Remote Clinical Review Nurse - Acute Care Expert
IntelliResume
- Remote job
Centene is seeking a Clinical Review Nurse to perform concurrent reviews of members to determine overall health, evaluate medical necessity, and contribute to discharge planning. This role targets nurses with acute care experience and a strong understanding of utilization management processes. The position is remote with NY location indicators and offers a full-time schedule (Mon–Fri, 8:30 AM to 5:00 PM ET). #J-18808-Ljbffr IntelliResume
- ...agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance... ...involves evaluating patient care cases and ensuring requested services... ...review and significant clinical experience in an acute setting. Strong written and verbal...Remote job
$38.91 - $60.31 per hour
...Department: SRSS Clinical Education Work Schedule... ...not offer a hybrid or remote option This is a part... ...Education Resource Nurse (CERN) position with the... ...shift per week in an Acute Care unit at MHC or MHN for... ...of living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workPart timeLocal areaFlexible hoursShift workNight shift- ...Netsmart is seeking a Remote Utilization Review Nurse to evaluate ED admissions using InterQual/MCG criteria and apply evidence-based guidelines... ...Ideal candidates have an active RN license, 3+ years in acute care (ER/ICU/medical-surgical), and 2+ years UM experience, plus...Remote work
$42 - $45 per hour
...Position Title: Clinical Review Nurse 1 Location: Remote Schedule: Mon- Fri 8-5pm EST Duration: 6 Months... ...health, reviewing the type of care being delivered, evaluating medical... ...qualities to look for: ICU, Med-surge, Acute Care experience preferred....Remote work- ...network of talented experts, we make... ...People-centric: we care deeply about... ...US-credentialed clinical professionals to... ...expertise to review and interpret de... ...medicine, or other acute-care... ...credentialed Registered Nurse (RN), Nurse... ...independently in a remote environment....Remote jobFor contractors
$27.02 - $48.55 per hour
About This Role The Clinical Review Nurse performs concurrent reviews to determine members' overall... ...ideal for nurses with experience in acute care and a strong understanding of utilization... ...: $27.02 - $48.55 per hour Location: Remote, NY Schedule: Full-time, Monday-Friday...Remote workHourly payFull timeMonday to FridayFlexible hours$26.5 - $47.59 per hour
Clinical Review Nurse - Concurrent Review Be among the first 25 applicants and get AI-powered advice... ...perspective on workplace flexibility. Remote-US position. Must work Eastern or... ...utilization management, concurrent review, and acute care experience strongly preferred....Remote workHourly payWork at officeFlexible hours$44.34 - $66.51 per hour
...HOSP Job Description: The acute care supervisor will perform... ...the direction of accountable nurse leadership. Assess, direct, manage... ...includes the submission and review of in-depth documentation, a... .... FTE: 1 Possible Remote/Hybrid Option: Shift Rotation...Remote workFull timeWork from homeWorldwideFlexible hoursShift workWeekend work$55 - $65 per hour
...Position: Adult Inpatient Nurses (RN) Type:... ...hour Location: Remote Role Responsibilities Review and evaluate AI-generated clinical outputs based on nursing... .... Provide expert feedback on nursing... ...California). Recent adult acute care inpatient bedside...Remote workContract workSummer work- Netsmart is seeking a Registered Nurse with solid utilization... ...experience to perform ED utilization reviews and admissions screening... ...requires adept EMR review, strong clinical judgment, and collaboration... ...will bring 3+ years of acute care experience, knowledge of InterQual...Remote job
$65k - $85k
Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) for a fully remote home health role in the US. Salary ranges from $65,000 to $85,000 annually... ...required. The role focuses on reviewing clinical documentation, auditing OASIS and care plans...Remote jobFlexible hours- ...Job Description Job Description CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions... ...local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the...Remote workPermanent employmentWork at officeLocal area
- A healthcare organization is seeking a Clinical Review Nurse - Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates...Remote jobWork at office
- Care New England, a fully integrated health... ...Island is seeking a Nurse Practitioner or... ...Home provides 24/7 clinical oversight of a select... ...paramedicine, and remote patient monitoring,... ...evaluation and treatment of acute and acute-on-... ...case reviews and quality improvement...Remote workFull time
- ...Clinical Medical Review Nurse Ampcus Inc. is a certified global provider of a broad range of Technology... ...systems. Identify trends, gaps in care, and opportunities for improved health... ...professionalism and a collaborative mindset. Remote work environment with minimal physical...Remote work
$93.81 - $133.97 per hour
...visibility Onsite or Remote Fully On-Site Work... ...findings (Ca Nursing Practice Act, subsection... ...and coordinate the care of patients, provide... ...and clinical rounds, assists in... ...on the trauma and acute care surgery service... ...to a personnel file review. #J-18808-Ljbffr UCLA...Remote workHourly pay- ...RN Clinical Nurse II (Per Diem)- GI Surgery & Surgical Oncology Acute Care Unit 6 Memorial is a 28-bed, acute care, inpatient nursing unit at UNC Medical Center in... ...require close post-operative observation, occasional remote cardiac telemetry, early aggressive...Remote workDaily paidSummer holiday
- A national virtual care group is hiring Nurse Practitioners for a fully remote acute care telehealth role . This flexible, productivity... ...is efficient, and clinical support is always available. New... ...routine primary care follow-ups Review labs and diagnostics when available...Remote workContract workHome officeFlexible hours
- ...Adult-Gero Acute Care NP Subject-Matter Expert - Contractor (Remote) Hours: 5–15 hours per week Location: Remote Type:... ...as an Adult-Gerontology Acute Care Nurse Practitioner. Contracted writers will write, edit, review and/or categorize nurse practitioner...Remote workHourly payContract workTemporary workFor contractors
$27.02 - $48.55 per hour
...8 million members as a clinical professional on our Medical... ...This is a fully remote role. Candidates must hold... ...York State Registered Nurse (RN) licensure and be willing... ...appropriate level of care in accordance with... ...necessity and clinical reviews of authorization requests...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- ...Phoenix State: AZ Remote: No Department: Hematology Why Mayo Clinic Mayo Clinic is... ...specialties than any other care provider according to... ...interview will be reviewed by a Mayo Clinic staff... ...Qualifications Acute Care Nurse Practitioner: Masters...Remote workFull timeFlexible hoursNight shiftRotating shiftDay shift
$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate will work...Remote workWeekend work- ...State: AZ Remote: No Department... ...Why Mayo Clinic Mayo Clinic... ...than any other care provider according... ...services. The Nurse Practitioner/... ...a clinical expert and ambassador... ...interview will be reviewed by a Mayo Clinic... ...required. Acute Care Nurse...Remote workFull timeFlexible hoursShift workWeekend work
- ...delivering respectful, compassionate care, and where the unique and... ...for the opportunity below: Acute Care Clinical Nurse Coordinator Job Summary... ...with subject matter experts and other managers to create... ...Coordinator opening. We promptly review all applications. Highly...Hourly payTemporary workFlexible hoursShift work
- ...have the career opportunities as a(an) Acute Care Clinical Nurse Coordinator you want with your current... .... Collaborates with subject matter experts and other managers to create an... ...Nurse Coordinator opening. We promptly review all applications. Highly qualified candidates...Hourly payFull timeTemporary workPart timeFlexible hoursShift work
- ...Phoenix State: AZ Remote: No Department:... ...Why Mayo Clinic Mayo Clinic is... ...specialties than any other care provider according... ...assistants and nurse practitioners (NP PAs... ...interview will be reviewed by a Mayo Clinic staff... ...submission. Acute Care Nurse...Remote workFull timeFlexible hoursShift workRotating shiftDay shiftAfternoon shift
$110 per hour
...Physician - Clinical Advisor (Women's Health Expert) San Francisco, CA (Remote) Clinical Advisor (MD/DO) Expert... ...& Menopause Care Employment Type: 0.... ...DEA-required visits Review time-sensitive patient... ...leading physicians and Nurse Practitioners At...Remote workImmediate start$110 per hour
...Physician - Clinical Advisor (Women's Health Expert) Sacramento, CA (Remote) Clinical Advisor (MD/DO) National... ...& Menopause Care Employment Type: 0.5... ...required encounters Review and manage time-sensitive... ...exceptional physicians and Nurse Practitioners who value...Remote workImmediate startShift work- Why Mayo Clinic Mayo Clinic is top-ranked in more specialties... ...than any other care provider according to... ...: Phoenix State: AZ Remote: No Department: Neurologic... ...opportunity for an Acute Care Nurse Practitioner or a... ...complete interview will be reviewed by a Mayo Clinic staff...Remote workFull timeFlexible hoursWeekend work
- CorVel Corporation is seeking an Itemization Review Nurse to assess charges on UBIB submissions for accuracy. This remote role requires meticulous data review and documentation in the designated system. The ideal candidate holds RN licensure in the employment state, with...Remote job
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