Remote Utilization Review Case Manager II
CorVel
CorVel Corporation, a national provider of risk management solutions, seeks a Utilization Review Case Manager. You will gather demographic and clinical data for in-patient admissions and outpatient treatment, certify medical necessity, and assign length of stay to support the Case Management department.
This remote role requires an RN license, 4+ years of clinical experience, UR knowledge, and strong CPT/ICD coding skills.
#J-18808-LjbffrVacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Case Manager II in United States vacancy
- ...The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent... ...department and of CorVel. This is a remote position ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours
CorVel
Rancho Cucamonga, CA1 day ago - ...BlueCross BlueShield of South Carolina is seeking a Remote RN Medical Reviewer II to perform medical reviews using clinical documentation and established... ..., determine medical necessity, and support claims and utilization practices in a work-from-home setup. The role requires...Remote workWork from home
Southcarolinablues
South Carolina22 hours ago - ...Jobgether, in partnership with a healthcare team, seeks a Case Manager – Utilization Review Specialist based in the United States. This fully remote role focuses on admission and concurrent reviews, denials prevention, and coordinated appeals to support patient care and...Remote work
Jobgether
United States2 days ago - ...Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote position based in the United States. You will oversee admission and concurrent utilization reviews, identify potential denials, and coordinate appeals to support patient care and financial...Remote work
Jobgether
United States2 days ago - ...Quorum Health Corporation is seeking a remote Utilization Review Specialist (Case Manager) to support admission decisions and appeals. The role requires an RN license and strong knowledge of criteria sets to support clinical appeals and quality reviews. Responsibilities...Remote workFull time
Quorum Health Corporation
Lexington, KY22 hours ago - ...October 27, 2026 Full-Time Remote Locations Showing 1... ...Texas Wyoming The Utilization Review Specialist assumes responsibility... ...approves admission or refers case to facility utilization review... ...appeals. Consults with managers on problem cases and interfaces...Remote workFull time
Quorum Health
United States2 days ago - ...CorVel is seeking a Utilization Review Case Manager to gather demographic and clinical data for in-patient and outpatient reviews, certify medical... ...supporting the Case Management department’s goals. This remote role requires RN licensure and 4+ years of clinical experience...Remote work
CorVel Brand
Folsom, CA22 hours ago - ...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Case Manager – Utilization Review Specialist based in the United States.... ...and payer requirements. In this remote role, you will oversee admission and concurrent...Remote workFull timeLive in
Jobgether
Central City, KY2 days ago - ...Remote Full Time Days And Every Other Weekend RN Case Manager -Utilization ReviewJoin our team as a remote full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK.Get to Know Your Team:INTEGRIS Health, Oklahoma's...Remote workFull timeWork at officeShift workWeekend work
INTEGRIS Health
Oklahoma City, OK2 days ago - Jobgether is seeking a Case Manager - Utilization Review Specialist based in the United States. This fully remote role focuses on admission and concurrent reviews, medical necessity, and appeal coordination to improve reimbursement outcomes and compliance with clinical...Remote job
- CorVel Corporation is seeking a Utilization Review Case Manager for a remote role. The ideal candidate holds an RN license and has 4+ years of clinical experience with utilization review, CPT/ICD coding knowledge, and strong communication skills. Responsibilities include...Remote job
- ...Healthforce, Inc. is seeking a Care Review Clinician II with 2-4 years of clinical... ...outpatient behavioral health utilization reviews and support medical... ...decisions. This is a remote contract role. In this position, you will review cases, complete concurrent reviews...Remote workContract work
Walker Healthforce, Inc.
Long Beach, CA22 hours ago $66.94k - $101.26k
...nurse to fill a Medical Case Manager position in the... ...the referral source Utilizes their medical and nursing... ...background, such as utilization review or managed care is... ...For leveled roles (I, II, III, Senior, Lead, etc... ...complies with ADA regulations as applicable. #LI-Remote...Remote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shiftCorVel Healthcare Corporation
Florham Park, NJ19 days ago- ...CorVel Corporation is seeking a Utilization Review Case Manager for a remote role. The candidate will collect and analyze clinical data to certify medical necessity and determine length of stay for inpatient and outpatient treatment. The position requires a Nursing...Remote work
CorVel Corporation
Rancho Cucamonga, CA22 hours ago $58 per hour
Job Title: Case Manager II Location: Remote (US based only) Type: Contract (W2) Term: 6-months Schedule... ..., including Specialty Pharmacy and Utilization Management criteria for assigned products... ..., case management, utilization review, social service support, insurance reimbursement...Remote workHourly payContract workWork at officeLocal areaMonday to Friday- ...verified Level I adult and Level II pediatric trauma center,... ...Monitors and coordinates resource utilization throughout the health system... ...the appropriate utilization review functions utilizing medical... ...experience and 1 year of previous Case Management experience or a UCI employee...Remote workWork at officeMonday to Friday
University of California
United States4 days ago $79.46k - $119.2k
...Telephonic Nurse Case Manager II Telephonic Nurse Case Manager II Location: This role enables... ...issues. Assists with development of utilization/care management policies and procedures... ...quickly. Ability to manage, review and respond to emails/instant messages...Remote workFull timeWork at officeLocal areaMonday to FridayAfternoon shiftElevance Health
United States2 days ago$143.1k - $165.05k
...Nurse Case Manager II P Burlingame, CA 94010 Overview Salary Range... .... Collaborates with MSO Utilization Management team and PCPs to... ...the NEMS CC/CM program. Reviews and updates case management... ...which may be in understaffed/remote areas, in the presence of pets...Remote workFull timeWork at office- ...Arthur Lawrence is looking for a Case Manager II one our clients project based on Remote. Please find the job description below and send us your updated resume... ...collection and culling, and supporting document review and production. Nice to Have Skills: Relativity...Remote work
Arthur Lawrence
United States2 days ago - ...Behavioral Health Case Manager II Job Location: Remote - MI Duration: 4+ Months Contract (Potential for... ...state of Michigan. The Case Manager utilizes a collaborative process of... ...clinical tools and information/data review, conducts comprehensive assessments...Remote workContract workWork at officeShift work
- ...The Utilization Review/Case Manager is responsible for coordinating patient care services and managing utilization review functions to ensure appropriate level of care, timely insurance authorization, and effective discharge planning. This role serves as the primary liaison...Full timeLocal area
Freedom Behavioral Hospital of Monroe
West Monroe, LA3 days ago - ...accountability for designated patient case load.Facilitate... ...and facilitate collaborative management of patient care across the continuum... ...necessary.Promote effective utilization and monitoring of healthcare... ...required. Previous Utillization Review experience is preferred....
Cullman Regional Medical Center
El Paso, TX4 days ago - ...Position: ED UTILIZATION REVIEW/CASE MANAGER Location: Chicago, IL Job Id: 666 # of Openings: 0 WE ARE INSIGHT At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location...Temporary workWork at office
Insight Chicago Inc.
Chicago, IL3 days ago - ...improvement. Backed by Goldman Sachs Asset Management and Everstone Capital, Apexon has... .... We are hiring for a Case Manager II opportunity. Location: Remote Position: 1 Work... ...workflows, reporting, and document review processes. This role will serve...Remote work
Apexon
Baltimore, MD2 days ago $50k - $60k
...Hospital strives to cultivate a culture of proactive medical management within the community, with the goal of increasing the... ...for patients and community residents. SUMMARY The Case Manager/Utilization Review assumes responsibility for assessing and directing the...Full timeWork at officeLoretto Hospital
Chicago, IL22 hours ago$50.18 - $62.73 per hour
...POSITION SUMMARY The Utilization Case Manager performs concurrent utilization review to ensure appropriate level-of-care determinations, medical necessity, regulatory compliance, and effective resource utilization. Collaborates with physicians, payers, Physician Advisors...Hourly payDaily paidFull timeTemporary workPart timeLocal areaFlexible hoursShift work01 The Valley Hospital
Paramus, NJ1 day ago- Lehigh Valley Health Network is hiring for a Utilization Management position in Pennsylvania. The role reviews patient admissions and assigns appropriate inpatient or outpatient status to ensure payer compliance and efficient use of hospital resources. You will coordinate...Remote job
- The University of Miami is seeking a remote Utilization Case Manager to conduct ongoing reviews for continued authorization and coordinate with the healthcare team to ensure optimal patient outcomes. This is a full-time staff position with a focus on timely authorization...Remote jobFull time
- VHC Health is seeking a Case Manager for Utilization Review on a per-diem basis in the Arlington, VA area. The role coordinates assessment, planning, facilitation, and advocacy to ensure a coordinated continuum of care in line with guidelines and approvals. The position...Daily paid
$56.39 - $87.25 per hour
Description Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate level of care based on nationally...Contract workNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Case Manager II. Be the first to apply!
Related searches
- case manager long term care United States
- lead case manager United States
- oncology case manager United States
- insurance case manager United States
- remote nurse case manager United States
- foster care case manager United States
- field case manager United States
- case manager prn United States
- case manager remote United States
- online case manager United States