Remote RN Utilization Review Specialist (Per Diem)
Providence Health Plan Group
- Remote job
Providence Health Plan Group is seeking an RN Utilization Review for a remote, per diem position in Los Angeles. You will be responsible for conducting utilization reviews across Southern California ministries and require a strong clinical background. Ideal candidates have an Associate's Degree in Nursing and a California RN License. Additionally, benefits include a comprehensive package with health care options, retirement plans, and paid time off. #J-18808-Ljbffr Providence Health Plan Group
- ...Providence is seeking a Remote RN Utilization Review nurse to work Per Diem 8-hour day shifts. This role involves conducting utilization reviews, requiring a strong clinical background and knowledge in Utilization Management. Join Providence California Regional Services...Daily paidRemote workDay shift
- ...Providence Health Plan Group is seeking an RN for Utilization Review. This remote position requires strong clinical skills and knowledge in Utilization Management. Responsibilities include conducting reviews for Southern CA ministries and managing diverse workloads. Ideal...Daily paidRemote workPart timeShift work
$56.32 - $87.11 per hour
...nursing professional to oversee utilization management and patient care... ...include clinical reviews and appeals during hospital stays... ...Nursing, a valid Washington RN license, and experience in acute... ...vulnerable in our communities. This per-diem position offers a competitive...Daily paidHourly pay- Providence Health & Services is seeking an RN Utilization Review professional to work remotely for per diem shifts in Mission Hills, California. This role will conduct utilization reviews for Southern CA ministries, requiring a strong clinical background and knowledge...Daily paidRemote jobShift work
$75k
...Houston, Texas, is looking for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license... ..., dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive...Remote jobMonday to Friday- Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...Remote jobPart time
- Ascension Health is seeking a Licensed Registered Nurse for a remote role within Ascension Network Services. This position focuses... ...services related to admissions, case management, and utilization review, ensuring compliance with regulations. The ideal candidate must...Remote job
$57.28 - $88.92 per hour
...Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily...Daily paidRemote workMinimum wageLocal areaShift workDay shift- Cedarparktexasedc is seeking a Licensed Registered Nurse for a remote position focused on admissions, case management, and utilization management. This role involves reviewing service requests for compliance and coordinating with interdisciplinary teams for discharge planning...Remote jobFull time
- Ascension is seeking a Remote Registered Nurse for Utilization Management. Your vital role will involve providing healthcare services related to admissions... ...ensuring compliance with federal regulations. You will review service requests for medical necessity and assist with...Remote job
- ...Job Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records...Daily paidRemote workMinimum wageLocal areaShift workDay shift
- ...OverviewDescription – This is a remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift.The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization...Daily paidRemote workLive inShift workDay shift
- ...A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Daily paidRemote workHourly payDay shift
- RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission...Daily paidRemote workMinimum wageLocal areaShift workDay shift
- Location: Remote (Requires an active Massachusetts RN license (non-compact)) Employment Type: 4-month contract... ...an experienced Inpatient RN Utilization Reviewer to independently manage a clinically... ...such as DRG, case rate, or per diem structures. Identify issues requiring...Daily paidRemote workContract workShift workWeekend work
- ...Description At NorthBay Health the Clinical Utilization Review Nurse II (URN) is an experienced... ...Licensure: ~ Current California RN License and Magnet ANCC-recognized Case... ...on specialty and role requirements. Remote Work Disclosure NorthBay Health is...Daily paidRemote workWork at officeLocal areaShift work
$39 - $40 per hour
...Management Registered Nurse (RN)Type: 6-Month Contract W2Location: Remote - but MUST reside in one... ...: We are seeking a Utilization Management RN to join our... ...and utilization review. You will be responsible... ....00 3 months agoIQVIA - Per Diem - RN Clinical Nurse Educator...Daily paidRemote workContract workMonday to FridayShift workWeekend work$60.2k - $107.4k
...Utilization Management RN Coder Optum is a global organization that delivers care, aided by technology... ...Coder will accurately and efficiently review and extract pertinent case details... ...craft strongly defensible appeal letters per process instructions and the...Remote workMinimum wageFull timeWork experience placementLocal area$60.2k - $107.4k
UnitedHealth Group seeks a Utilization Management RN Coder to review patient medical records and craft appeal letters. The role offers the flexibility to telecommute across the U.S. Candidates should have an Associate's degree, RN license, and relevant coding certifications...Remote job- ...solutions company based in Newtown Square is seeking a Utilization Management RN Coder. This role involves reviewing patient medical records and composing appeal... ...an unrestricted RN license. The position supports remote flexibility, ensuring compliance with healthcare regulations...Remote job
$60.2k - $107.4k
UnitedHealth Group is hiring a Utilization Management RN Coder in San Francisco. This role involves reviewing patient medical records, drafting appeal letters, and educating clients about coding compliance. Candidates need an Associate's degree and a valid RN license,...Remote job$60.2k - $107.4k
The University of Minnesota School of Nursing seeks a Utilization Management RN Coder. The successful candidate will review patient medical records, write appeal letters, and ensure accurate coding practices. Requirements include an Associate's degree, RN license, and relevant...Remote job- ...Santa Barbara Cottage Hospital is hiring an LTC Utilization Management Reviewer for remote work in New Mexico. The role involves conducting Nursing Facility Level of Care determinations, performing utilization reviews, and ensuring services meet long-term care criteria...Remote work
$30 - $45 per hour
...agency is seeking an Operations Specialist III for a contract opportunity in... ...with experience in Epic EHR and Utilization Review. The selected candidate will... ...program metrics. This position is remote and offers a pay range of $30-$45 per hour with various employee benefits...Remote workHourly payContract work$60.2k - $107.4k
Stryker Corporation is hiring a Utilization Management RN Coder who will review medical records and craft appeal letters. This remote role requires a working knowledge of coding systems like ICD-9, ICD-10, and CPT. The ideal candidate should possess an Associate's degree...Remote job- Humana Inc is seeking a Utilization Management RN in Washington, DC to collaborate with healthcare teams in reviewing medical care against established guidelines. The ideal candidate... ...and a bonus incentive plan, alongside a remote working policy and the requirement for...Remote jobWork at office
$50k
...consider this job opportunity Starting pay up to $50,000 per year, based on experience Free Teladoc access and visits for... ...Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary...Remote work- Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position requires... ...MCO processes. This full-time position offers potential remote flexibility and requires attention to detail. #J-18808-...Remote jobFull time
- The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC. These include but are not limited to utilization review...Daily paidWeekend work
- ...Utilization Review RN - Per Diem *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis. Position Summary: Performs clinically orientated medical chart reviews...Daily paidHourly payWork experience placement
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