Remote Utilization Review RN - PACE & Post-Acute Care
Miami-Jewish-Health
- Remote job
Florida PACE Centers, Inc. is seeking a Utilization RN to conduct prospective, concurrent, and retrospective reviews ensuring medical necessity and appropriate level of care across the continuum. The role collaborates with hospital UR/Case Management, IDT, and community providers to support timely care transitions. The ideal candidate has 2–4 years in healthcare/utilization management, an active Florida RN license, and familiarity with InterQual/MCG criteria and payer policies. #J-18808-Ljbffr Miami-Jewish-Health
- ...staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client... ...role involves evaluating patient care cases and ensuring requested services... ...clinical experience in an acute setting. Strong written and verbal...Remote work
- ...Responsibilities As our Utilization Review RN, you will meticulously... ..., concurrent, and post-discharge reviews,... ...physicians, payers, and Care Coordinators-regarding... ...must thrive in a fast-paced, self-directed... ...Minimum two (2) years of acute hospital clinical experience...Remote work
- ...Job Description Utilization Review RN - REMOTE position. This position... ...workload in a fast-paced, rapidly changing regulatory... ..., whole-person care built on... ...environment or working as an acute hospital case manager... ...vulnerable. Posted are the minimum and the...Remote workMinimum wagePart timeLocal areaShift workDay shift
- ...Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers... ...sites. Job Title: Utilization Review RN Job Summary The... ...inpatient, observation, post-acute (SNF, IRF, LTACH), home... ...Work Conditions ~ Remote role with reliable high-...Remote workFull timePart timeWork at officeLocal areaWeekend workAfternoon shift
$1,949.74 per month
...Nurse Specialty Utilization Review Job ID 17979666... ...Title Utilization Review RN Weekly Pay $1949.... ...Job Description Remote Utilization Review RN responsible... ...and hospital guidelines in an acute care setting. Client Details...Remote workWeekly payShift work$2,210 per week
...personalized managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...is not limited to RN, LMSW, LMHC.... ...of 3 years recent acute clinical practice required...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...Description Job Description The utilization review and management (UM) component... ...at the appropriate level of care, while supporting regulatory... ...with ability to work in fast paced environment. Working... ...This is an in-office, no remote work capability position Travel...Remote workWork at office
$39.64 - $61.45 per hour
...Friend Back Remote Work from Home... ...) is the managed care and health services... ...5:00 PM As a Utilization Review Registered Nurse... ...Registered Nurse (RN) license in Maryland... ...experience as an acute care RN ~1+ years... ...are setting the pace for change within...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift- ...driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews... ...to ensure timely and compliant care determinations. Key responsibilities... ...years of recent clinical experience in acute care, med-surg, ICU/ED, or similar settings...Remote workFull time
$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential... ...and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team... ...review who thrives in a fast-paced,remote environment. Quick Highlights...Remote workMonday to FridayWeekend workWeekday work- ...Registered Nurse (RN) - Utilization Review Job Description Job Shift... ...health, access to care, and appropriate utilization... ...Required: 2 years of acute hospital or... ...Category Support/Clinical Posting Date 08/07/2026, 06:5... ...Transmountain Campus (Remote) #J-18808-Ljbffr...Remote workFull timeWork at officeFlexible hoursShift work
- ...support inpatient, behavioral health, and post-acute utilization review in alignment with CMS guidelines. This remote, full-time role requires a licensed RN with several years of UR experience... ...Medical Directors to ensure timely, appropriate care. #J-18808-Ljbffr DevotedRemote jobFull time
- ...Description Position Summary The PACE Utilization Review Specialist – RN oversees clinical utilization... ...enrolled in the Program for All-Inclusive Care for the Elderly. The position... ...retrospective utilization reviews for acute, post-acute, and outpatient services....Work at office
- ...: This is a remote position but will... ...our mission: caring for every person... ...clinical reviews of patient records... ...appropriate resource utilization and care... ...Registered Nurse (RN) program; Bachelor... ...of 2 years of acute care nursing... ...priorities in a fast-paced healthcare...Remote workFull timePart timeWork at officeLocal areaShift workRotating shiftDay shift
- ...Health Plans Community Care is looking to hire a Utilization Review Nurse. The... ...Experience 3 years of acute care clinical experience... ...Utilization Review Nurse, RN, Care Coordination,... ...are available as remote work, Sentara Health... ...12 hospitals, PACE, home health, hospice...Remote workTemporary workShift work
- ...integrated health care plans and related services... ...LTSS department. RN will be responsible... ...and concurrent review. Provides monthly telephonic... ...setting by utilizing the applicable... ...Additional Info: *possible remote opportunity after... ...least 2 years of acute care clinical experience...Remote workContract workMonday to FridayFlexible hours
- ...Description A Brief Overview The Utilization Review Case Manager validates the... ...most appropriate level of care based on nationally accepted... ...(3) years as a practicing RN in an acute care setting and least two (... ...General Circle Tampa 33601 Remote Work Eligibility Fully Remote...Remote workFull timeWork at officeMonday to Friday
- ...Registered Nurse (RN) | Utilization Review Location: Pennsylvania Agency: Pyramid Consulting... ...Position Key Responsibilities ~100% REMOTE role but candidate has to be in (PA,... ...of stay. ~ Evaluate cases to ensure care is delivered in the most appropriate...Remote workWeekly payFull timeImmediate start
- Position Summary: The RN Integrated Care Coordinator (UM) provides comprehensive... ...are required to address utilization review cases. Roles and... ...and comfortable in a fast-paced, deadline-oriented, tech savy... ...Telecommuting Requirements This is a remote position. Our whole company...Remote workLive inFlexible hoursWeekday work
- ...helping people get care, stay well, and... ...the Clinical Care Reviewer - Utilization Management evaluates... ...metrics in a fast-paced environment. ;The... ...Registered Nurse (RN) license in good standing... ..., or Long-Term Acute Care (LTAC), home... ...solutions include remote options, hybrid...Remote workFull timeWork at officeMonday to FridayFlexible hours
$2,400 per week
...Staffing of Miami is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers,... ...time off during Christmas Week. REMOTE POSITION Utilization Management:... ...requires compassion and urgency in the care of patients. Express Healthcare Staffing...Remote workDaily paidPermanent employmentContract workTemporary workFor contractorsZero hours contractWorldwideMonday to FridayShift workWeekend work- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient... ...(OBS). Minimum of 3 years acute medical Care Management/...Remote work
$90k - $92k
...Are you an experienced RN looking to get away from... ...knowledge in a Utilization Review role while gaining a more... ...necessity and quality of care. What You'll Do Conduct... ...the physical demands and pace of bedside nursing or who... ...more structured office/remote environment . #J-18808-...Remote workWork at officeWork from homeMonday to Friday- ...States is seeking an Inpatient Utilization Management Clinician to... ...support discharge planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and experience... ...management to ensure timely reviews, document outcomes, and...Remote workFull time
- ...Comagine Health is seeking a Clinical Utilization Review Nurse (RN) for a 100% remote, full-time role supporting Alaska contracts. The nurse will assess medical necessity and care quality through prospective, concurrent, and retrospective reviews, applying InterQual criteria...Remote workFull time
- ...Job 17789408 Apply Now Acute Hospital Experience by... ...ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations... ...* Admission Criteria Care coordination Concurrent... ...Additional Skills remote UR work CA and Medi-Cal experience...Remote work
- ...Utilization Review Nurse Astrana Health is looking for a CA-licensed Utilization... ...Health Plans. This is a remote position for CA-licensed... ...Management experience in a fast-paced setting. Our Values:... ...Entrepreneurial Provider and Care Teams Operate with Integrity...Remote workLive in
- ...qualified nurse to perform concurrent inpatient utilization reviews, determine medical necessity, and support... ..., and collaborate with providers and care teams to ensure appropriate care settings. The role requires 2–4 years of acute care experience, an LPN license, and...Remote work
- ...for providing skilled nursing care, case management, and hospice care... ...: Experience in Utilization Review or case management roles.... ...ability to work independently in remote settings. Must be able to handle fast-paced and complex clinical situations...Remote workFlexible hours
- ...To support a centralized Utilization Management department, the full-time Utilization Review Nurse will conduct timely utilization... ...requirements while working remotely. Key responsibilities:... ...degree is required 2+ years of Acute Hospital Care experience is required...Remote workFull time
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