Remote Utilization Review RN - OASIS & Coding Expert
Santa Barbara Cottage Hospital
- Remote job
Concierge Home Care is seeking a Utilization Review Specialist (RN) for a remote opportunity. This position requires a Florida RN License, OASIS Certification, and Home Health Coding Certification. You will be responsible for reviewing home health clinical documentation, auditing OASIS documentation, and ensuring coding accuracy. Strong organizational skills and attention to detail are essential. The role offers flexible scheduling with weekday or weekend options, along with a full benefits package, including medical and dental insurance. #J-18808-Ljbffr Santa Barbara Cottage Hospital
$49.34 - $76.59 per hour
A leading healthcare organization is seeking a Utilization Review RN for a fully remote role in Oregon. Candidates must hold an Oregon Registered Nurse License and have at least 5 years of clinical nursing experience, particularly in collaboration with physicians. This...Remote job- ...Home Health Quality Assurance Registered Nurse (QA RN) responsible for coding, reviewing, and correcting OASIS assessments. The role demands minimum two years of... ..., and coding certifications. The QA RN will work remotely, focusing on improving documentation quality and ensuring...Remote job
- ...Utilization Management Position Provide health care services regarding admissions, case... ...management, discharge planning and utilization review. Review admissions and service... ...staff with issues related to coding, medical records/documentation, precertification...Remote work
$84.06k - $118.67k
...a Licensed Registered Nurse for a remote position in Utilization Management. The role involves providing... ...discharge planning, conducting reviews for medical necessity, and assisting with coding and claims issues. Candidates must hold an RN license from the Texas Board of...Remote job- ...full-time Licensed Medical Review Nurse to conduct reviews... ...documentation while working remotely. This role involves... ...nursing experience, including utilization review, and a valid RN license in Florida or Kentucky... ...skills and proficiency in coding are preferred. #J-18808-...Remote jobFull time
- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote job
$35 - $45.94 per hour
Oscar Health is looking for a Utilization Review Nurse to join their team. The role involves performing... ...care. Candidates must hold an active RN license and have at least one year of... ...utilization review or acute care settings. This remote position offers a competitive pay range...Remote jobHourly pay$67.7k
A specialized consulting firm is seeking a Medical Claims Reviewer to conduct medical reviews and provide guidance on claims. This remote role requires an active RN license, a bachelor's degree in nursing, and at least five years of clinical experience. Ideal candidates...Remote jobFull timeMonday to Friday- Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with...Remote job
- ...seeking a full-time Michigan Licensed Medical Review Nurse to manage the review of documentation in a remote capacity. This role involves ensuring... ...experience and possess an active RN license in Michigan. Knowledge of coding and health regulations is essential. #J...Remote jobFull time
- ...Utilization Review Nurse Education: Licensed to practice in the State of Arkansas. Graduate of an approved school of Nursing. Current RN licensure or permit as a registered nurse in the State of Arkansas... ..., allied health nurses, and coding department to facilitate...Weekend work
$30.64 - $45.8 per hour
...Description Job Description The Utilization Review Nurse gathers demographic and... ...and of CorVel. This is a remote position. ESSENTIAL... ...knowledge of both CPT and ICD coding Ability to interface with... ...state of operation required; RN is required unless local state...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health... ...records, and authorizations for billing, coding, and other compliance or reimbursement related... ...of clinical nursing experience as an RN, preferably in a hospital setting ~2+...Remote workWork at office
- L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in Medi-Cal and Medicare managed...
- UofL Health in Louisville, KY, is seeking a Utilization Review RN to support utilization management functions. The RN will be responsible for clinical recommendations regarding medical necessity, working collaboratively with healthcare professionals. Ideal candidates must...
- ...care. This per diem role includes responsibilities such as reviewing OASIS assessments, ensuring ICD-10 coding accuracy, and participating in quality improvement activities. Ideal candidates must have an active RN license in California, clinical experience, and strong...Daily paidFull time
- A healthcare provider is hiring a Utilization Review Nurse for an on-site position in Las Vegas, Nevada. This role involves reviewing patient admissions... ...with payer guidelines. Candidates should have an active RN license in Nevada, over 5 years of acute care nursing...
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour Shift... ...and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license. Member...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour Shift... ...and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license. Member...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$30.64 - $45.8 per hour
The Utilization Review Nurse gathers demographic and clinical information on... ...department and of CorVel. This is a remote position. ESSENTIAL... ...knowledge of both CPT and ICD coding Ability to interface with claims... ...state of operation required; RN is required unless local...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$55 per hour
Women Veterans Interactive is seeking a dedicated Clinical Pharmacist for a fully remote position. This role involves reviewing utilization management requests, making informed clinical decisions based on specific criteria, and collaborating with healthcare providers. The...Remote jobHourly pay$185 per hour
...clinical documentation, coding, and quality assurance... ...: Auto-generates OASIS documentation, clinical... ...Active, unrestricted RN license in your state... ...home-health QA/OASIS review, utilization review, or clinical documentation... ...environment and remote collaboration tools....Remote workContract workReliefShift workWeekend work- CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote job
- ...Job Description Job Description Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will... ...review for medical necessity. Knowledge of basic ICD-10, CPT coding knowledge preferred. Basic knowledge of regulations as...Hourly payDaily paidWork experience placement
$69.38k - $92.28k
MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum... ...candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent...Remote job- Stryker Corporation is seeking a Clinical Review Clinician to serve as a subject matter expert for itemized bill reviews. This role involves analyzing hospital bills, conducting forensic reviews, and maintaining compliance with HIPAA standards while working independently...Remote jobHourly pay
- UnitedHealth Group is seeking a Clinical Review Clinician in Plymouth, Minnesota. This role involves conducting forensic reviews of hospital... .... Candidates should have an Associate's degree, an active RN or LPN license, and at least 2 years of clinical experience. Benefits...Remote job
- P3 Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven organization. This role offers hybrid or fully remote arrangements, with major responsibilities in telephonic review and collaboration with provider...Remote job
- Providence is seeking an RN for a remote Utilization Review role. This per diem position involves conducting prospective, retrospective, and concurrent utilization reviews for Southern California ministries, requiring strong clinical expertise and a solid understanding...Remote jobDaily paid
- ...in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN licensure in Alabama, with 3+ years of... ...skills are crucial. The position offers a remote work option along with comprehensive...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review RN - OASIS & Coding Expert. Be the first to apply!



