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
$63.1k - $94.65k
...partner is looking for a Utilization Review RN based in the United... ...operations. In this part-time, remote role, you will apply... ..., and ensure care aligns with established... ...nursing experience in an acute care setting is... ...competing deadlines in a fast-paced environment....Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift- ...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
- ...We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers... ...Job Summary The Utilization RN is responsible for... ...clinical reviews to determine medical... ...inpatient, observation, post-acute (SNF, IRF, LTACH),... ...Conditions ~ Remote role with reliable...Remote workFull timePart timeWork at officeLocal areaWeekend workAfternoon shift
$119.14k - $184.95k
...Utilization Review RN - Remote. This position is Per Diem and will work... ...diverse workload in a fast-paced, rapidly changing... ...focused, whole-person care built on... ...environment or working as an acute hospital case manager... ...and vulnerable. Posted are the minimum and the...Remote workDaily paidMinimum wageLocal areaShift workDay shift$63.1k - $94.65k
...current compact RN license, or be... ...Information: Our Utilization Review team provides... ...of health care resources and assists... ...in an acute care environment... ...: This is a remote role which requires... ...effectively in a fast-paced environment... ....com. This posting addresses state...Remote workTemporary workPart timeWork at officeLocal areaFlexible hoursShift work- ...RN Utilization Review Location: Torrance, CA Job Type: Travel Discipline: RN Specialty: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts: Days Shift Details...Remote workContract workTemporary workLocal areaShift work
- ...: 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
$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- ...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
- ...Authorization Registered Nurse for a remote, full-time role based in Virginia. The RN will review prior authorization... ..., determine appropriate care settings, and educate providers on utilization and management processes.... ...nursing experience in acute, skilled, or...Remote jobFull time
- ...Authorization Nurse to review and approve prior... ...judgment across care settings. The role... ...to guidelines in a remote environment. Candidates... ...hold an active RN license in Virginia... ..., with 2+ years of acute or rehab nursing experience... ...familiarity with utilization management and...Remote job
$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside... ...a massive impact on patient care? We are seeking a dedicated Utilization... ...years of nursing experience in an acute care environment is strongly...Remote workWork at office10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per week- HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare... ...Management experience and 3 years RN in acute care, with strong collaboration across...Remote job
$63.1k - $94.65k
...Nurse to perform hospital utilization reviews, assess medical necessity,... ...support appropriate levels of care. This remote role partners with... ...Skills: Current unrestricted RN license required; RN compact... ...execute effectively in a fast-paced environment. Autonomy &...Remote workTemporary workWork at officeLocal areaShift workAfternoon shift$44.7 per hour
...The Utilization Review (UR) RN evaluates the medical necessity appropriateness and... ...payers to support safe efficient care transitions and optimize... ...clinical nursing experience in acute care Experience with... ...WSNA union covered position Remote Work : No Employment...Remote workHourly payPart timeShift workNight shiftWeekend workAfternoon shift- ...Responsible for utilization review work for emergency... ...and unrestricted RN license At least... ...clinical experience in acute care setting in... ...thrive in a fast-paced, dynamic environment... ...Comfortable with remote work arrangements... ...Netsmart policy, all post-offer candidates are...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
$1,759.5 per week
...Travel RN - Case Management/Utilization Review American Traveler Austin, Texas, United States Position... ...American Traveler is hiring a remote Utilization Management RN with a TX or compact license and 2 years of acute care UM experience. Details Fully...Remote workWeekly payWork experience placementLocal areaShift 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
- ...an experienced Registered Nurse (RN) to join our Utilization Review team in a remote capacity. This role is responsible... ...medical necessity, reviewing levels of care, supporting denial prevention and... ...responsibilities in a fast-paced environment. Ability to work independently...Remote workTemporary workWork at office10 hours per weekShift workWeekend workDay shiftAfternoon shift
$35.29 - $54.71 per hour
...new or expanding Acute Care Surgical units as... ...offer a hybrid or remote option Minimum... ...Registered Nurse (RN). ~6 months of nursing... ...patient care utilizing the nursing process... ...knowledge in a fast paced, innovative... ...living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workPart timeReliefLocal areaAll shiftsFlexible hoursNight shiftRotating shift- ...Location: Remote - TX Department: Utilization Shift: First Shift (United States... ...efficient utilization of health care resources for Cook... ...Episodic Case Manager (UM/ECM - RN) Reviewer facilitates clinically... ...Ability to work in fast-paced environment and meet...Remote workFull timeShift workDay shift
$35.29 - $54.71 per hour
...offer a hybrid or remote option Work nights... ...Registered Nurse (RN). ~6 months of... ...in direct patient care utilizing the nursing... ...knowledge in a fast paced, innovative clinical... ...point of care Acute Care: Direct care... ...living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...offer a hybrid or remote option Work nights... ...Registered Nurse (RN). ~6 months of... ...in direct patient care utilizing the nursing... ...knowledge in a fast paced, innovative clinical... ...point of care Acute Care: Direct care... ...living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Department: Medical Acute Care Unit Work... ...offer a hybrid or remote option Work nights... ...Registered Nurse (RN). Basic Life Support... ...patient care utilizing the nursing process... ...knowledge in a fast paced, innovative clinical... ...living. Market reviews: All UCHealth...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Trauma FTE for Acute Care (MedSurg): Full Time... ...offer a hybrid or remote option Work... ...Registered Nurse (RN). Basic Life Support... ...direct patient care utilizing the nursing... ...knowledge in a fast paced, innovative clinical... ...living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...offer a hybrid or remote option Work nights... ...Registered Nurse (RN). ~6 months of... ...in direct patient care utilizing the nursing... ...knowledge in a fast paced, innovative clinical... ...point of care Acute Care: Direct care... ...living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift- 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
$35.29 - $54.71 per hour
...Aurora Department: Acute Care Float Pool Work... ...offer a hybrid or remote option Minimum... ...Registered Nurse (RN). ~6 months of... ...patient care utilizing the nursing process... ...knowledge in a fast paced, innovative clinical... ...living. Market reviews: All UCHealth...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Department: Medical Acute Care Unit FTE: Full... ...offer a hybrid or remote option Work... ...Registered Nurse (RN). ~6 months of nursing... ...patient care utilizing the nursing process... ...knowledge in a fast paced, innovative... ...living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift
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