Remote Clinical Review Nurse I — $3.5k Sign-On
Elevance Health
- Remote job
Elevance Health is seeking a Clinical Review Nurse I for the Wellpoint Federal division. This role reviews claims, applying medical policy to determine if benefits align with member coverage and requirements, ensuring accuracy and timely decisions. The position offers virtual work with required in-person training sessions, Monday–Friday 8 am–5 pm EST, with some flexibility. Alternate locations may be considered within commuting distance; residency rules apply for federal programs. #J-18808-Ljbffr Elevance Health
- Posting Title: Family Nurse Practitioner - Up to $7.5K Sign On Bonus Overview: In a manner... ...patient service within the clinic and through various virtual... ...description. Discuss and review patients’ medical history,... ...physician’s assistant. Level 3: Nurse practitioner with...SuggestedFull timeReliefSeasonal workWork at officeRelocation packageFlexible hoursShift workWeekend work
- ...Schedule! ***Full-Time = $5k Signing Bonus*** *Flexible... ...to residents in skilled nursing facilities and assisted... ..., administrative and clinical support team that empowers... ...patient medication reviews as needed. Provide written... ...the contract site. 3. Provide services in accordance...SuggestedFull timeContract workTemporary workPart timeWork at officeLocal areaImmediate startRelocation packageFlexible hoursWeekday work
- ...Virginia, (or) DC states \n \n Role: HEDIS Clinical Review Nurse \n W2 Contract: 5 Months \n Location: Primarily remote \n \n ~ Requires mandatory on-site... ...\n Required Qualifications: \n • Minimum 3 years of clinical background/experience combined...Remote workContract workWork at officeLocal area
- ...Description Job Description Director of Nursing *Sign on Bonus $12.5K* SUMMARY: The primary purpose of... ...in-service training programs. Review nurses’ notes to ensure that they are... ...required. Must have, as a minimum, 3 years of experience as a supervisor in...SuggestedLocal areaRelocation packageShift work
$109k - $119k
...Clinical Director (BCBA) Location: Council Bluffs, IA... ...person, Center-Based ABA Remote/ Work from Home... ...in your first year ~ Sign-on bonus of up to $5,000... ...ongoing care Conduct and review functional behavior assessments... ...Minimum 3 years of experience in...Remote workFull timeWork from homeRelocation packageMonday to Friday2 days per week- ...Living in Chelsea, MA seeks a Nurse Supervisor - RN to lead the care... ...operations. This full-time role runs 3:00PM-11:00PM with rotating... ...holidays, offering a $5,000 sign-on bonus and a competitive benefits... ...hold MA RN license and strong clinical skills, including EHR...Full timeRelocation package
- ...Summary: Work Mode: 100% Remote - MS (candidates can be... ...hours) Duration: 3 months, possible... ...Perform medical necessity reviews of inpatient admissions... ...continued stays. Apply clinical criteria and guidelines... ...determinations within nursing scope. Identify...Remote workHourly payFlexible hoursShift workWeekend work
- ...Position Title Clinical Review Nurse - Concurrent Review Work Location Remote (EST preferred but will consider CST) Assignment Duration 6 months Work Schedule... ...Additional qualities to look for Top 3 must-have hard skills stack-ranked by importance...Remote workWeekend work
- ...for Medical Record Retrievers/Clinical Record Reviewers to support a need for HEDIS... .... Location: Primarily remote. Candidates are required to... ...provider sites (approximately 3 times a year). Candidates MUST... ...compact state, OR Certified Nursing Assistant (CNA) or Medical...Remote work
- ...About This Role The Clinical Review Nurse-Concurrent Review performs concurrent reviews to determine... ...management processes. Highlights Location: Remote, OK Schedule: Full Time, Monday-Friday 8... ...years of acute care experience required 3 years of neonatal level II or IV NICU...Remote workFull timeWork at officeMonday to FridayFlexible hoursWeekend work
- ...5 months Work Location: Primarily Remote (Hybrid focus for candidates residing... ...leading healthcare organization as a Clinical Medical Review Nurse supporting the annual HEDIS retrospective... ...Required Qualifications: Minimum 3 years of clinical background/experience...Remote workContract workWork at officeLocal areaImmediate start
- ...an Accredited School of Nursing or Bachelor's degree in... ...experience. Clinical knowledge and ability to... ...necessity and clinical reviews of authorization requests... ...supportive; Team is REMOTE but team relies heavily... ...region but there are only 3 under me Typical Day...Remote work
- ...Position Title Clinical Review Nurse - Concurrent Review Work Location Remote-MS CST Assignment Duration 3 Months Contract to Hire Work Schedule 8 am-5 pm (Central). OT is voluntary; weekend rotation once every 2 months Work Arrangement Remote...Remote workContract workFlexible hoursWeekend work
- ...EnterpriseTransformation. Position: Clinical Medical Review Nurse HEDIS Retrospective Project... ...Columbia MD Work Arrangement: Primarily Remote Occasional Provider-Site Visits Position... ...assigned. Required Qualifications ~3 years of clinical experience . ~5...Remote workContract work
- ...Position Title Clinical Review Nurse - Prior Authorization Work Location Remote; nationally sourced within approved U.S. states. Must be available during standard... ...clinical systems and review criteria. Top 3 must-have hard skills stack-ranked by importance...Remote workWork at officeMonday to Friday
- ...Sick Leave Summary Statement The Clinical Review Nurse is responsible for reviewing and making... ...the United States for a minimum of three (3) years out of the last five (5) years... ...Employer." This opportunity is open to remote work in the following approved states:...Remote workPermanent employmentTemporary workWork at officeLocal areaImmediate start
$25k
...Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - Up to $25K SIGN ON BONUS Location: Farmington... ...using evidence-based clinical guidelines.... ...follow-up. Applies the nursing process and critical thinking... ...preferred Experience: ~3–5 years of nursing...Permanent employmentWork at officeRelocation package- ...Job Title: Clinical Review Nurse - Concurrent Review Location: Remote Duration: 12 months XXXX: XXXXXXXXXXX/hr. on w2 Scheule: 10am -7pm CST... ...very beneficial Medical Terminology Top 3 must-have hard skills stack-ranked by importance:...Remote workHourly payShift work
$164.7k - $175k
...hours of in-office patient care, 8 hours of remote virtual patient care*, and 8 hours for a remote non-patient facing day. A sign-on bonus and relocation assistance may be... ...visits Continuous learning during weekly Clinical Rounds and through other modalities Ongoing...Remote workFull timeTemporary workWork at officeWork from homeRelocation package- Position Title Clinical Review Nurse - Concurrent Review Work Location Remote-MS CST Assignment Duration 3 Months Contract to Hire Work Schedule 8 am-5 pm (Central). OT is voluntary; weekend rotation once every 2 months Work Arrangement Remote Position Summary Performs...Remote workContract workFlexible hoursWeekend work
- Position Title Clinical Review Nurse - Prior Authorization Work Location Remote - PST and CST (No CA and NY candidates please) Assignment Duration 12 Months Work Schedule... .... 2 Experience in InterQual or Milliman 3 Organizational skills, detailed oriented, able to...Remote workFlexible hoursShift work
$28 - $32 per hour
...Description Job Title: Primary Care Nurse Location: 12600 W Colfax... ...Denver Metro, this isn't a remote role. **$3,000 Sign on Bonus About Bloom:... ...as a central point of clinical coordination, supporting... ...findings to providers for review and action. ~ Order laboratory...Remote workHourly payLive inRelocation package- CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct... ...candidates from outside companies for this position (no C2C, 3 rd party / brokering). SUMMARY STATEMENT The...Remote workPermanent employmentPart timeWork at officeLocal area
$41.49 per hour
...Job Title: HEDIS Clinical Medical Review Nurse Location: Columbia, MD Type: Contract Compensation... ...49 Work Model: Hybrid – onsite and remote Hours: 40.0 Responsibilities... ...insurance, or HEDIS vendor setting. ~3 years of clinical experience and 5 years...Remote workContract workTemporary workWork at officeLocal area$164.7k - $196.88k
...hours of in-office patient care, 8 hours of remote virtual patient care, and 8 hours for a remote non-patient facing day. A sign-on bonus and relocation assistance may be... ...Continuous learning during weekly Clinical Rounds and through other modalities Ongoing...Remote workFull timeTemporary workWork at officeRelocation package- ...experienced Registered Nurses to join our PRN pediatric... .... Team members provide remote on‑call consultation... ...Qualifications Experience 2 years/3,000 hours of... ...employment or upon start of clinical shift if working in the... ...during performance review, resulting in change in...Remote workReliefShift workDay shift
$25k
...Job Description Job Description Director of Nursing (DON) THIS POSITION IS LOCATED IN Jacksonville, IL *SIGN ON BONUS $12.5K* Position Summary: The primary purpose of... ...unencumbered license to practice as a RN. ~3 years of experience in a supervisor...Daily paidLocal areaRelocation packageShift work$164.7k - $196.88k
...hours of in-office patient care, 8 hours of remote virtual patient care, and 8 hours for a remote non-patient facing day. A sign-on bonus and relocation assistance may be available... ...visits Continuous learning during weekly Clinical Rounds and through other modalities...Remote workFull timeTemporary workWork at officeWork from homeRelocation package- Ridgeview Institute Monroe is seeking a House Supervisor - Registered Nurse (RN) to lead nursing staff in a psychiatric care setting. You... ...of regulatory standards. A 4-year degree is preferred and a sign-on bonus plus comprehensive benefits are offered. #J-18808-Ljbffr...Relocation package
$164.7k - $196.88k
...hours of in-office patient care, 8 hours of remote virtual patient care*, and 8 hours for a remote non-patient facing day. A sign-on bonus and relocation assistance may be... ...Continuous learning during weekly Clinical Rounds and through other modalities Ongoing...Remote workFull timeTemporary workWork at officeRelocation package
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