Remote Utilization Review Nurse - CA Licensed
Astrana Health, Inc.
- Remote job
Astrana Health, Inc. is seeking a CA-licensed Utilization Management Review Nurse to support our Health Services Department. You will apply clinical judgement to approve or deny outpatient medical services based on Medical Necessity Criteria for various Health Plans. This is a remote role for CA-licensed nurses who live in California. The position requires at least one year of outpatient Utilization Management experience in a fast-paced environment. #J-18808-Ljbffr Astrana Health, Inc.
$34 - $47 per hour
Astrana Health Management in California is seeking a CA-licensed Utilization Review Nurse to support our Health Services Department. You will review... ...medical necessity according to plan criteria. This is a remote role for CA-licensed nurses; candidates must reside in California...Remote jobHourly pay$2,422 per week
...Registered Nurse (RN) | Interventional Radiology Location: Los Angeles, CA Agency: Atlas MedStaff Pay: $2,422 per week... ...are fueled by real reviews by real travel nurses and allied... ...lot of our team has been working remote since the pandemic), but you are...Remote workHourly payFull timeContract workWork at officeShift workWeekend work- ...Registered Nurse (RN) | Cardiac Catheterization Lab Location: Burbank, CA Agency: Concentric Healthcare Staffing... ...Support the EP Device Division by utilizing MURJ for remote device reports and alerts... ...Active, valid California RN license required ; compact license...Remote workWeekly payFull timeContract workWork at officeLocal areaImmediate startShift work
- ...Registered Nurse (RN) | Cardiac Catheterization Lab Location: Burbank, CA Agency: Concentric Healthcare Staffing... ...Support the EP Device Division by utilizing MURJ for remote device reports and alerts... ...Active, valid California RN license required ; compact license...Remote workWeekly payFull timeContract workTemporary workWork at officeLocal areaImmediate startShift work
$2,792 per week
...Registered Nurse (RN) | Electrophysiology Lab Location: Burbank, CA Agency: Cynet Health Pay: $2,792 per week... ...Nursing Experience Preferred License: Current State License... ...Electrophysiology Device Division. It utilizes a remote reporting system for alerts...Remote workFull timeContract workShift work$2,206 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: San Diego, CA Agency: Atlas MedStaff Pay: $2,206... ...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- ...Utilization Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will... ...respective to various Health Plans. This is a remote position for CA-licensed nurses. Candidates must...Remote workLive in
$34 - $42 per hour
...Utilization Management Review Nurse Department: HS - UM Employment Type: Full Time... ...Dr., Monterey Park, CA 91754 Reporting To: Phillip... ...is looking for a CA-licensed Utilization Review Nurse to... ...Health Plans. This is a remote position for CA-licensed nurses...Remote workHourly payFull timeLive inWork at officeMonday to FridayShift work$55 per hour
...is hiring a Concurrent Review Nurse to support our client... ...Healthcare space. Location: Remote (must be based in... ...in case management, utilization management, or discharge... ...Registered Nurse license in the State of California... ...Management /Case Manager CA REMOTE California,...Remote workFull timeContract workTemporary workLocal area$80 per hour
...in-office teammates via daily huddles Utilization of your specific clinical training and opportunities... ...care to patients virtually Education, licenses, and experiences required for this role:... ...certification ~ Currently licensed in CA with possibility to obtain additional...Remote workTemporary workSeasonal workWork at officeAfternoon shift$59.1 - $65.5 per hour
...-office teammates via daily huddles Utilization of your specific clinical training and opportunities... ...in additional states Education, licenses, and experiences required for this role:... ...(0+) Currently licensed in CA with ability to obtain additional state...Remote workHourly payFull timeTemporary workWork at officeShift workAfternoon shiftWeekday work- Elevance Health is seeking a Medical Management Nurse (CA Licensed) to assess complex cases, determine medical necessity, and consult with the Medical Director on nuanced cases. The role supports providers, educates members on plan benefits, and helps shape policies through...Remote jobFull time
$65.8k - $130.8k
Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8:... ...Responsibilities The UM Denial Nurse Reviewer supports high-quality, cost-effective... ...leader with: Current CA LVN licensure required Two or more years of utilization review/utilization management experience...Remote workMonday to FridayFlexible hours- ...Radiology - General/Other Location: Oakland, CA Employer: VISTA Staffing Pay:... ...of 4 shifts per month Job Setting: Remote Tele-Radiology Types of Cases: Neuro... ...Licensure: Active California Medical License and active license in state of residence required...Remote workWeekly payPermanent employmentFull timeTemporary workLocumWork from homeShift work
$26 - $31 per hour
...Role We're hiring a Clinical Navigator (Licensed Practical Nurse) to deliver virtual chronic care... ...journey. Schedule This is a full-time, remote position based in the United States. Standard... ...high-speed WiFi) is required. An active CA state LVN license is required Fluency...Remote workHourly payFull timeLocal areaHome officeMonday to Friday- ...Radiology - General/Other Location: Lompoc, CA Employer: CompHealth Pay: $500,... ...2936. ~7-on/7-off schedule with 2 days remote ~ Partnership after 1 year with no buy... ...~ We coordinate interviews and help with licenses ~ Specialized recruiters match your...Remote workHourly payFull timeContract workFreelanceImmediate startWork from homeWeekend work
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
- ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness... .... Qualified candidates should have an active Maine RN license and at least 3 years of inpatient clinical experience....Remote workFlexible hours
$90k - $92k
...looking to get away from bedside nursing or transition out of the... ...clinical knowledge in a Utilization Review role while gaining a more predictable... ...Qualifications Active RN license in New Hampshire. 2–3+ years... ...in a more structured office/remote environment . #J-18808-...Remote workWork at officeWork from homeMonday to Friday- ...A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role... ...to guidelines. The ideal candidate will have a nursing license in Arizona and substantial experience in utilization review...Remote workContract work
- ...support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-... ...member impact Required qualifications Current, unrestricted RN license in the United States or a U.S. territory Graduate of an...Remote workFull time
- ...WellSense Health Plan is seeking an Inpatient Utilization Management Clinician for a fully remote role in the United States. You will... .... Qualifications include an active RN license, nursing degree, and 2 years of utilization review experience with InterQual. #J-18808-...Remote work
$78k - $88k
...Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization across prospective, concurrent, and retrospective... ..., requires 3+ years inpatient experience and an active RN license in the U.S. Core hours 8:00 AM–6:00 PM ET; occasional...Remote work- ...Centene Corporation is seeking a qualified nurse to perform concurrent inpatient utilization reviews, determine medical necessity, and support discharge planning... ...requires 2–4 years of acute care experience, an LPN license, and strong clinical judgment. #J-18808-Ljbffr...Remote work
- ...To support a centralized Utilization Management department, the full-time Utilization Review Nurse will conduct timely utilization... ...regulatory requirements while working remotely. Key responsibilities:... ...qualifications: Registered Nurse license is required Bachelor's...Remote workFull time
- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...to meet patient needs. Candidates must possess a nursing license and have experience in utilization review or home health....Remote workContract work
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley... ...no holidays, no telehealth/remote work Minimum Qualifications... ...required) Education: BSN License: Current, full, active, and... ...Management, Utilization Review, or Case Management...Remote workContract workImmediate startMonday to Friday- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing... ...coordinating discharge planning. Candidates must have an active RN license in New Jersey, strong analytical skills, and the ability to...Remote workContract work
$40 per hour
...Care Industry Registered Nurse (RN) $40/hour -... ...reside in TX Full time remote Candidates must be based... ...performing initial, concurrent review activities; discharge... ...information regarding utilization management requirements... ...current, unrestricted license in the state of...Remote workFull timeContract workWork at office- ...25 applicants This is full-time remote, but candidates must reside in IL or... ...performing accurate and timely medical review of claims suspended for medical... ...prioritization skills. ~ Registered Nurse (RN) with unrestricted license in state . ~3 years clinical experience...Remote workFull timeContract work
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