4k
...Stryker Corporation is looking for a Utilization Review Nurse, RN, based in California. As part of this role, you'll manage inpatient utilization... ...clinical guidelines. The position offers the flexibility of remote work within the U.S., alongside responsibilities like...Remote work- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship... ...spouses. Interns will conduct clinical reviews, communicate with providers, and document findings...Remote workInternship
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus... ...Agency: Mindlance Health Pay: $35 to $45 per... ...will include 80% travel. Remote role. Will require a... ...preferred. Hospital CM, Home health, discharge... ...placing our clients’ and clinicians’ best interests first...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- 6AM City, LLC is looking for an experienced Utilization Review Nurse for a hybrid role based in Uniondale, Long Island. In this position, you... ...strong communication skills, and proficiency in EHR. We offer competitive salary and comprehensive health benefits. #J-18808-Ljbffr...Remote work
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid... ...are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and...Remote work- ...healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include... ...degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
$45k - $70k
...A leading healthcare company is looking for a Utilization Management Nurse Reviewer to ensure medical services are appropriately utilized. Responsibilities... ...from $45,000 to $70,000, with benefits including health insurance, paid time off, and a 401k plan. #J-18808-Ljbffr...Remote work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...license and have experience in utilization review or home health. This contract role offers a chance to manage healthcare quality...Remote workContract work
$45k - $70k
...A healthcare services company is seeking a Utilization Management Nurse Reviewer to ensure medical services are used appropriately. The role involves reviewing medical records and coordinating care while adhering to guidelines. Candidates should possess an unrestricted...Remote work- ...Blue Cross and Blue Shield of Kansas City is looking for a Clinical Review Nurse to utilize clinical expertise in managing healthcare services efficiently. Candidates must have at least 3 years of direct patient care experience and an Associate degree in nursing, along...Remote work
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