Remote RN: Concurrent Utilization Review Specialist
$75kSanta Barbara Cottage Hospital
Santa Barbara Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical necessity reviews and collaborating with clinical teams to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting salary for this position is $75,000 annually, with eligibility for performance-based bonuses. Benefits include medical, dental, and vision insurance, as well as a 401(k) plan with a company match. #J-18808-Ljbffr
$75k
...WNS Global Services is seeking a fully remote Utilization Review Nurse to perform inpatient reviews and ensure compliance with medical necessity... ...communicate effectively with physicians. The ideal candidate has an RN license, at least two years of experience in acute care, and...Remote workWork at office$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...Remote work- ...ago Requisition ID: 9252 UR Specialist – Join Camber and Make an... ...every day. Job Summary The Utilization Review department manages all aspects... ...to initial authorization, concurrent reviews and discharge... ...days in office and 3 days remote after successfully completing...Remote workFull timeWork at officeMonday to Friday
$50k
...in the lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for...Remote job$2,210 per week
...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...of precertification and concurrent review within the... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...quest for better? Job Description The RN Utilization Specialist reflects the mission, vision, and... ...utilization. The RNUS through regular reviews and audits and collaboration with the... ...patients. Facilitates utilization review concurrent with decisions on hospitalization and...For contractorsCasual workWork at officeLocal areaRelocation package
- Gateway Regional Medical Center, Inc. is seeking a full-time Utilization Review Specialist RN responsible for conducting admission and concurrent reviews to avoid payment denials, while managing appeals. This role requires collaboration with interdisciplinary teams to...Full time
$51 per hour
...Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote offsite) Type: Contract To Hire Compensation: $51/hr (W2) Work Model: 100% Remote... ...Specialist (BCBA Licensee) performs prospective, concurrent, and retrospective reviews to determine...Remote workContract workWork at officeWork from home$57.28 - $88.92 per hour
...Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records...Remote workDaily paidMinimum wageLocal areaShift workDay shift$34 - $52.7 per hour
Froedtert Health is seeking a qualified nursing professional in Menomonee Falls, WI. The role involves assessing patient clinical statuses and collaborating with multidisciplinary teams to ensure effective care. Candidates should have a minimum of 3 years in acute care...Remote workHourly pay$51.43 - $79.84 per hour
...Overview Description – This is a remote role. You MUST live in the... ...to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong... ...responsible for performing admission, concurrent and retrospective UR related reviews...Remote workDaily paidLive inShift workDay shift- ...Case Manager - Utilization Review Specialist - Remote Job Category: Utilization Management Requisition Number... ...accountability for admission and concurrent reviews assuring the prevention of denials... ...Experience: Current state-issued RN license. Knowledge in areas such as...Remote jobFull timeWork at office
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...along with experience in Epic EHR and Utilization Review. The selected candidate will perform... ...program metrics. This position is remote and offers a pay range of $30-$45 per...Remote workHourly payContract work- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote workContract workWork from home
- ...functions of a growing telehealth platform, the full-time Senior Utilization Review Specialist will manage the utilization review process, ensuring... ...with insurance companies and clinical staff in a remote work environment. Key responsibilities Oversee the entire...Remote workFull time
- Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote jobContract workWork from home
- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote workWork from homeFlexible hours
- Spectrum Billing Solutions is seeking an ABA Utilization Review (UR) Specialist to join their team. This fully remote or hybrid position involves reviewing clinical information and obtaining authorizations for ABA services. Candidates should have 3-5 years of relevant...Remote job
$60.2k - $107.4k
Concurrent Review Case Manager Responsible for telephonic monitoring and the... ...laws and regulations. Remote Work Will work remotely from... ...Nursing or higher Active Texas RN license or multistate... ...2+ years of Case Management/Utilization Review experience Proven program...Remote jobFull timeWork experience placementLocal areaMonday to Friday10 hours per weekShift workWeekend workWeekday work$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$55k - $70k
...Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue... ...(e.g., BCBA, LSW, LMHC, PT, OT, SLP, RN). Proven experience in utilization review...Remote workWork at officeFlexible hours- ...Mobile, AL is looking for a Registered Nurse to perform critical Utilization Review functions. This role requires effectively collaborating with... ...'s degree in nursing, with at least 2 years of experience. RN licensure is mandatory, and experience with Utilization Review...
- ...Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role involves evaluating patients for appropriate admission... ...coordination. This position requires at least two years of RN experience in care management or utilization management. The...
$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- ...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 work
$55.56 - $85.96 per hour
...A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and collaborating with healthcare teams...Hourly pay- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports... ...collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or...Remote work
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is... ...military spouses. Interns will conduct clinical reviews, communicate with providers, and document...Remote workInternship
$60.2k - $107.4k
...Stryker Corporation is looking for a Utilization Review Nurse, RN, based in California. As part of this role, you'll manage inpatient utilization... ...clinical guidelines. The position offers the flexibility of remote work within the U.S., alongside responsibilities like...Remote work
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