Remote Utilization Review RN - 6 Contract (TX)
HireOps Staffing
Himalayas in TX seeks a licensed RN for a 6-month, full-time remote contract. The role focuses on initial and concurrent reviews, discharge coordination, and liaison activities to determine medical necessity and appropriate treatment plans.
Requirements include an active RN license, 3 years of clinical experience in a healthcare setting, and strong communication skills. Preferred: utilization management experience with MCG or InterQual.
#J-18808-Ljbffr$40 per hour
...Care Industry Registered Nurse (RN) $40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in... ...initial, concurrent review activities; discharge care coordination... ...information regarding utilization management requirements and operational...Contract workRemote workFull timeWork at office- ...Clinical Review Nurse - Concurrent Review TX All On-site Share on Job Description... ...Location: 100% Remote - TX: RN only with TX license... ...flexibility Duration: 6 months, contract to hire. Job Purpose... ...management systems according to utilization management policies and...Contract workRemote workWork from homeShift work
- ...Overview Clinical Review Nurse - Concurrent Review TX Location: 100% Remote - TX: RN only with TX license SHIFT: Tuesday –... ...firm- no flexibility Duration: 6 months, contract to hire. Job Purpose: This... ...management systems according to utilization management policies and...Contract workRemote workShift work
- ...HealthEdge Software, Inc. is seeking a highly motivated Utilization Review RN to join our team. The RN will perform prospective, concurrent and retrospective reviews of inpatient, outpatient, and ancillary services to ensure medical necessity, appropriate length of...Contract workRemote work
$52 - $56 per hour
...that uses both. We're hiring a contract RN for a New York health plan (... ...medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52–$56/hr based... ...end: intake, investigation, clinical review, decision and notification...Contract workRemote workAfternoon shift- ...Technologies LLC is seeking a skilled Utilization Review Nurse for a remote role based in the United States. The... ...services, using InterQual/MCG criteria and contract guidelines, with documentation in... ...systems. Core hours are 8:00 AM - 6:00 PM ET, with potential extended...Contract workRemote workFlexible hours
- ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerSan Francisco, California, United... ...with 2 days onsite and 3 days remote per weekDay shift schedule, 5x8-hour... ...travelerMaximum RTO of 7 days per contract, with only 1 holiday request permitted...Contract workRemote workWeekly payLocal areaShift workDay shiftWeekday work
- ...to the LTSS department. RN will be responsible for... ...and concurrent review. Provides monthly telephonic... ...of treatment setting by utilizing the applicable medical... ...eligibility, benefits, and contracts. Ensures member access... ...Info: *possible remote opportunity after training...Contract workRemote workMonday to FridayFlexible hours
- ...partner of ours with a need for an experienced RN Case Manager with Utilization Review/UM experience. This position is remote based and requires an activeMA RN license. (... ...weekend work may be required) 40 hours/week Contract Competitive payrates Full benefits package including...Contract workRemote workMonday to FridayFlexible hours
$65k - $78k
...Utilization Review Nurse- Remote job at Gainwell Technologies LLC. North Carolina. It... ...criteria, coverage policies, and contract guidelines. This involves... ...guidelines. Maintain RN license and meet continuing... ...required. Core hours: 8:00 AM - 6:00 PM ET, with potential...Contract workRemote workFull timeWork at officeWork from homeFlexible hours$39 - $40 per hour
...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one... ...the following states: IL, TX, NM, OK, MT, TN Schedule... ...operations and utilization review. You will be responsible...Contract workRemote workDaily paidMonday to FridayShift workWeekend work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...experience in utilization review or home health. This contract role offers a chance to manage healthcare quality efficiently...Contract workRemote work
- ...Registered Nurse - Utilization Review The right role can make all the difference in your career... ...- Utilization Review for a Travel contract. Job Title: Registered Nurse - Utilization... ...computer literate; experience working remote; degree accreditation verification or...Contract workRemote workRotating shift
$1,600 - $1,800 per week
...Hiring: Registered Nurse – Utilization Management Location:... ...(based on experience) Contract Length: 1-year minimum... ..., no telehealth/remote work Minimum Qualifications... ..., and unrestricted RN license Certifications... ..., Utilization Review, or Case Management...Contract workRemote workImmediate startMonday to Friday- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This... ...communication skills and flexibility are essential. This is a contract position that offers a chance to make a direct impact on...Contract workRemote job
- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization... ...discharge planning. Candidates must have an active RN license in New Jersey, strong analytical skills, and the...Contract workRemote work
$41 per hour
...Medical Review Nurse (RN)Remote position, however candidates must reside in the State of TX or State of ILThis position is a contract for about 9 months.Pay: $41/hourRN working in the insurance or managed care industry using medically accepted criteria to validate the...Contract workRemote work- ...We’re Hiring: Utilization Review Nurse (RN) – 100% Remote Looking for your next opportunity in Utilization Review? If you’re an experienced RN with a... ...Details • Role: Utilization Review Nurse (RN) • Type: Contract-to-Hire (eligible after 800 hours) • Location: 100%...Contract workRemote workMonday to Friday
- ...Job Description We’re Hiring: Utilization Review Nurse (RN) – 100% Remote \n Looking for your next opportunity in Utilization Review? If you’re an... ...\n • Role: Utilization Review Nurse (RN) \n • Type: Contract-to-Hire (eligible after 800 hours) \n • Location: 100...Contract workRemote workMonday to Friday
- Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact...Contract workRemote workFull time
- ...Management Location: 100% Remote Schedule: M-F 9:00am... ...have an Illinois state RN license Assess and... ...Summary Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization management... ...Employment type Contract Job function Health...Contract workRemote work
- Overview Title: Clinical Review Nurse - Prior... ...Review Location: Fully Remote (PST Time Zone - WA/OR... ...Authorization Review to join our Utilization Management team. In... ...Qualifications Active RN license (WA; must be in... ...Associate Employment type: Contract Job function: Health Care...Contract workRemote work
- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary: Provides health care services regarding admissions case management discharge planning andutilization : Reviews admissions and service requests within assigned unit for prospective...Contract workRemote work
$1,686 per week
...Registered Nurse (RN) | Pediatrics Location... ...: Lubbock, TX Agency: Atlas... ...days x 12 hours Contract Duration: 16 Weeks... ...are fueled by real reviews by real travel... ...team has been working remote since the pandemic)... ...with matching after 6 months. Telehealth...Contract workRemote workHourly payWork at officeShift workNight shiftWeekend work- ...patient outcomes. Our talented remote workforce spans the country... ...We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess... ...policies,and contract requirements specific to Alabama... ...perform essential functions. PI2872278 6 COMAGINE HEALTHContract workRemote workFull time
$35 - $40 per hour
....00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating... ...Current, active nursing license (RN, LPN, or LVN) in good standing with... ...Mid‑Senior level Employment Type Contract Job Function Quality Assurance...Contract workRemote workFlexible hoursWeekend work- ...partner in innovation. Medical Review Nurse (Temporary Contract, Remote) Compensation rate: $32.5K/$31.25/hr. 6 month salary basis We are seeking a dedicated RN to conduct medical reviews to perform... ...two years of experience with utilization/medical review, quality...Contract workRemote workTemporary workFor contractorsLive inWork at officeWork from homeHome officeMonday to Friday
$32 - $38 per hour
...advanced analytics that can be utilized to improve processes,... ...expertise for the review of medical records against... ...criteria in conjunction with contract requirements, critical... ...as a Registered Nurse (RN) in any state and/or a... ...a minimum of six (6) years of directly relevant...Contract workRemote workWork at officeLocal areaMonday to Friday- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The... ...reviews based on patient eligibility and contract requirements, requiring clinical... ...medical setting, and the ability to work in a remote environment. Comprehensive benefits are...Contract workRemote workWork from home
- ...HealthEdge Software, Inc. is seeking a contract-based professional to manage... ...for members and providers in a remote US-based role. The candidate will review medical necessity across inpatient... ...USRN license, at least 2 years in utilization management, strong communication,...Contract workRemote work
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