RN Concurrent Review - Remote/Hybrid Utilization Nurse
P3 Health Partners
- Remote job
P3 Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven organization. This role offers hybrid or fully remote arrangements, with major responsibilities in telephonic review and collaboration with provider networks. The ideal candidate will hold a Bachelor’s in Nursing and have at least two years of clinical nursing experience. Join us in transforming healthcare from sickness care to wellness guidance. #J-18808-Ljbffr P3 Health Partners
$75k
...Cottage Hospital is seeking a qualified RN for concurrent inpatient utilization review. The candidate will regularly... ...two years of inpatient clinical nursing experience in an acute care setting... ...RN license. The position offers a remote work option along with a competitive...Remote work$75k
...Company in Houston, Texas, is looking for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing... ...health, dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a...Remote jobMonday to Friday$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Gibson City, IL 60936 Overview Salary Range... ...REQUIREMENTS: Full time position. Hybrid (combination of in person and remote considered) GENERAL... ...Management program. Provides concurrent reviews of all admissions to...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...position will be hybrid in the Dallas, Texas... ...this role. The Utilization Management (UM) RN performs utilization review activities, including... ...initial reviews, concurrent reviews, and retrospective... ...reviews. The UM nurse ensures a process... ...is hybrid with remote and in-office...Remote workWork at officeWork from homeRelocation package
$74.29k - $111.43k
...Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers...SuggestedWork at office$90k - $100k
...RN Concurrent Review People. Passion. Purpose. At P3 Health Partners... ...Purpose: The UM Nurse is responsible for compliance... ...Health Partners regarding Utilization Review, inclusive of prior... ...This role offers either a hybrid or fully remote work arrangement. Candidates...Remote workWork at office3 days per week- Description: Nurses – are you looking for... ...life balance. ~ Remote/hybrid setting (once trained... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...and concurrent review within the... ...is not limited to RN, LMSW, LMHC. # Must...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
$90.86k - $136.29k
...Job Title Utilization Management Concurrent Review Nurse Job Description The Utilization Management Concurrent... .... Requires a current California RN License Requires at least 5... ...strong critical thinking skills Hybrid Virtual Work This role allows...Remote workFull timeContract workWork at office- ...Health the Clinical Utilization Review Nurse II (URN) is an experienced... ...prospectively and concurrently evaluates... ...~ Current California RN License and Magnet ANCC... ...role requirements. Remote Work Disclosure... ...Some roles may allow hybrid or remote work based...Remote workDaily paidWork at officeLocal areaShift work
$45 - $50 per hour
...Utilization Management Nurse – Medicare Remote | California RN Required | Must sit in CA We’re partnering with a mission‑driven healthcare... ...You’ll Do Perform prospective, concurrent, and retrospective utilization reviews for Medicare members Apply evidence...Remote workContract workTemporary workWork from home$1,949.74 per month
...Travel Offering Nursing Profession... ...Specialty Utilization Review Job ID 17979... ...Utilization Review RN Weekly Pay $... ...Job Description Remote Utilization Review RN responsible for concurrent reviews, medical necessity...Remote workWeekly payShift work- ...care and appropriate utilization of resources, balanced... ...to Central Utilization Review LVN/LPN Case Manager and... ...from payers Managing concurrent disputes Collaborating... ...accredited school of nursing. Certifications: Active... ...Saturday schedule. Remote, but you must live locally...Remote workWork at office
$26.5 - $47.59 per hour
...Clinical Review Nurse - Concurrent ReviewBe among the first 25 applicants and... ...on workplace flexibility.Remote-US position. Must work Eastern... ...Time.Registered Nurse (RN) with utilization management, concurrent review... ...work schedules (remote, hybrid, field, or office). Actual...Remote workHourly payWork at officeFlexible hours$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development...Remote workHourly payLocal area$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy...Remote workMinimum wageFull timeLocal areaShift work$38 - $40 per hour
...REMOTE - Candidates must be based in Texas: Austin... ...Dallas/Collin Counties RN working in the... ...for performing initial, concurrent review activities; discharge... ...information regarding utilization management requirements... ...Required) ~ Registered Nurse (RN) with a valid, current...Remote workHourly payContract workWork at office- ...Responsibilities As our Utilization Review Nurse at the Utilization... ...care providers. THIS IS A REMOTE JOB: Responsibilities:... ...Reviews include admission, concurrent and post discharge for appropriate... ...Collaborates with facility RN Care Coordinators to ensure...Remote workLive out
- ...OverviewDescription – This is a remote role. You MUST live in the... ...to be considered. Care Manager RN, Per diem / On call, Day shift.The Utilization Review (UR) Nurse has a strong clinical background... ...for performing admission, concurrent and retrospective UR related reviews...Remote workDaily paidLive inShift workDay shift
- ...Santa Barbara Cottage Hospital is seeking a qualified RN or LPN to perform remote utilization reviews. The ideal candidate will ensure compliance with policies and collaborate effectively with client personnel for resolution of escalated cases. This position requires at...Remote workWork at office
- ...5. Position Summary The Utilization Review Nurse works as is responsible for ensuring the... ...admissions, completes inpatient concurrent review, establishes discharge plans, coordinates... ...of clinical nursing experience as an RN, preferably in a hospital setting ~2...Remote workWork at office
$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review... .... Work Location This is a remote position, open to candidates... ...Requirements Active, unrestricted RN licensure from the United... ...experience conducting concurrent or inpatient reviews for a managed...Remote workHourly payFull timeWork from homeHome office$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 time$47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting... ...claims examiners. Candidates must have a current RN license and at least four years of clinical...Remote work$2,109 per week
...Catalytic Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa... .... **Exciting Opportunity for a Remote Utilization Review Registered Nurse... ...focus on: - Admission criteria - Concurrent review - Continued stay reviews -...Remote workZero hours contractFlexible hoursShift workWeekend workDay shift- ...Management Location: 100% Remote Schedule: M-F 9:00... ...an Illinois state RN license Assess and... ...Works with the Utilization Management team... .../utilization review and other utilization... ...authorizations and/or concurrent review. Assesses... ...State Registered Nursing (RN) license in...Remote workContract work
- ...appropriate clinical review of all applicable patients... ...as stated in system utilization management plan.... ...weeks. This role will be remote, including most training... ...Bachelor of Science in Nursing ~2 years of... ...quality issues. Reviews concurrently all inpatients, including...Remote workRelief3 days per week
- ...Providence Health Plan Group is seeking an RN for Utilization Review. This remote position requires strong clinical skills and knowledge in Utilization... ...candidates have at least an Associate's Degree in Nursing and a California RN License. Providence offers extensive...Remote workDaily paidPart timeShift work
$57.28 - $88.92 per hour
...Description RN Utilization Review - Remote position. This position will work Per diem, 8-hour day shifts... ...prospective, retrospective, and concurrent utilization reviews for our Southern... ...Qualifications: ~ Associate's Degree Nursing. ~ Upon hire: California...Remote workDaily paidMinimum wagePart timeLocal areaShift workDay shift- ...Overview Title: Clinical Review Nurse – Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/... ...Authorization Review to join our Utilization Management team. In... ..., you will conduct concurrent and prior... ...Qualifications ~ Active RN license (WA; must be...Remote workContract work
$35 - $43 per hour
...0/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an active CA RN license) Duration: 12 months (with potential... ...– Concurrent Review will perform utilization management functions to ensure...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Concurrent Review - Remote/Hybrid Utilization Nurse. Be the first to apply!
- neuro icu registered nurse Henderson, NV
- nicu rn Henderson, NV
- registered nurse nursing home Henderson, NV
- rn hospice Henderson, NV
- outpatient registered nurse Henderson, NV
- rn evening shift Henderson, NV
- ambulatory care rn - registered nurse Henderson, NV
- dialysis rn Henderson, NV
- united nations registered nurse rn Henderson, NV
- clinic registered nurse rn Henderson, NV

