Remote Oncology Utilization Review Case Manager (Non-RN)
University of Miami
University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care.
You will manage a caseload, communicate with clinicians and patients, and help minimize delays and denials. Qualifications include a bachelor’s degree and at least 2 years of relevant experience; oncology experience is preferred.
#J-18808-Ljbffr- ...Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business... ...Review Case Manager to work to work remote. The incumbent conducts initial, concurrent... ...of 2 years of relevant experience Oncology - Preferred Any relevant education...Remote jobFull timeWork experience placement
- ...Position Summary: The RN Integrated Care... ...required to address utilization review cases. Roles and Responsibilities... ...emphasis on utilization management, discharge planning,... ...care/pediatrics, and oncology. You have experience... ...This is a remote position. Our whole company...Remote workLive inFlexible hoursWeekday work
- ...hospital staff with resource utilization and timely discharge planning... ...discharge Conduct concurrent reviews of patient records Apply utilization... ..., and reimbursement Manage established care pathways to... ...Science in Nursing preferred Case Management Certification preferred...SuggestedWork at office
$31.94 - $43.92 per hour
...psychosocial assessments Create and manage discharge plans... ...care planning discussions Utilization Management Review medical necessity & admission... ...Option 1: 3+ years recent Case Management (acute care) OR Option 2: 3+ years RN in: Med/Surg Telemetry...SuggestedRelocation packageShift workWeekend workAfternoon shift- ...Job Description Join our team as a day shift/variable, full time, RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical Center, Oklahoma City, OK. Join our team as a day shift/variable, full time, RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical...SuggestedFull timeWork at officeDay shift
$32 - $48 per hour
...better health. Position Overview The Utilization Review Specialist RN assumes responsibility and... ...payers, as well as coordination and management of appeals for accounts deemed appropriate... ...Utilization Review Specialist RN Department: Case management Location: Gateway...Hourly payFull time- Position: Oncology Registered Nurse (RN) Case Manager Location: Jeffersonville, IN... ...support for other non-program needs such... ...triage, Call Center Utilization Management, Call Center... ...Exceptions will be reviewed on a case-by-case... ...50% in office, 50% remote). To qualify for a...Remote workTemporary workWork at officeImmediate startHome officeMonday to FridayFlexible hoursShift work
$15k
...Up to $5,000 Clinical Ladder Program RN I to RN IV (each tier has its own wage scale) New Grads... ...and Nurse Practitioner. Job Summary The Case Manager / Utilization Review Nurse (RN) is responsible for coordinating patient care...Hourly payFull timeTemporary workWork at officeRelocation package$65 per hour
...(Only QUALIFIED Healthcare Professionals accepted) Case Manager-RN - JOB TITLE (#25268): RN Case Manager | Utilization Review - Syracuse, NY Location: Acute Care|Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65|hour About Greenlife Healthcare...Hourly payFull timePrivate practiceMonday to FridayDay shift- ...Description The Case Manager / Utilization Review Nurse (RN) is responsible for coordinating patient care progression, discharge planning, and utilization review activities. This integrated role ensures appropriate levels of care, regulatory compliance, efficient resource...Work at office
$32 - $48 per hour
...Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center | Granite City, Illinois Gateway Regional Medical Center is hiring a Utilization Review Specialist Registered Nurse (RN) to join our Case Management team. This role...Full timeWeekend workWeekday work- ...conditions. The RN Case Manager (TOC / Travel Infusion... ...and provides both remote support and in-person... ...emergency department utilization while enhancing quality... ...team meetings and case reviews to align on care... ...Life Support), ONCC (Oncology Nursing), or CRNI (Certified...Remote workLocal areaImmediate start
- ...LTSS department. RN will be responsible for providing case management services and evaluating... ...and concurrent review. Provides monthly... ...treatment setting by utilizing the applicable... ...and does not issue non-certifications. Facilitates... ...Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
$54.1k - $155.54k
...This is a remote work from home... ...is a medical management company that... ...accredited in Case Management, Disease... ...and Utilization Management. AHH... ...medical necessity reviews. Required... ...~ The AHH RN Case manager... ...residing in non-compact states... ...experience in Oncology, Transplant,...Remote workHourly payFull timeLocal areaWork from homeFlexible hours$79.3k - $127.1k
...partner company, who manages all applications... ...for a Senior Case Manager RN based in United States... ...healthcare utilization by identifying, resolving... ...is primarily remote in Pennsylvania,... ...areas such as Oncology, Transplant, Maternity... ...application is reviewed quickly,...Remote workFull timeCasual workWork at office$40.91 - $50.31 per hour
...carrying out the hospital's Case Management Plan. Functions as a member of... ...team, makes decisions regarding utilization management and alternative... ...regulations and policies of all review organizations relating to... ...License/CertificationCurrent RN license required.Current BLS...Full timeShift workWeekend work$32 - $48 per hour
...Job Description Job Description Utilization Review Specialist RNFull-Time | Case Management | Gateway Regional Medical Center | Granite City, IllinoisGateway... ...a Utilization Review Specialist Registered Nurse (RN) to join our Case Management team.This role is ideal...Weekend workWeekday work$50 - $85 per hour
...Description Job Description Description: Under the general direction of the Director of Behavioral Health, the Case Manager – Utilization Review RN provides clinically based case management and utilization review services to support the delivery of high-quality, cost...Full timeTemporary workPart time- ...mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-certifications for secondary clinical review,... ...clinical documentation for completeness and manage a caseload based on urgency and member impact...Remote workFull time
$63.1k - $94.65k
...technology-enabled revenue cycle management solutions for health systems,... ...*Must have current compact RN license, or be willing to... ...Schedule Information: Our Utilization Review team provides coverage seven... ...patient communication regarding non-coverage of benefits Maintains...Remote workWork at officeFlexible hoursShift work$25k
...Job Description Job Description To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - Up to $25K SIGN ON BONUS Location: Farmington, NM **Onsite- In person Schedule: Days Responsibilities: Meets expectations...Permanent employmentWork at officeRelocation package$63.1k - $94.65k
...enabled revenue cycle management solutions for health systems... ...have current compact RN license, or be willing... ...Information: Our Utilization Review team provides coverage... ...regarding non-coverage of benefits... ...Required: This is a remote role which requires access...Remote workTemporary workWork at officeLocal areaFlexible hoursShift work- ...Program sites. Job Title: Utilization Review RN Job Summary The... ...collaborates closely with hospital UR/Case Management, facility and community... ...supporting approvals or non-authorizations. Issues... ...Work Conditions ~ Remote role with reliable high-speed...Remote workFull timePart timeWork at officeLocal areaWeekend workAfternoon shift
- ...assist in the overall management of patient/... ...care procedures. Utilize teaching materials... ...licensure/certification, (RN licensure, CPR... ...for all material reviewed at Nurses Meetings... ...other compact states (remote states), while... ...medicine; geriatrics, oncology; home health care;...Remote workFull timePart timeShift work
- Jobtailor is seeking an experienced Registered Nurse to manage a case load of medical and disability workers’ compensation claims in California. The role emphasizes utilization review, telephonic case management, and collaboration with medical professionals and employers...
- ...leader in personalized managed health care, focused... ...We are looking for remote workers based out of... ...Overview: Our Case Manager role allows you to utilize your clinical nursing... ...positions also available! Oncology: Minimum of 2 years... ...in. Must be an RN. Successful...Remote workFull timeTemporary workWork at officeMonday to FridayFlexible hoursNight shift
$89.76k - $127.98k
...Utilization Review and Appeals Case Manager Position Summary This position is responsible for performing utilization... ...’s Degree. Three to Five years RN experience in an Acute Care Hospital... ...: Administrative & Professional (non-Clinical) Primary Location : US-...Full timeWork at officeFlexible hoursShift workWeekend workDay shiftWeekday work$71.99k - $89.99k
...Position Summary The RN Case Manager performs case management... ...classified as hourly (non-exempt) depending on... ...accepted standards of care. Utilizes evidence-based... ...performing Utilization Review and Service Authorizations... ...required to support remote or hybrid work. Must be...Remote workHourly payWork at officeAfternoon shift$2,210 per week
...leader in personalized managed health care,... ...Work-life balance. Remote/hybrid setting (once... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces with case managers and disease... ...is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...Remote Case Manager RN CORE Health Networks, the recognized leader in Integrated... ...this exciting opportunity, review the job specifications below... ...to determine if emergent/non-emergent Determine if injury... ...the nearest facility to utilize for injury Contact medical...Remote workFull timeTemporary workWork at officeImmediate startWork from homeMonday to FridayDay shiftAfternoon shift
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