Utilization Review Nurse - Remote & Benefits
Berkshire Hathaway Homestate Companies
A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition into a new area. Responsibilities include reviewing medical treatment requests, advocating for injured workers, and maintaining accurate documentation. The position offers flexibility with work-from-home options, competitive benefits, and a supportive office environment. #J-18808-Ljbffr
- ...national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure... ...maintaining accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-18808-Ljbffr...Remote workFull time
$63 per hour
...Job Description Job Description Title: Utilization Review Nurse (RN) Department: Case Management Job Type: Full-Time Facility... ...tertiary care hospital serving Southern Nevada Pay & Benefits Hourly Pay: $40 – $63/hour Employer-paid Nevada PERS...SuggestedHourly payFull time- ...Management Location: 100% Remote Schedule: M-F 9:00... .... Verify member benefits and eligibility... ...Summary Works with the Utilization Management team... ...necessity/utilization review and other utilization... ...unrestricted IL State Registered Nursing (RN) license in good...Remote workContract work
$63k - $65k
...PURPOSE OF THE ROLE To utilize evidence-based tools to... ...well‑being of others in a remote work environment. Enjoy... ...and comprehensive benefits to take care of your mental... ...with the client, nursing staff and claims examiners... ...utilization management reviews. Maintain client’s privacy...Remote workWork experience placementFlexible hours- ...great opportunity for a local remote position. Schedule PRN... ...: ~2 years of staff nurse experience performing care for... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...care, and community benefits in the state of Missouri. BJC...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$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... ...is between $47,061 and $70,236. Comprehensive benefits offered including health insurance and 401K options...Remote job$85k - $105.34k
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT... ...Liaise with internal departments to resolve eligibility, benefits, or service issues Participate in discharge planning for...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday- ...tuition assistance, 403(b), remote work United States, Maryland... ..., MD 21076 Category: Nursing Schedule: Day Shift Employment... ...8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns... ...settings Evaluate member benefits and medical criteria to...Remote workFull timeMonday to FridayDay shift
$55 per hour
...Akkodis is hiring a Concurrent Review Nurse to support our client in the... ...Healthcare space. Location: Remote (must be based in California... ...in case management, utilization management, or discharge planning... ...Employer/Veterans/Disabled Benefit offerings include medical, dental...Remote workFull timeContract workTemporary workLocal area$34 - $40 per hour
...Base pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) - Open to... ...Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient... .... We offer: Competitive pay and benefits 401(k) matching + equity options Opportunities...Remote workFull time- ...position Designation: Nurses – no nights, no weekends... ...Competitive salary and benefits, including medical, dental... .... Work‑life balance. Remote setting. Role... ...Description This individual will utilize clinical knowledge and... ...decision to a second‑level reviewer. The individual...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
$35.29 - $47.37 per hour
...individual and their work-life balance ~ Remote work options and Flexible scheduling... ...currently hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed nurse with... ...Experience administering OHP, Medicare benefits or utilization review highly preferred...Remote workHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to FridayFlexible hours- ...objectives Responsibilities: • Reviews documentation and evaluates... ...on clinical policies and benefit determinations. • Considers... ...hospital experience • Registered Nurse in state of residence • Must have prior authorization utilization experience • Able to work in...Remote work
- Currently seeking a Utilization Management RN . Please see... ...qualifications below: Position is remote - candidate must reside... ...active PA license or a Nurse Licensure Compact to... ...clinical judgment to review medical records,... ...requests align with member benefit plans and comply with...Remote workImmediate startWeekend workDay shift
$30.64 - $45.8 per hour
...CA Utilization Review Nurse I Job Category: Case Management This is a remote position. Description The Utilization Review Nurse gathers demographic and clinical... ...: $30.64 - $45.80 per hour A list of our benefit offerings can be found on our CorVel website:...Remote workHourly payFull timeWork at officeLocal areaFlexible hours$78k - $92k
...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and outpatient services. Ideal for experienced RNs aiming to utilize their clinical expertise without direct patient care. The role involves...Remote work$85k - $105.34k
Umpqua-Health seeks a Utilization Review Nurse to evaluate clinical service requests and ensure quality care. This role includes conducting prior... ...provides a competitive wage of $85,000 - $105,340 with a comprehensive benefits package. #J-18808-Ljbffr Umpqua-HealthRemote job$180k - $215k
...practice seeks a Board-certified Psychiatric Mental Health Nurse Practitioner to provide remote outpatient care. Responsibilities include conducting... ...compensation ranging from $180k to $215k, employer-paid benefits, and a focus on clinical autonomy and flexibility. Ideal...Remote workFlexible hours$180k - $215k
...is seeking a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) for fully remote outpatient care. The ideal candidate will have at... ...integrated care model. Compensation ranges from $180,000 to $215,000+, and robust benefits are provided. #J-18808-LjbffrRemote workFlexible hours- Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness... ...3 years of inpatient clinical experience. Additional benefits include flexible work hours and opportunities for...Remote jobFlexible hours
$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 work$180k - $215k
...seeking a Board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP). This full-time role offers remote outpatient care for populations with lower to... ...range of $180k-$215k annually with comprehensive benefits. Experience in outpatient care and proficiency with...Remote workFull timeFlexible hours$180k - $215k
...practice is seeking a Board-certified Psychiatric Mental Health Nurse Practitioner for a remote position in Indianapolis, Indiana. The role offers... ...clinical experience and an active, unrestricted license. Benefits include employer-paid malpractice coverage, health insurance...Remote workFlexible hours$180k - $215k
...looking for a Board‑certified Psychiatric Mental Health Nurse Practitioner to provide remote psychiatric care. Responsibilities include remote evaluations... ...-$215k+, employer-paid malpractice coverage, and health benefits. A minimum of 4 years of experience is required, along...Remote workFull timeFlexible hours$180k - $215k
...Board-certified Psychiatric Mental Health Nurse Practitioner. The role offers full-time W... ...15k+. Responsibilities include providing remote psychiatric care and ensuring... ...patient evaluations and medication management. Benefits include employer-paid insurance, malpractice...Remote workFull timeFlexible hours$180k - $215k
...is seeking a board-certified Psychiatric Mental Health Nurse Practitioner to provide remote outpatient psychiatric care. This role offers predictable... ...experience and should be comfortable in a telepsychiatry model. A comprehensive benefits package is included. #J-18808-LjbffrRemote workFlexible hours$180k - $215k
...practice in Portland seeks a licensed Psychiatric Mental Health Nurse Practitioner for remote outpatient care. This full-time position offers... ...employer-paid premiums for health insurance, and various benefits including a competitive annual salary range of $180k-$215...Remote workFull timeFlexible hours$40 per hour
...reside in TX Full time remote Candidates must be... ...performing initial, concurrent review activities; discharge... .... Determines benefit levels in accordance to... ...information regarding utilization management requirements... ...facilities. Registered Nurse (RN) with valid, current...Remote jobFull timeContract workWork at office$180k - $215k
...is seeking a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) for fully remote outpatient care. The role offers clinical autonomy, a... ...communication, and a commitment to evidence-based care. Benefits include employer-paid malpractice and comprehensive...Remote workFlexible hours
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