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
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Clinical Review Nurse - Concurrent Care (CA) in New York, NY vacancy
$27.02 - $48.55 per hour
...This position is fully remote/work from home;... ...applicants with strong clinical background, managed care and utilization management/review experience are helpful... ...Position Purpose: Performs concurrent reviews, including... ...Accredited School of Nursing or Bachelor’s degree in...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
Jefferson City, MO4 days ago- ...Position Title : Clinical Review Nurse - Concurrent Review Work Location : Remote (Compact Nursing License Required, Central Time Zone) Assignment Duration : 12 months... ...member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and...Remote workShift workWeekend work
Spectraforce Technologies
Raleigh, NC1 day ago $27.02 - $48.55 per hour
...About This Role The Clinical Review Nurse performs concurrent reviews to determine members' overall health, evaluate... ...for nurses with experience in acute care and a strong understanding of... ...$27.02 - $48.55 per hour Location: Remote, NY Schedule: Full-time, Monday-Friday...Remote workHourly payFull timeMonday to FridayFlexible hoursIntelliResume
New York, NY4 days ago- ...Spectraforce Technologies is seeking a Clinical Review Nurse for concurrent review. This remote role supports US-based operations, requiring a nursing credential and at least 1 year of nursing experience. The position emphasizes denial review, NCQA standards, and coordinated...Remote work
Spectraforce Technologies
Raleigh, NC2 days ago - ...Job Title: Clinical Review Nurse - Concurrent Review Location: Remote -Anywhere in US Shift : Tuesday - Thursday 9:30 am - 6 pm CST / Overtime may be required and Holidays are required Duration : 12 months Position Purpose: Drafts correspondence letters based on review...Remote workLocal areaShift work
Spectraforce Technologies
Raleigh, NC3 days ago $1,955 per week
...Registered Nurse (RN) | Case Manager Location: Torrance, CA Agency: Cynet Health... ...Position Job Title: Remote Utilization... ...Specialty: Utilization Review Duration: 13... ...of acute medical Care Manager/Utilization... ...admission criteria, concurrent review, and prior...Remote workFull timeContract workShift workWeekend workCynet Health
Torrance, CA8 hours ago- Centene Corporation is seeking a Remote RN in Missouri with an active... ...workdays. The role focuses on concurrent reviews, evaluating medical necessity,... ...discharge planning in alignment with care policies. Ideal candidates have strong clinical background and experience in...Remote jobMonday to Friday
- Centene is seeking a Clinical Review Nurse to perform concurrent reviews of members to determine overall health, evaluate... ...role targets nurses with acute care experience and a strong... ...management processes. The position is remote with NY location indicators and offers...Remote jobFull time
- NeueHealth is seeking a Concurrent Utilization Review (UR) Nurse to perform real-time clinical reviews ensuring medical necessity and appropriate care under a managed care plan. You will assess inpatient admissions and coordinate with payers, providers, and the Medical...Remote job
- ...Net Health Plan of Oregon, Inc. seeks a Clinical Review Nurse to perform concurrent reviews for Medicaid populations while working remotely from Missouri. This role requires an active... ...RN license and strong clinical, managed care, and utilization review experience. The position...Remote jobMonday to Friday
- ...Concurrent Review Registered Nurse (RN)Location: Fully remote. Candidates must be able to work a schedule aligned with Pacific... ...discharge planning, and transitions of care while collaborating with... ...teams.Request and review additional clinical documentation when necessary....Remote workWork at officeImmediate start
Impresiv Health
Henderson, NV14 hours ago $44 per hour
...Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization... ..., NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but... ...necessity of service and appropriate level of care in accordance with national standards,...Remote workPermanent employmentContract workLive inShift workESR Healthcare
United States3 days ago$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- ...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
American Recruiting and Consulting Group
United States5 days ago $73k - $82k
...Clinical Review Registered Nurse Blue Cross and Blue Shield of Vermont is looking... ...with flexibility to work remotely the rest of the week. We are... ...health at the right level of care to promote optimal health.... ...reviews for preservice, concurrent, and retrospective...Remote workWork at officeFlexible hoursBlue Cross and Blue Shield of Vermont
Montpelier, VT1 day ago$34 - $40 per hour
...Job Title: Clinical Review Nurse (Remote) Position Summary: We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join... ...reviews to determine medical necessity, appropriateness of care, and level of service. + Review medical records, provider...Remote workContract workTemporary workActalent
United States2 days ago$75k
...Description • Performs concurrent inpatient utilization review using InterQual... ...reviews • Transitional care reviews (Skilled Nursing Facility, Inpatient Rehabilitation... ...updates • Engage in clinical collaboration with... ...Location: 100% remote Equipment: Provided...Remote workFor contractorsWork at officeLocal areaMonday to FridayFlexible hoursWeekend workWNS Global Services
United States4 days ago- ...Medical Reviewer (Registered Nurse) - Remote CA It takes great medical minds to create powerful solutions that... ...professional nursing experience and clinical judgment to review medical records,... ...or certification in wound and ostomy care preferred. Strong clinical...Remote jobFull timeHome officeMonday to FridayFlexible 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$2,431 per week
...Registered Nurse (RN) | Interventional Radiology Location... ...: Marina Del Rey, CA Agency: Atlas... ...healthcare agency should care about you. Our team has... ...recognitions are fueled by real reviews by real travel nurses... ...our team has been working remote since the pandemic), but...Remote workHourly payFull timeContract workWork at officeShift workWeekend workTravelNurseSource
Marina Del Rey, CA14 hours ago- ...Clinical Medical Review Nurse Ampcus Inc. is a certified global provider of a broad range of Technology... ...systems. Identify trends, gaps in care, and opportunities for improved health... ...professionalism and a collaborative mindset. Remote work environment with minimal physical...Remote work
- ...impact. People-centric: we care deeply about our team's... ...for US-credentialed clinical professionals to... ...clinical expertise to review and interpret de-identified... ...credentialed Registered Nurse (RN), Nurse Practitioner... ...working independently in a remote environment. Strong...Remote jobFor contractors
- 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
$85k - $92k
Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview TEEMA is partnering with a... ...assist in identifying patterns in care delivery and outcomes... ...unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social...Remote workHourly payWork at officeHome office$34 - $40 per hour
...Clinical Review Nurse (Remote) We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join our team in a fully remote... ...reviews to determine medical necessity, appropriateness of care, and level of service. Review medical records, provider...Remote jobContract workTemporary work- 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
$8k
...Location: Victorville, CA Remote Status: On‑Site Job Id:... ...: Victorville, CA - in clinic $8k sign on!! Company Description... ...delivering care to older adults inaccessstarved... ...model is led by Nurse Practitioners and focused... ...to assess symptoms, review labs and vitals, and adjust...Remote workFull timeTemporary workPart timeFixed term contractLocal areaFlexible hoursShift work3 days per week$125k - $150k
Remote Nurse Practitioner - CA, WA or AZ License Required Cadence is the clinical AI company automating the treatment of chronic disease.... ...high-volume work of chronic care - monitoring patients, surfacing... ...patient care, including reviewing patient-generated health data...Remote jobLocal areaHome officeMonday to FridayWeekday work$130.33k - $195.5k
...Hybrid Remote Advanced Practice Clinician... ...conventional health care, committed to serving... ...occur when timely clinical interventions are not... ...visits in San Jose, CA metro area (Santa... ...members, medication review and health screenings... ...which may include nurses, health coaches,...Remote job$2,873 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Sacramento, CA Agency: Atlas MedStaff Pay: $2,873... ...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 workNight shiftWeekend workTravelNurseSource
Sacramento, CA8 hours ago
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!
Related searches
- clinical nurse New York, NY
- nurse practitioner ii New York, NY
- dermatology nurse practitioner New York, NY
- telemedicine women's health nurse practitioner New York, NY
- neonatal nurse practitioner locum tenens New York, NY
- nurse practitioner urology New York, NY
- nurse practitioner no experience New York, NY
- clinical research nurse New York, NY
- work from home nurse practitioner New York, NY
- registered nurse unit manager New York, NY