Remote LPN Utilization Reviewer - Home Health
Coastal Care Services, Inc.
- Remote job
Coastal Care Services, Inc. is seeking an LPN licensed Utilization Management Nurse Reviewer for a work-from-home opportunity serving the Miami, FL area. Work schedule is 10am to 7pm, with every other Sunday and a weekday off for a total of five days per week. The role manages treatment plans and utilization for Home Health Care, Infusion Services, and Durable Medical Equipment, reviews medical necessity, collaborates with physicians, patients and families to assure cost-effective, high-quality #J-18808-Ljbffr Coastal Care Services, Inc.
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active... .... This is a unique opportunity to work from home while contributing to quality medical reviews. #J-...Remote workWork from homeFull time
- Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and... ...necessity and coordinate in-home and community-based care for... .... The position emphasizes utilization review, documentation, and collaboration...Remote jobWork from home
$219k - $286.9k
...Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built... ...Work Location: This is a remote position, open to candidates... ...will be completed from your home office, occasional travel may...Remote workWork from homeFull timeLocal areaHome officeWeekend work- ...AmeriHealth Caritas is seeking a BHUM Reviewer to conduct medical necessity... ...clinical knowledge in mental health and substance use to support appropriate... ...work credentials, experience in utilization management, and the ability to work remotely within the US; remote options...Remote workWeekday work
- ...Comagine Health in Oregon seeks a Clinical Reviewer to evaluate medical necessity and appropriateness of behavioral... ...clinical documentation, perform utilization reviews, and document... ...children, youth, and adults. This remote, Oregon-based role requires active...Remote work
- ...Behavioral Health Utilization Reviewer The Behavioral Health Utilization Reviewer is responsible for conducting clinical reviews of behavioral... ...license in Louisiana can replace the Bachelor's Degree -OR- LPN license in Louisiana + 2 years of related experience can replace...Remote workWork at office
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient... ...relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided,...Remote workWork from homeContract work
$28 per hour
LPN Utilization Management Nurse Reviewer Miami, FL (Work from Home position for FL residents only) Currently seeking an LPN FL licensed... ...for members receiving Home Health Care / Infusion Services and... ...FL (Required) Work Location: Remote #J-18808-Ljbffr Coastal Care Services...Remote workWork from homeHourly payFull timeWork at officeLocal areaRelocationHome officeWeekday work- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Remote workFull timeCasual workMonday to Friday
- ...Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...Remote work
- Comagine Health is seeking a Clinical Reviewer to work remotely from Oregon with travel across the Eugene and surrounding areas. You will review clinical documentation... ...patient care in behavioral health, and familiarity with utilization review. #J-18808-Ljbffr Comagine HealthRemote job
- ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding... ...Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeFor contractorsFlexible hours
- Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services, applying UM criteria, clinical judgment, and internal policies. You will coordinate with care teams to ensure...Remote jobFull time
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote jobFor contractorsMonday to FridayFlexible hours
$60k
...Integra is looking for a LPN/LVN experienced in the... ...and post-service utilization reviews and appeals for DMEPOS... ...InterQual, CMS guidelines, health plan medical policies,... ...opportunities Remote Opportunities We are actively... ...access to in-home healthcare. We connect...Remote workTemporary workLocal area$23 - $27 per hour
...is looking for a Case Reviewer to join our team of... ...is a hybrid, work-from-home position for candidates... ...position is performed remotely Monday through Friday,... ...for performing utilization reviews to authorize services... ...’s degree in the health or human services and...Remote workWork from homeWork at officeMonday to FridayShift work- Comagine Health is seeking a Behavioral Health Reviewer based in Oregon. Responsibilities include reviewing clinical documentation for medical necessity, conducting assessments, and managing referrals in a remote capacity. Applicants should possess a relevant master's degree...Remote job
$130 - $145 per hour
...Oscar. We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management team. Oscar is the first... ...Location: This position is fully remote and open to candidates residing in... ...Daily work is completed from your home office, with occasional travel...Remote workWork from homeHourly payFull timePart timeHome office- Elevance Health is seeking a Psychologist Reviewer - ABA to join our behavioral health team in a virtual, full‑time capacity. You will collaborate with providers, BCBAs and Medical Directors to verify medical necessity and appropriate levels of care across ABA and psychological...Remote jobFull time
- AltaMed Health Services Corp. in Montebello, CA, is seeking a Licensed Vocational Nurse (UM Nurse) to perform routine review of authorization requests and assess medical necessity using guidelines. The role focuses on utilization management for inpatient and outpatient...
- ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to join our remote team. This 100% work-from-home role serves members across the CST zone, ensuring safe, appropriate... ...timely approvals. You will review clinical documents, collaborate...Remote workWork from home
- ...CVS Health is seeking a Utilization Management Nurse Consultant to assess, plan, and coordinate healthcare services for members. This role involves... ...promoting efficient benefit utilization. A BSN is preferred and home-based work setup is supported within the EST region. #J-...Remote workWork from homeWeekend workAfternoon shift
$45k - $70k
...Job Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare... ...Guidelines, InterQual, or health plan specific guidelines/criteria... ...computer work. Work‑from‑Home Technical Requirements... ...and a media stipend for remote workspace. Company Commitment...Remote workWork from homeTemporary workWork at office- ...benefits of working from home, providing care, without the... ...to obtain a Compact LPN license MUST live in/work... ...triage for hospice and home health providers since 2008. Utilizing best-in-class technology,... ...your vehicle. Working remotely gives you more time to spend...Remote jobWork from homePart timeLive inWeekend work
- ...Home Team Nurse Family Practice Center PC has a... ...full or part-time home LPN position now available!... ...update patient electronic health records and providers... ...education. # Updates, reviews and prepares patient... ...the home or community; utilize judgment and best practice...Remote jobWork from homeFull timePart timeLive inWork at office
- ...Job Description Job Description LPN (Home Health) – Immediate Hire! | Lexington, OK Make a Real Difference Where It Matters Most... ...transportation line. Quality Assurance: Right at Home utilizes remote camera observation and photography while you are at work as...Remote workWork from homeLocal areaImmediate startShift work
$21.45 - $29.11 per hour
...Key Responsibilities of this LPN: Deliver high-quality nursing... ...patients requiring mental health care in relation to substance... ...FTE: 0.7 Possible Remote/Hybrid Option: Shift Rotation... ...you thrive both at work and at home, we provide flexible scheduling...Remote workWork from homeLocal areaImmediate startFlexible hoursShift workWeekend workAfternoon shift- ...organization looking for remote/work from home Prior Authorization LPN/LVNs! **Must have... ...authorization (PA) requests reviewed by the Medical Prior Authorization... ...follow-up phone calls utilizing appropriate courteous... ...in managed care, health plan, payer, PBM, or utilization...Remote workWork from homeTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift workWeekend work
$34 per hour
...observation of client’s health status, assisting... ...Works closely with home/facility/pharmacy... ..., and medication reviews Orders, reviews, monitors... .../Vocational Nurse (LPN or LVN, per state... ...to use a computer utilizing company... ...solutions, telecare and remote support, supported...Remote workWork from homePart timeWeekend workAfternoon shift$91.7k - $163.7k
...our team will directly improve health outcomes by connecting people... ...Growing together. Psychologist Peer Reviewer is for an Outpatient Public... ..., Targeted Case Management, Home Based Habilitation, Supported... ...have the flexibility to work remotely* as you take on some tough challenges...Remote workWork from homeMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote LPN Utilization Reviewer - Home Health. Be the first to apply!



