Remote Utilization Review Nurse
Centene Corporation
Centene is seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels and discharge planning. Requires an Iowa license (or compact) and nursing degree with 2–4 years of related experience, including acute care exposure. The role includes coordinating with Medical Affairs and educating providers on utilization processes. Schedule is Mon-Fri, 8am-5pm Central with rotating weekends/holidays. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse in Iowa, LA vacancy
$65k - $78k
...learning, and career development. Your Role In Our Mission Review admissions, procedures, services, and supplies for medical... ...rationale in medical management systems. Assist in training new nurses, provide feedback, and stay updated on clinical guidelines....Remote workFull timeWork at officeWork from homeFlexible hoursGainwell Technologies LLC
United States4 days ago- ...Centene Management Company LLC is seeking a qualified nurse reviewer to conduct concurrent inpatient and pediatric/adult case reviews... ...Medicaid members. Responsibilities include educating providers on utilization processes, sharing feedback with leadership for process...Remote work
Centene Management Company LLC
Louisiana, MO2 days ago $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 workMindlance
Wausau, WI1 day ago- ...in risk and claims management, is seeking an RN to join our US telecommuter team. This full-time role focuses on performing utilization review to maximize patient care quality and cost-efficiency while supporting a flexible work arrangement. You'll collaborate with physicians...Remote workFull timeFlexible hours
Sedgwick
Columbus, OH1 day ago - Description: Nurses – are you looking for a change? Want to work no... ...~ Work-life balance. ~ Remote setting ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces with...Remote workTemporary workWork at officeMonday to FridayFlexible hours
Hines & Associates Inc
Rockford, IL3 days ago - ...Remote role but will need to go to Newark, NJ to pick up equipment and orientation one day... ...Responsibilities: 1. Conducts on-site reviews at participating provider offices to assess... .... 2. Requires License Practical Nurse License or an active New Jersey Registered...Remote work
Winston Staffing
Newark, NJ11 hours ago - 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
- Centene Corporation is seeking a Remote Utilization Review RN to perform concurrent reviews and ensure medically necessary care for members. The role requires a CA RN license and acute care experience, with a Monday-Friday schedule and occasional weekend/holiday rotation...Remote jobMonday to Friday
- ...To support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-certifications for secondary clinical review, and analyze clinical records to ensure timely and compliant care determinations...Remote workFull time
Virtual Vocations Inc
United States1 day ago - ...first 25 applicants This is full-time remote, but candidates must reside in IL or TX... ...performing accurate and timely medical review of claims suspended for medical necessity... ...and prioritization skills. ~ Registered Nurse (RN) with unrestricted license in state...Remote workFull timeContract work
Innovative Systems Group
Richardson, TX2 days ago - ...Resources Management Location: 100% Remote Schedule: M-F 9:00am to 5:30... ...teams Summary Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization management... ...unrestricted IL State Registered Nursing (RN) license in good standing...Remote workContract work
Integrated Resources
Springfield, IL3 days ago - ...Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in helping us offer customized, self-funded insurance options to our clients...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
Cobalt Benefits Group
United States4 days ago - ...Summary Performs medical record review for severity of illness and... ...and Training: Nurse, Registered (RN) licensure... ...preferred. 2-5 years previous Utilization Review experience preferred.... ...Details: Days, Primarily remote; onsite orientation requirement...Remote workShift workWeekend work
Silver Cross Hospital
New Lenox, IL5 days ago $30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart timeSanta Barbara Cottage Hospital
United States2 days ago- ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines. Qualified candidates should have an active Maine RN...Remote workFlexible hours
kozmetickesluzby.vecnakraska.sk - Jobboard
Caribou, ME5 days ago - ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet...Remote workContract work
IntePros
United States4 days ago - ...Apply Refer a Friend Back Remote Work from Home Share This Page... ..., Hanover, MD 21076 Category: Nursing Schedule: Day Shift Employment Type... ...hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift
Johns Hopkins Medicine
Hanover, MD3 days ago $35 - $40 per hour
...Base 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 and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of...Remote workContract workFlexible hoursWeekend workIntePros
Phoenix, AZ2 days ago- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
Medix
United States4 days ago $1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications U.... ...in Utilization Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate startMonday to FridayJ Edward Staffing LLC
Aurora, CO1 day ago- ...A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
IntePros
United States2 days ago $77.08k - $119.47k
...19,466.00 Responsible for Utilization Management, Quality Screening... ...Characteristics 1. Registered nurse with a New York State current... ...applicable to utilization review process. 8. Excellent... ...the work cannot be done from a remote location. Other...Remote workShift workAlbany Med
Albany, NY5 days ago$40 per hour
...Must reside in TX Full time remote Candidates must be based in TX... ...performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and... ...and facilities. Registered Nurse (RN) with valid, current, unrestricted...Remote workFull timeContract workWork at officeHireOps Staffing
United States1 day ago- ...Utilization Review Nurse This 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 clinical appropriateness of care provided to patients and ensuring...Remote workFull time
CHRISTUS Health
Alamogordo, NM4 days ago $33.6 - $51.4 per hour
...This is a great opportunity for a local remote position. There is no communication... ...for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions... ...Minimum Requirements Education ~ Nursing Diploma/Associate's - Nursing...Remote workHourly payFull timeWork experience placementReliefLocal areaMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO5 days ago- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote work
Insight Global
United States4 days ago $35 - $45.94 per hour
...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role:... ..., Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida...Remote workHourly payFull timeWork from homeHome officeWeekend workOscar Health
Tempe, AZ4 days ago- Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract... ...Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This...Remote workFull timeContract work
- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential for Extension... ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct...Remote workContract work
$45 - $50 per hour
Join Our Team as a Utilization Management RN - Make an Impact in Healthcare... ...you a dedicated Registered Nurse passionate about optimizing... ...outcomes. Whether working remotely or in a flexible hybrid setting... ...setting, you'll play a key role in reviewing authorization requests,...Remote workHourly payWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Nurse. Be the first to apply!
Related searches
- remote utilization review nurse part time Iowa, LA
- senior devops engineer remote Iowa, LA
- clinical data coordinator remote Iowa, LA
- part time project manager remote Iowa, LA
- remote travel jobs Iowa, LA
- remote from anywhere Iowa, LA
- fully remote Iowa, LA
- tax remote Iowa, LA
- part time remote medical coder Iowa, LA
- companies hiring remote Iowa, LA