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
$27.02 - $48.55 per hour
...IntelliResume is seeking a Clinical Review Nurse for a remote position in New York. This role involves performing concurrent reviews to assess members' health and contribute to discharge... ...will have a BSN and 2+ years of acute care experience. The position offers...Remote workHourly payFlexible hours$3,155 per week
...Registered Nurse (RN) | Case Manager Location: San Francisco, CA Agency: Cynet Health Pay:... ...but will primarily be remote. Candidates should have experience in care coordination and discharge... ...criteria and engage in concurrent reviews is important....Remote workFull timeContract workShift 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- ...Management Company LLC in New York is seeking a Remote RN to perform concurrent reviews and support healthcare providers in delivering high-quality member care. The role requires an active New York State RN license and 2-4 years of nursing experience, preferably in acute care....Remote jobFlexible 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
$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$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
$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
- ...Summary: Work Mode: Remote Duration: 3 months, with... ...medical necessity and clinical reviews of authorization requests to... ...determine medical appropriateness of care in accordance with regulatory... ...from an Accredited School of Nursing OR Bachelor's degree in...Remote workFull timeWork at officeMonday to Friday
- ...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
$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
- ...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
$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- 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
$2,479 per week
...Registered Nurse (RN) | Cardiac Catheterization Lab... ...Location: San Francisco, CA Agency: Atlas MedStaff... ...agency should care about you. Our team has... ...recognitions are fueled by real reviews by real travel nurses and... ...our team has been working remote since the pandemic), but...Remote workHourly payFull timeContract workWork at officeShift workWeekend 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
- ...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
- ...join our team! As a Utilization Review Nurse, you will utilize your critical thinking skills, clinical expertise and judgement along... ...computer skills. This is a fully remote position with multiple shifts... ...scope of practice Resolve patient care issues by working one-on-one...Remote workLocal areaShift 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
$30.58 - $55.09 per hour
...8 million members as a clinical professional on our Medical... ...Purpose Routinely reviews more challenging prior... ...and appropriate level of care in accordance with national... ...Accredited School of Nursing or Bachelor’s degree in... ...approach to work with remote, hybrid, field or...Remote jobHourly payFull timePart timeWork at officeFlexible hours$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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Clinical Review Nurse - Concurrent Care (CA). Be the first to apply!
- home health nurse practitioner New York, NY
- associate director of nursing New York, NY
- nurse practitioner hospitalist New York, NY
- nurse practitioner wound care New York, NY
- family nurse practitioner New York, NY
- trainee nurse practitioner New York, NY
- research nurse practitioner New York, NY
- pediatric nurse practitioner work from home New York, NY
- nurse practitioner-internal medicine New York, NY
- clinical resource nurse New York, NY


