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- ...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 jobFlexible hours
$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$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- ...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
- ...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
- ...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
- ...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
- ...looking for a full-time California Licensed Clinical Appeals Nurse to work in a fully remote environment. In this role, you will review and process appeals for inpatient and... ...utilization management, or appeals within a managed care setting. #J-18808-Ljbffr Alignment...Remote jobFull time
- 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 jobContract work
$2,606 per week
...Registered Nurse (RN) | Interventional Radiology Location: Modesto, CA Agency: Atlas MedStaff Pay... ...healthcare agency should care about you. Our team has... ...are fueled by real reviews by real travel nurses and... ...team has been working remote since the pandemic), but...Remote workHourly payFull timeContract workWork at officeShift workWeekend work$6,000 per month
Location: Victorville, CA Remote Status: On‑Site Job Id... ...: Victorville, CA - in clinic "$6k sign on" Company... ...organization delivering care to older adults in underserved... ...model is led by Nurse Practitioners and focused... ...to assess symptoms, review labs and vitals, and adjust...Remote workPart timeShift work3 days per week- ...Clinical Reviewer, Precertification RN Duration: 8 months contract (with... ...RN, is a licensed Registered Nurse that is expected to function... ...Previous experience in a managed care setting. Skill... .... *Note: Candidates can be remote but must have an active unrestricted...Remote workContract workWork at officeWork from home
$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- Location: Victorville, CA Remote Status: On-Site Schedule... ...) Job Type: Full‑time Nurse Practitioner Job... ...: Victorville, CA - in clinic Company Description Greater... ...delivering care to older adults in underserved... ...scheduled follow‑up visits to review symptoms, labs, vitals,...Remote workFull timeTemporary workRelocation packageMonday to Friday
- ...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
$75 per hour
...apply for the Mobile Nurse Practitioner - Per... ...- Los Angeles, CA role at IQVIA 1 day... ...: 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... ...Disease Management - Remote Psychiatric Mental...Remote workHourly payDaily paidFull timePart timeLocal areaWorldwideFlexible hours- Address Remote Job Description Wheel Medical Group is seeking nurse practitioners with multiple... ...delivering virtual care. Must be available... ...synchronous virtual care. Review comprehensive... ...Conduct thorough clinical assessments... ...licenses (7 minimum with CA or TX) Must be...Remote jobFull timeContract workPart timeWork at officeFlexible hoursShift workWeekend workAfternoon shift
$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$120k
...with a new standard of care. Twin Health is the only... ...Guided by a dedicated clinical care team, our members... ...multiple states through remote care management. The schedule... ...assessments including review of laboratory results,... ...license, must have a CA license, additional...Remote workMonday to FridayFlexible hours$33.79 - $49 per hour
...Location: Fountain Valley, CA (Predominately Remote / Must be located in California... ...of over 200 sites of care, and more than 2,000 physicians... ...Coder plays a key role in reviewing and analyzing specialty... ...effectively communicate with clinical partners and fellow business...Remote workWork at officeShift work
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