Remote CA Utilization Review Nurse (UM)
$34 - $47 per hourAstrana Health Management
- Remote job
Astrana Health Management in California is seeking a CA-licensed Utilization Review Nurse to support our Health Services Department. You will review outpatient services for medical necessity according to plan criteria. This is a remote role for CA-licensed nurses; candidates must reside in California. At least 1 year of outpatient UM experience is required, with compensation in the $34-$47 per hour range depending on experience and location. #J-18808-Ljbffr Astrana Health Management
- Astrana Health, Inc. is seeking a CA-licensed Utilization Management Review Nurse to support our Health Services Department. You will apply clinical judgement... ...Criteria for various Health Plans. This is a remote role for CA-licensed nurses who live in California. The...Remote jobLive in
$55 per hour
...is hiring a Concurrent Review Nurse to support our client in... ...space. Location: Remote (must be based in California... ...Experience in case management, utilization management, or... ...Management /Case Manager CA REMOTE California,... ...Out-Patient Case Manager UM LVN Delegation Oversight...Remote workFull timeContract workTemporary workLocal area$34 - $42 per hour
...Utilization Management Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Phillip Vasquez Compensation... ...Health Plans. This is a remote position for CA-licensed nurses...Remote workHourly payFull timeLive inWork at officeMonday to FridayShift work$65.8k - $130.8k
Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday... ...Duties and Responsibilities The UM Denial Nurse Reviewer supports high-quality, cost-... ...leader with: Current CA LVN licensure required Two or more years of utilization review/utilization management...Remote workMonday to FridayFlexible hours$3,080 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location: Los Angeles, CA Agency: Atlas MedStaff Pay: $3,080 per... ...recognitions are fueled by real reviews by real travel nurses and... ...of our team has been working remote since the pandemic), but you are...Remote workHourly payFull timeContract workWork at officeShift workNight shiftWeekend work- ...Registered Nurse (RN) | Cardiac Catheterization Lab Location: Burbank, CA Agency: Concentric Healthcare Staffing Pay: Competitive weekly pay... ...Responsibilities Support the EP Device Division by utilizing MURJ for remote device reports and alerts management...Remote workWeekly payFull timeContract workWork at officeLocal areaImmediate startShift work
- ...Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization... ...experience. Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. Strong analytical...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
- ...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 live...Remote workLive in
- ...Registered Nurse (RN) | Cardiac Catheterization Lab Location: Burbank, CA Agency: Concentric Healthcare Staffing Pay: Competitive weekly pay... ...Responsibilities Support the EP Device Division by utilizing MURJ for remote device reports and alerts management...Remote workWeekly payFull timeContract workTemporary workWork at officeLocal areaImmediate startShift work
- ...Utilization Review NurseThis position has a remote option for those living close and will be able to come into the hospital... ...as needed.The Utilization Review Nurse is responsible for determining the... ...admission, concurrent, and retrospective UM related reviews and functions. They...Remote workFull time
- ...Management Company LLC is seeking a licensed nurse to perform concurrent reviews for appropriate care and setting,... ...discharge planning in a fully remote role. You will work weekdays with a rotating... ...Medicare/Medicaid regulations, and prior UM/CM exposure. #J-18808-Ljbffr...Remote workWeekday 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- ...Integrated Care Coordinator (UM) provides comprehensive care... ...hours are required to address utilization review cases. Roles and Responsibilities... ...current, unrestricted Texas nursing license or Compact License.... ...Requirements This is a remote position. Our whole company works...Remote workLive inFlexible hoursWeekday work
- MedPOINT Management is looking for an Outpatient UM Coordinator in Sherman Oaks, CA. The role involves reviewing outpatient treatment plans, coordinating with healthcare providers, and ensuring compliance with clinical guidelines. Candidates should have an active RN license...Remote jobWork from homeFlexible hours
- ...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-Ljbffr...Remote work
- ...Centene Corporation is seeking a qualified nurse to perform concurrent inpatient utilization reviews, determine medical necessity, and support discharge planning according to policy. You will review clinical records, document decisions, and collaborate with providers and...Remote work
$78k - $88k
...Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization across prospective, concurrent, and retrospective reviews for medical necessity, documenting findings and ensuring policy compliance. This home-based role supports providers...Remote work$2,792 per week
...Registered Nurse (RN) | Electrophysiology Lab Location: Burbank, CA Agency: Cynet Health Pay: $2,792 per week Shift Information: Days -... ...supports the Electrophysiology Device Division. It utilizes a remote reporting system for alerts and reports. The...Remote workFull timeContract workShift work$41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX, NM,... ...assessments, health education, and utilization management. Key Responsibilities... ..., concurrent, and retrospective reviews for inpatient, rehab, referrals,...Remote work$2,526 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Greenbrae, CA Agency: Cynet Health Pay: $2,526 per week Shift Information: Days - 5... ...hours, Monday through Friday. A hybrid model with remote days may be considered. Qualified candidates...Remote workFull timeContract workMonday to FridayShift work$59.1 - $65.5 per hour
...with both virtual and in-office teammates via daily huddles Utilization of your specific clinical training and opportunities to give... ...seeing patients of all ages (0+) Currently licensed in CA with ability to obtain additional state licenses Ability...Remote workHourly payFull timeTemporary workWork at officeShift workAfternoon shiftWeekday work- ...Doctor of Medicine | Radiology - General/Other Location: Oakland, CA Employer: VISTA Staffing Pay: Competitive weekly pay (... ...~ Minimum commitment of 4 shifts per month Job Setting: Remote Tele-Radiology Types of Cases: Neuro CT, MRI, Ultrasound, Stroke...Remote workWeekly payPermanent employmentFull timeTemporary workLocumWork from homeShift work
- TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization...Remote job
- UCLA Health in Los Angeles hires a Denial Nurse Reviewer to support high-quality, cost-effective care by applying clinical knowledge, policies, and regulatory guidelines to review and process adverse organization determinations. Responsibilities include reviewing denials...Remote job
$55 per hour
...Description Job Description Utilization Management Nurse Coordinator (RN) needed for a temp 6+ month, remote contract opportunity with... ...of Fairfield & Redding, CA. Anticipating to be... ...care setting. The UM RN Nurse Coordinator reviews outpatient authorization...Remote workContract workTemporary workMonday to FridayWeekend work- ...Corporation is seeking a senior utilization management supervisor to... ...Authorization, Concurrent Review, and Retrospective Review... ...RN licensure with CA license consideration, and remote work options are available... ...position emphasizes enforcing UM standards, coaching staff,...Remote work
- Psychiatric Nurse Practitioner - 3227 Part-Time Outpatient Job Type: Permanent Specialty: Nurse Practitioner/Psych Family State: CA Location: CA - Los Angeles, CA Key Responsibilities This... ...3 days per week with one day being remote. Treat patients with addiction/...Remote workHourly payPermanent employmentFull timePart time3 days per week
$100 per hour
...Job Description Job Description Nurse Practitioner OR Physician Assistant Los Angeles CA Fully Remote | $100/Hour | 20–30 Hours/Week | Flexible Schedule We... ...Complete 30-day patient follow-ups and quarterly lab reviews Prescribe and manage treatments including...Remote workHourly payFlexible hours$90k - $92k
...experienced RN looking to get away from bedside nursing or transition out of the field as a... ...to use your clinical knowledge in a Utilization Review role while gaining a more predictable... ...nursing experience in a more structured office/remote environment . #J-18808-Ljbffr...Remote workWork at officeWork from homeMonday to Friday- ...Doctor of Medicine | Radiology - General/Other Location: Lompoc, CA Employer: CompHealth Pay: $500,000 to $550,000 per year... ...Morgan Hefel (***) ***-****. ~7-on/7-off schedule with 2 days remote ~ Partnership after 1 year with no buy in ~ Live anywhere in...Remote workHourly payFull timeContract workFreelanceImmediate startWork from homeWeekend work
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