Fully Remote Utilization Review Nurse (RN)
TRISTAR Company
- Remote job
TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers’ compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to determine medical necessity and appropriateness of care. The position requires a nursing degree and an active RN/LPN license, with CCM/CMCN/CPHUR/CPDM/CDMS certifications preferred. #J-18808-Ljbffr TRISTAR Company
$40.12 - $62.94 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty... ...physician advisors, nurses, and support staff who... ...appropriate and fully covered by the patient... ...information.This is a Full-time remote position.... ...The Utilization Review RN reviews the medical record...Remote workFull time$63k - $73k
...balance. Here, there’s no limit to what you can achieve. Utilization Review Nurse (RN) As a nurse at Sedgwick, you can build a meaningful and rewarding... ...an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your...Remote workWork experience placementLocal areaFlexible hours$63.1k - $90k
...Utilization Review Registered Nurse (RN) – Remote Salary: $63,100–$90,000 annually + Bonus + Shift Differentials Medix is partnering with a leading national... ...healthcare organization to hire Registered Nurses for a fully remote Utilization Review team! We are seeking RNs...Remote workCasual workWork from homeMonday to Friday10 hours per weekShift workRotating shiftAfternoon shift- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident... ...Authorization Review to join our Utilization Management team. In this role,... ...Qualifications ~ Active RN license (WA; must be in good standing...Remote workContract work
$40 - $50.48 per hour
...experienced California RN or LVN with strong Utilization Management and inpatient review experience? We’re hiring for a 100% REMOTE opportunity focused on... ...UM background (nurses who possess a fast pace... ...your UM expertise into a fully remote role, #J-18808...Remote workContract workTemporary work- ...Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract... ...: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team...Remote workFull timeContract work
- ...Are you an RN looking to transition into or grow your career in Utilization Review? We're seeking a clinically strong... ...-oriented Registered Nurse to join our Utilization... ...in a fast-paced, remote environment. Reliable... ...Consider This Opportunity? Fully remote position with a...Remote workTemporary work10 hours per weekShift workWeekend workAfternoon shift
- ...Management Location: 100% Remote Schedule: M-F 9:00... ...This position is fully remote, but... ...an Illinois state RN license Assess and... ...Summary Works with the Utilization Management team... .../utilization review and other utilization... ...State Registered Nursing (RN) license in good...Remote workContract work
$35 - $40 per hour
...Pay Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources... ...vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona...Remote workContract workFlexible hoursWeekend work- ...Research, Rehabilitation Therapy and Nursing. Job Description · The... ...or risk management issues. · Utilization and Quality Management/Outcomes experience... ...discharge planning, or Concurrent review. Qualifications · RN Diploma, RN Associate's degree or Bachelors...Work experience placement
- ...Utilization Review Nurse, RNLighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Nurse, RN to add to our growing team. Lighthouse Care Center of Augusta (LCCA... ...and as such, openly support and fully commit to recruitment, selection,...Work at officeLocal area
$82k - $88k
...Utilization Review Nurse Fully Remote • Involuntary Remote - ALL STATES - Remote All States, CA 90802 Salary Range $82,000.00 - $88,000.00 Salary/... ...preferred A current, unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license recognized in...Remote workFull timeShift work- ...current Arkansas licensure as a RN. Preferably experienced in the... ...with the Medical Staff, review organizations, administration... ...Must be able to apply current nursing knowledge to determine appropriate... ...control system to assure effective utilization of hospital facilities and...Work at office
$88.85k
...Utilization Management (UM) Claims Review Nurse RN IISalary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles...$42 - $65 per hour
...DescriptionJob DescriptionUtilization Review NurseLocation: Las Vegas, NVJob Type:... ...medical necessity, appropriate resource utilization, and compliance with payer and... ...QualificationsGraduate of an accredited School of Nursing.Current RN license in the applicable state.5+...Relocation package- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician,... ...care at the right level. Requirements include a CA LVN/RN license, minimum 3 years in case management, experience...Remote work
$65k - $78k
...medical management systems.Assist in training new nurses, provide feedback, and stay updated on clinical guidelines.Maintain RN license and meet continuing education... ...clinical experience.1+ year in prior authorization reviews using InterQual or MCG.Strong written communication...Remote workFull timeWork at officeFlexible hours- ...Ensemble Health Partners is seeking an experienced RN for Utilization Review to assess medical necessity and optimize hospital and patient care. This remote role involves coordinating with the FCC, care management, and interdisciplinary teams to ensure appropriate level...Remote work
$43 - $63 per hour
...Job Description Job Description The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels... ...Management, or Clinical Documentation Improvement Active Nevada RN license required Minimum 3 years of Utilization...Relocation package- NeueHealth seeks a Concurrent Utilization Review (UR) Nurse in California to perform real-time clinical reviews ensuring medical necessity and appropriate... ...complex cases and denials. The role requires an active CA RN license, 2-3 years of clinical nursing, and UR/case-...
- Astrana Health is seeking a CA-licensed Utilization Review Nurse to support the Health Services Department. You will review outpatient services... ...and refer cases to Medical Directors as needed. This is a remote role for CA-licensed RNs/LVNs, with candidates living in California...Remote jobCasual workWork at office
$74.29k - $111.43k
...better care experience for all. Job Summary: The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to... .... Qualifications: Education: Registered Nurse (RN) with an active, unrestricted California nursing license required...For contractorsWork at office$36.9 - $69.95 per hour
...Utilization Review Registered Nurse, (RN) - Care Management, Per Diem, Variable Shift Island Health is seeking an experienced Utilization Review Registered Nurse for our hospital in Anacortes, WA. Work Schedule: 0.1 FTE / 0 hours per week - Additional information...Daily paidZero hours contractFlexible hoursShift work- ...term care facilities. In partnership with nursing home operators, these Medicare Advantage... ...Bonus Program JOB SUMMARY: The Utilization Review Nurse is to assess the medical necessity... ...active and unrestricted Registered Nurse (RN) license This Organization is an...Remote workFull timeTemporary workLocal area
- ...Plans, a division of American Health Partners Inc., seeks a Utilization Review Nurse to assess medical necessity and quality of care. You will support... ...while coordinating care for plan members. The role requires RN licensure with UR experience; CCM is a plus. The position...
$71.1k - $97.8k
...our caring communityThe Utilization Management Registered Nurse uses clinical nursing skills... ...Registered Nurse (RN) license in your state of... ...utilization management/utilization review for a health plan or... ....Experience working in a fully remote, metrics-focused roleExperience...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeHome office- ...OpportunityThis is a remote position. Seeking a detail... ...analytical Registered Nurse (RN) to join our team in a... ..., this position is fully virtual and open to candidates... ...be responsible for reviewing and abstracting... ...reported data. You will utilize abstraction tools and...Remote workWork at officeWork from homeHome office
$81.12k - $133.64k
...seeking a passionate and dedicated Registered Nurse to join our team. This is a PRN position... ...Inova Schar Cancer Institute. This is a fully remote PRN role. Inova's remote work policy... ...from an accredited school of nursing. If RN has an Associates Degree (ADN); must complete...Remote workReliefMonday to FridayShift workWeekend work2 days per week3 days per week$2,000 per month
...Find your calling at Mercy! Utilizes the nursing process to provide patient care under the supervision of person(s) licensed by a State regulatory... ..., or under the direction of a Registered Professional Nurse (RN). Maintains professional accountability for provision of...Full timeContract workPart timeImmediate startFlexible hoursShift workNight shiftWeekend workAfternoon shift$33 - $37 per hour
A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal...Hourly payMonday to Friday
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