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
- ...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
$27.02 - $48.55 per hour
...considered. The standard fully remote work schedule is... ...Perform concurrent reviews, including determining... ...reviewing the type of care being delivered, evaluating... ...medical necessity based on clinical policies and guidelines... ...accredited school of nursing or a Bachelor’s degree...Remote workHourly payWork at officeMonday to FridayFlexible hours- ...million members as a clinical professional on our Medical... .... This is a remote role. This position has... ...Position Purpose Performs concurrent reviews, including determining... ...reviewing the type of care being delivered, evaluating... ...Accredited School of Nursing or Bachelor’s degree...Remote workFull timePart timeWork at officeFlexible hoursWeekend 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... ...into utilization management, requiring strong clinical judgment and excellent communication skills. The position...Remote work- 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
- ...MedPOINT Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA, where you'll play a crucial role in... ...to excellence and patient-centered care has earned us the trust of our... ...makes a difference in the lives of patients every day. This is a remote position.Remote workFull time
- ...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
$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. Working...Remote workWeekly payContract workWork at officeMonday to Friday$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$30.64 - $45.8 per hour
...CA Utilization Review Nurse I The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment... ...and of CorVel. This is a remote position. Essential Functions...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...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
$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- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews... ...full-time role supports high-quality care delivery while ensuring compliance... ...relevant experience. The position is remote, allowing work from any location in the...Remote workFull time
- ...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
- ...Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full... ...ensuring compliance with clinical policies for quality care. Candidates should possess a BA/BS in Nursing,...Remote workFull time
- ...Concurrent Review Registered Nurse (RN) Location: Fully remote. Candidates must be able to work a schedule aligned with Pacific... ...planning, and transitions of care while collaborating with physicians... ...Request and review additional clinical documentation when necessary....Remote workWork at officeImmediate start
$2,536 per week
...Registered Nurse (RN) | Cardiac Catheterization Lab Location: Lakewood, CA Agency: Atlas MedStaff... ...healthcare agency should care about you. Our team has... ...recognitions are fueled by real reviews by real travel nurses... ...team has been working remote since the pandemic),...Remote workHourly payFull timeContract workWork at officeShift workWeekend work$43 - $47 per hour
A healthcare staffing company in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year... ...an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office...Remote work- ...MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations... ...Review* Admission Criteria Care coordination Concurrent Review Continued Stay Reviews... ...Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
$115k - $125k
...level of innovative medical care for post-acute... ...provide assistance to a clinical manager. You will be responsible for chart reviews, onboarding process, support... ...unrestricted license in TX, CA or NJ. MSN with National... ...care management. Remote work experience beneficial...Remote workWork experience placementWork at officeMonday to FridayWeekend workWeekday work$2,777 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: San Diego, CA Agency: Atlas MedStaff Pay: $2,777... ...recognitions are fueled by real reviews by real travel nurses and... ...of our team has been working remote since the pandemic), but you...Remote workHourly payFull timeContract workWork at officeShift workWeekend work$75k
...Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires... ...reviews and collaborating with clinical teams to make informed decisions.... ...license and have experience in acute care settings. The starting salary for this...Remote work$1,949.74 per month
...Offering Nursing Profession... ...Specialty Utilization Review Job ID 1... ...Description Remote Utilization Review RN responsible for concurrent reviews, medical necessity... ...in an acute care setting. Client... ...State CA Zip Code...Remote workWeekly payShift work$70.3k - $85.47k
...Description The Professional Review Nurse provides analysis of... ...of medical care. This is a remote position in CA. ESSENTIAL FUNCTIONS... ...treatment plans Utilize clinical and/or technical expertise... ...preferred Prospective, concurrent and retrospective utilization...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$175k - $200k
...Nurse Practitioner | Family Practice Location: Sacramento, CA Employer: Curative Pay: $175,000 to... ...that blends outpatient care with telemedicine while... ...patient interaction and remote care delivery. You'll play... ...through a mix of clinic coverage and telehealth...Remote workHourly payFull timeImmediate startMonday to FridayFlexible hoursWeekend work$35 - $43 per hour
...pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an active CA RN license) Duration:... ...functions to ensure members receive the right care at the right time. This role focuses on...Remote work- ...Clinical Position at EmblemHealth Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management department.... ...appropriate levels of care. Principal Accountabilities... ...bachelor's degree in nursing. Valid RN License without...Remote jobWork experience placement
$2,786 per week
...Registered Nurse (RN) | Clinical Nurse Coordinator Location: Chico, CA Agency: Magnet Medical Pay: $2,786 per week... ...Registered Nurse (RN) – Patient Care Coordinator is responsible for... ...care rounds, and team meetings to review patient progress, discuss care...Full timeContract workImmediate startShift work- ...Description Provides support for clinical member services review assessment processes. Responsible for... ...outcomes through integrated delivery of care across the continuum. Contributes to... ...and experience. Registered Nurse (RN). License must be active and unrestricted...Remote jobWork at office
$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly pay
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