Remote Utilization Management RN: Inpatient & Post-Acute
Devoted
- Remote job
Devoted Health is seeking a Clinical Guide Part A to support inpatient, behavioral health, and post-acute utilization review in alignment with CMS guidelines. This remote, full-time role requires a licensed RN with several years of UR experience and familiarity with Medicare Advantage requirements. The position offers multiple schedules including weekend coverage and emphasizes regulatory compliance and collaboration with Medical Directors to ensure timely, appropriate care. #J-18808-Ljbffr Devoted
$29 - $52 per hour
...Utilization Review Nurse, RN Optum is a global organization that delivers care... ...clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and... ...the flexibility to work remotely* as you take on some tough...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift workWeekend work- ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential... ...review of outpatient and ancillary services as well as inpatient and post-acute services when indicated. Determines medical...Remote work
- ...Registered Nurse (RN) Contract... ...are seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan. Job... ...and retrospective review of inpatient, outpatient, ambulatory and... ...yr clinical experience - acute care ~ Utilization Management...Remote workContract workLocal areaFlexible hours
$68.13k - $119.52k
...requirements and manages concurrent and pre... ...in-house patients, utilizing daily commercial authorization... ...(CPT) codes and inpatient-only procedures.... ...: ~ Fully remote position, four 10-... ...nursing in an acute care setting [... ...Registered Nurse (RN) [Required] Accredited...Remote workFull timeWork experience placementLocal area10 hours per weekShift work$45 - $45.5 per hour
Overview Job Title: Nurse Case Management Senior Analyst Location: REMOTE Duration: 5-6 Months (... ...treatment plan. Utilizes clinical skills to assess... ...retrospective reviews for inpatient acute care, rehabilitation, referrals... ...junior team members. RN and current unrestricted...Remote workContract workImmediate startMonday to FridayAfternoon shift$29 - $52 per hour
...Utilization Management Nurse For those who want to invent the... ...Although this position is remote, applicants must be... ...unrestricted compact RN licensure Function... ...nursing facility, acute inpatient rehabilitation and long... ...: This will be posted for a minimum of 2 business...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area- ...Hospital is hiring an Inpatient Case Manager, Inpatient Case... .... Promotes effective utilization and monitoring of health... .... 1-year acute care case management... ...Education RN-Associate's Degree OR... ...that are available as remote work, Sentara Health...Remote workTemporary workShift work
- ...Behavioral Health Utilization Manager Behavioral Health Utilization... ...medically necessary inpatient and outpatient care,... ...Management Team for post discharge referrals. Assists... ...' experience in an acute psychiatric care... ...systems Work Schedule: Remote Other Requirements: Able...Remote workContract workWork experience placement
$60.2k - $107.4k
...Inpatient Care Management Nurse Optum is a global organization... ...ensuring proper utilization of our health... ...flexibility to work remotely from the Pacific,... ..., unrestricted RN license in state... ...practicing clinically (Acute Inpatient, SNF/... ...: This will be posted for a minimum of...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...Medical Center is hiring an Inpatient Case Manager - RN Inpatient Case Manager... .... Promotes effective utilization and monitoring of health services... ...eligibility. 1 year of acute care and/or healthcare experience... ...that are available as remote work, Sentara Health employs...Remote workFull timeTemporary workInternshipMonday to FridayShift workDay shift
$60.2k - $107.4k
...together. As an Inpatient Care Management Nurse, you will be... ...ensuring proper utilization of our health services... ...to work remotely * from the Pacific... ...Current, unrestricted RN license in state... ...clinically (Acute Inpatient, SNF/AIR... ...Deadline: This will be posted for a minimum of...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...Hospital is hiring an Inpatient Case Manager,Inpatient Case... .... Promotes effective utilization and monitoring of health... ...of eligibility.1-year acute care case management... ...LicensureRegistered Nurse (RN) License - Compact/... ...are available as remote work, Sentara Health...Remote workTemporary work
- ...Case Manager, RN- Inpatient The Case Manager is responsible for... ...is not meeting acute care criteria. Facilitates... ...with need for medical post- acute care to ensure... ...to decrease ED over-utilization. Creates, implements,... ...Tampa 33601 Eligible for Remote Work: On Site Job...Remote workFull timeMonday to FridayShift work
- ...family, nursing, utilization review and... ...assure patient management that efficiently... ...plan of care for post-hospitalization... ...practice as an RN in Georgia.... ...to assure post-acute needs are arranged... ...responsibility of inpatient or post-... ...rotation, and remote coverage....Remote workAll shiftsShift workDay shift
- ...Medical Center is hiring an Inpatient Case Manager, RN!****Inpatient Case Manager... ...management. Promotes effective utilization and monitoring of health... ...of eligibility. 1-year acute care case management experience... ...that are available as remote work,** **Sentara Health employs...Remote workFull timeTemporary workImmediate startMonday to FridayShift workDay shift
$58.66k - $142.45k
...Peer-to-Peer Utilization Review Nurse Mass General... ...Utilization Management team, specializing... ...appropriateness of inpatient versus observation... ...processes through RN-to-RN collaboration... ...experience in an acute care hospital setting... ...Work Model ~ Remote / Work from Home....Remote workWork from homeShift work$70k - $75k
...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build... ...Job Description The Utilization Management Registered Nurseis responsible... ...Intensity and duration of inpatient or outpatient services Quality...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...This role is part of a multidisciplinary team focused on member care within a managed care framework. The position requires R.N. licensure in NC, five years of clinical experience, including acute care and utilization management experience. #J-18808-Ljbffr Vaya HealthRemote job
- ...Summary and Responsibilities As our Utilization Review RN, you will play a pivotal role in optimizing... ...care transitions. Your expertise in managed care environments and CMS standards... ...or IA and possess at least two years of acute hospital clinical experience. We are seeking...Remote work
- ...an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency... ...medical necessity reviews for inpatient and outpatient services, with complex case management and collaboration across... ...experience, and prior Utilization Management exposure. #J-...Remote job
- Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with...Remote job
- UnitedHealth Group is seeking a qualified Utilization Management Nurse to review patient records and craft appeal letters,... ...deliver high-quality reviews. Requirements include an RN license, 3+ years bedside nursing in acute care, and proficiency with Microsoft Office plus 4...Remote jobWork at officeFlexible hours
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to assess member needs to help them live healthier... ..., and support discharge planning while working remotely from anywhere in the U.S. The role requires...Remote jobWeekend work
- ...Currently seeking a Utilization Management RN . Please see details and qualifications... ...below: Position is remote - candidate must reside in... ...experience. ** Previous Acute Hospital Utilization Management... ...medical necessity for inpatient admissions, continued stays...Remote workImmediate startDay shift
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and patient plans of care. The role offers remote work from anywhere in the U.S., with weekend coverage on a rotating basis and a salary range based on experience...Remote jobWeekend work
- ...seeking aRegistered Nurse in the United States for utilization review and case management. The role supports inpatient care decisions, discharge planning, and... ...leadership to ensure high-quality patient outcomes. Remote work is available nationwide, with scheduling that...Remote job
- ...Care Health Plan in Los Angeles is seeking a Utilization Management Admissions Liaison RN II responsible for overseeing inpatient admission requests and transfers. Candidates... ...least 7 years of clinical experience in an acute hospital setting and hold a nursing degree....
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services, assess member needs, and... ...teams and compliance while offering remote work within the U.S. The position requires an RN license, 3+ years of hospital nursing...Remote job
$35.29 - $54.71 per hour
...-train and support our inpatient Behavioral Health unit... ...not offer a hybrid or remote option Minimum Requirements... ...as a Registered Nurse (RN). ~6 months of... ...in direct patient care utilizing the nursing process... ...at the point of care Acute Care: Direct care includes...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Location: UCHealth Anschutz Inpatient Pavilion, Aurora - CO Department: Medical Acute Care Unit Work... ...not offer a hybrid or remote option Work nights,... ...as a Registered Nurse (RN). Basic Life Support (BLS... ...in direct patient care utilizing the nursing process...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift
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