Remote Clinical Review Nurse - Concurrent Care (CA)
IMCS Group
A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates should have an ADN or BSN and 2–4 years of experience, particularly in concurrent review and InterQual. Strong communication, attention to detail, and proficiency in Microsoft Office tools are essential. This position offers the opportunity to be part of a supportive and collaborative team. #J-18808-Ljbffr
$27.02 - $48.55 per hour
...million members as a clinical professional on... ...flexibility. Location: Remote. Must work PST... ...: Performs concurrent reviews, including determining... ...the type of care being delivered, evaluating... ...School of Nursing or Bachelor’s degree... ...Must be licensed in CA. Pay Range: $27...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Overview Clinical Review Nurse - Concurrent Review TX Location: 100% Remote - TX: RN only with TX license SHIFT: Tuesday – Saturday 8am-5pm CST- schedule is... ...member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and...Remote workContract workShift work
$34 - $40 per hour
...Clinical Review Nurse Duals Program Details- Brand new program of 2026 for... ...They are handling inpatient concurrent review and average 1.85 cases... ...review interqual managed care medical management... ...Workplace Type: This is a fully remote position. Application...Remote workHourly payContract workTemporary work- ...Clinical Review Nurse – Prior Authorization (Remote CST Hours) Location: Remote Schedule: Monday–Friday, 10:00 AM–7:0... ...timely approvals and continuity of care for members. Candidates must be... ...Management Nurse Clinical Review Nurse Concurrent Review Nurse Managed Care Nurse...Remote workContract workMonday to Friday
$37.6 - $78.35 per hour
...Quality Management Nurse Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule... ...facility site reviews (FSRs) to ensure compliance... ...involves evaluation clinical practices, identifying... ...initiatives to enhance patient care and safety. In this...Remote workHourly payWork at officeMonday to FridayFlexible hours- ...UM Inpatient Clinical Review Nurse The UM Inpatient Clinical Review Nurse... ...health, reviewing the type of care being delivered, and evaluating... ...Performs pre-service, concurrent, and retrospective reviews of... ...LOCATION: This is a full-time remote opportunity. Current States...Remote workHourly payFull timeWork at officeMonday to FridayFlexible hoursWeekend work
- ...At NorthBay Health the Clinical Utilization Review Nurse II (URN) is an experienced registered... ...who prospectively and concurrently evaluates appropriateness... ...for alternative levels of care when criteria are not met.... ...and role requirements. Remote Work Disclosure...Remote workDaily paidWork at officeLocal areaShift work
- ...Cottage Hospital is seeking a clinical professional for the Medical... .../Health Services team. This remote position involves conducting concurrent reviews to determine member's... ...health and ensure appropriate care. Requirements include a nursing degree and 2-4 years of experience...Remote workFlexible hours
- A healthcare company is seeking a Clinical Review Nurse for a remote role in Texas. This position involves... ...medical necessity and improving patient care. The ideal candidate will have a... ...responsibilities that include performing concurrent reviews and collaborating with...Remote workContract work
- ...Position Summary Concurrent Review Nurse is responsible for performing utilization management... ...necessity, appropriateness of care, and length of stay in accordance with clinical guidelines and payer... ...organizational skills. Work Environment Remote Equal Opportunity Employer Palm...Remote workApprenticeshipLocal area
- ...Henderson, NV is seeking an RN Concurrent Review to ensure compliance with the... ...The role may be hybrid or fully remote, with competitive hourly rates... ...have at least two years of clinical nursing experience, including working in managed care settings, and will promote the...Remote jobHourly pay
- ...Partners is looking for an RN Concurrent Review nurse to guide utilization... ...role offers hybrid or fully remote arrangements, with major responsibilities... ...have at least two years of clinical nursing experience. Join us... ...healthcare from sickness care to wellness guidance. #J-18...Remote job
$60.2k - $107.4k
...opportunities with Kelsey-Seybold Clinic, part of the Optum... ...'s leading health care organizations and... ...Growing together. The Concurrent Review Case Manager is responsible... ...flexibility to work remotely * from anywhere within... ...~ Associate Degree in Nursing or higher ~ Active...Remote workMinimum wageFull timeWork experience placementLocal area- ...A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare... ...are essential for maintaining high-quality care. This 12-month contract position offers...Remote workContract work
$69.38k - $92.28k
...the Future of Health Care At MVP Health Care,... ...As a Professional Concurrent Review RN, you'll have the opportunity... ...to apply your nursing knowledge in a meaningful... ...partnering with providers and clinical leadership. You'll be... ...be: Location: Remote Pay Transparency...Remote workContract work$34 - $35 per hour
...Utilization Management - Clinical Nurse - Work from Home!... ...Conducts telephonic and concurrent review of hospitalizations and... ...continuity of care Meet regulatory timelines... ...- Prior Authorization Remote Registered Nurse (Remote... ...Auditor Santa Monica, CA $68,000.00-$72,000.00...Remote workFull timeWork at officeWork from homeNight shift$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment... ..., treatment requests, and clinical documentation to support timely... ..., accurate, and compliant care decisions in accordance... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday- ...to join our talented Team. Job Title: Clinical Medical Review Nurse. Location: Owings Mills, MD. Summary:... ...systems. Identify trends, gaps in care, and opportunities for improved health... ...professionalism and a collaborative mindset. Remote work environment with minimal physical...Remote work
- ...extension) Job Summary The Clinical Reviewer, Precertification RN, is a licensed Registered Nurse that is expected to function... ...Previous experience in a managed care setting. Preferred: Skill... ...schedule. *Note: Candidates can be remote but must have an active...Remote workContract workWork at officeWork from home
$44 per hour
...Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they have an NV RN... ...necessity of service and appropriate level of care in accordance with national standards,...Remote workPermanent employmentContract workLive inShift work- ...CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct... ...local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the...Remote workPermanent employmentWork at officeLocal area
$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type:... ..., treatment requests, and clinical documentation to support... ..., accurate, and compliant care decisions in accordance with... ...independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday- ...Supervisor, Concurrent Review RN The challenges of affordable healthcare continue to create... ...HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples... ...and staffing.Bachelor's Degree in Nursing. Minimum one to three years previous management...
- ...Night Shift Telemedicine Nurse Practitioner - 1099 Contract (CA and TX) Address Remote Job Description... ...clinicians delivering virtual care. About Wheel Medical... ...synchronous virtual care. Review comprehensive patient... ...decisions. Conduct thorough clinical assessments aligned...Remote workFull timeContract workPart timeWork at officeFlexible hoursNight shiftWeekend workAfternoon shift
$70k - $90k
...Our Mission: Hospital-Quality Care, Everywhere The healthcare industry still relies... ...We are building a high-performing clinical review operation to support documentation and compliance... ...Environment & Location: This is a remote position. Please note that at this...Remote work$90k - $100k
...the business of health care, transforming it from... ...are looking for a RN Concurrent Review . If you are passionate... ...Overall Purpose The UM Nurse is responsible for... ...determinations Obtain additional clinical information from... ...a hybrid or fully remote work arrangement. Candidates...Remote workWork at office3 days per week$35 - $39 per hour
...Prior Authorization Nurse (Utilization Review) This role analyzes prior authorization... ...and appropriate level of care in line with national... ...services through thorough clinical review and collaboration with... ...Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workShift work$75 per hour
...apply for the Mobile Nurse Practitioner – Per... ...- Los Angeles, CA role at IQVIA 1... ...IQVIA’s In-Home Clinical Solutions team seeks... ...to support patient care by delivering in-home... ...will be subject to a review of driving record prior... ...Management - Remote Psychiatric Mental...Remote workHourly payDaily paidFull timePart timeLocal areaWorldwideFlexible hours$30 per hour
...training and then will work remotely. Monday‑Friday, 8:30 a... ...utilization review experience is great; a... ...office and hospital, concurrent nurses, case management, medical... ...regarding benefits and clinical criteria, applying clinical... ...promote enrollment in care‑management programs,...Remote workHourly payContract workWork at officeMonday to Friday$35 - $39 per hour
...Title: Prior Authorization Nurse (Utilization Review) Job Description This... ...necessity and appropriate level of care in line with national... ...services through thorough clinical review and collaboration with... ...Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workShift work
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