Remote Utilization Review RN - Hospital Admissions
BJC HealthCare
BJC HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient communication, and it is designed for local remote work with weekend rotation.
Responsibilities include applying Interqual criteria, reviewing admissions for medical necessity, and educating providers on resource use. Two to five years of inpatient nursing experience and UR experience are required; EPIC experience preferred.
#J-18808-Ljbffr$63.1k - $94.65k
.... Our partner is looking for a Utilization Review RN based in the United States.... ...supporting the financial integrity of hospital operations. In this part-time, remote role, you will apply your... ...medical necessity, review patient admissions, and ensure care aligns with established...Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift- ...Details POSITION SUMMARY - RN Utilization Review POSITION DUTIES - Review... ...appropriateness and medical necessity of hospital admissions, continued stays, and services,... ...-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT...Remote workTemporary workShift workWeekend work
- ...sites across the U.S. from clinics and hospitals to home-based care and virtual care services... ...and Responsibilities As our Utilization Review RN, you will meticulously review medical records to confirm appropriate admission status and continued hospitalization, utilizing...Remote work
$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the... ...bridge between clinical care and hospital operations, ensuring patients receive... ...the medical necessity of all admissions, ensuring appropriate patient status...Remote workWork at office10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per week$2,150 per week
...Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort... ...and medical necessity of hospital admissions, continued stays, and services, while... ...based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT –...Remote workTemporary workZero hours contractImmediate startShift workNight shiftWeekend work- ...Program sites. Job Title: Utilization Review RN Job Summary The... ...collaborates closely with hospital UR/Case Management, facility... ...Authorizations Performs admission, continued stay, and... ...Environment Work Conditions ~ Remote role with reliable high-...Remote workFull timePart timeWork at officeLocal areaWeekend workAfternoon shift
$63.1k - $94.65k
...health systems, including hospitals and affiliated... ...have current compact RN license, or be willing... ...Schedule Information: Our Utilization Review team provides coverage... ...necessity review of all admissions. Utilizes approved... ...Abilities Required: This is a remote role which requires...Remote workTemporary workWork at officeLocal areaFlexible hoursShift work$44.7 per hour
...The Utilization Review (UR) RN evaluates the medical necessity appropriateness and... ...denials inappropriate admission order status avoidable revenue... ...care guidelines from MCG Hospital case management experience... ...union covered position Remote Work : No Employment...Remote workHourly payPart timeShift workNight shiftWeekend workAfternoon shift$119.14k - $184.95k
...Utilization Review RN - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide... ...review medical records daily during admission for all payers, as required by the health... ...environment or working as an acute hospital case manager. Preferred...Remote workDaily paidMinimum wageLocal areaShift workDay shift$1,813 - $1,908 per week
...Registered Nurse:Utilization Review,16:00:00-04:30:00 Location: Torrance... ...Apply Now Acute Hospital Experience by Specialty Pediatrics... ...* Retrospective Review* Admission Criteria Care... ...Goals Additional Skills remote UR work CA and Medi-Cal experience...Remote work- ...experienced nursing professionals to review medical records and ensure appropriate admission status. The role involves... ...Candidates must have a valid California RN license and at least two years of... ...related field. The position offers remote work with emphasis on critical thinking...Remote work
$1,949.74 per month
...Nurse Specialty Utilization Review Job ID 17979666... ...Title Utilization Review RN Weekly Pay $1949.7... ...Job Description Remote Utilization Review RN responsible... ...CMS, Medicare regulations, and hospital guidelines in an acute care setting...Remote workWeekly payShift work$65 per hour
...Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift... ...Guaranteed Hours: 72 hours per 2 week period Hospital Highlights Type of Facility: Level II Trauma Center...Remote workLocal areaImmediate startMonday to FridayShift workWeekend work- ...RN Utilization ReviewReview patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and... ...-based)Skilled experience with remote workLength of assignment: 13 weeksShift...Remote workWeekend work
$1,908 per month
...Nurse Specialty Utilization Review Job ID 17789408... ...Job Description Acute Hospital Experience by Specialty Pediatrics... ...Retrospective Review* Admission Criteria Care... ...Goals Additional Skills remote UR work CA and Medi-Cal experience...Remote workWeekly payShift workNight shift$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... ..., processing appeals, and working collaboratively with hospital staff. Candidates must have a current RN license and at least...Remote workHourly payPart time- ...Description: This is a remote position but will... ...Conduct clinical reviews of patient records... ...of admission, treatment, and length... ...appropriate resource utilization and care planning... ...Registered Nurse (RN) program; Bachelor... ...treatment modalities, and hospital operations...Remote workFull timePart timeWork at officeLocal areaShift workRotating shiftDay shift
$2,038 per week
...Solutions is seeking a travel nurse RN Case Management for a travel... ...for a Registered Nurse - Utilization Review for a Travel contract. Job... ...Fort Myers, FL Setting: Hospital Pay Range: 1949.97 - 2047... ...literate; experience working remote; degree accreditation...Remote workPermanent employmentContract workZero hours contractReliefLocal areaShift workRotating shift- ...Currently seeking a Utilization Management RN . Please see details... ...below: Position is remote - candidate must... ...** Previous Acute Hospital Utilization Management... ...through medical record review to determine medical... ...necessity for inpatient admissions, continued stays, procedures...Remote workImmediate startDay shift
- ...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... ...performing a variety of pre-admission, concurrent, and... ...compact required RN license in state of...Remote workFull time
- ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience... ...Registered Nurse (RN) with experience in... ...healthcare services.Evaluate admissions, continued stays,... ...Experience working for hospitals, health plans, insurance...Remote workFull timeSecond jobWork at office
- ...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities... ...Current and unrestricted RN license At least 3... ...experience within the hospital setting Bachelor's of... ...Comfortable with remote work arrangements and virtual...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
$77.08k - $119.47k
...00 Responsible for Utilization Management, Quality Screening... ...volume, acute care hospital preferred. PRI and... ...applicable to utilization review process. 8.... ...monitor appropriateness of admissions and continued stays... ...cannot be done from a remote location. Other...Remote workShift work- ...Remote Registered Nurse Position Join a stable work-from-home team!... ...Requirements: ~2 years of RN experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity ~ Must live...Remote workFull timeReliefLocal areaMonday to FridayFlexible hoursShift work
$45 - $51 per hour
...Position Details Position: RN Utilization Management / Utilization Review Setting: 100% Remote Schedule: 5x8-hour days... ...Minimum 3 years of acute hospital Care Management/Utilization... ...levels of care. Review admissions and continued stays for medical...Remote workHourly payWeekend work- ...Position Summary: The RN Integrated Care Coordinator (UM)... ...hours are required to address utilization review cases. Roles and Responsibilities... ...of clinical experience in a hospital or ambulatory setting... ...Telecommuting Requirements This is a remote position. Our whole company...Remote workLive inFlexible hoursWeekday work
- ...Registered Nurse – Utilization Review (Remote) Position Overview: This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Required Qualifications...Remote work
$35 - $45.94 per hour
...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review... ...Work Location: This is a remote position, open to candidates... ...~ Active, unrestricted RN licensure from the United States... ...acute care setting, i.e., ER or hospital) ~ Weekend availability is...Remote workHourly payWork from homeHome officeWeekend work- ...Minimum of 2 years' experience in hospital, home health, or hospice care. Clinical... ...Certifications: Experience in Utilization Review or case management roles.... ...Strong ability to work independently in remote settings. Must be able to handle fast...Remote workFlexible hours
- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within...Remote work
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