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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote RN: Concurrent Utilization Review Specialist in New York, NY vacancy
- ...Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through insurance and managed care companies, performing pre-certification, concurrent, and appeal reviews while ensuring compliance...Remote workFull time
Virtual Vocations Inc
United States3 days ago - ...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
KVC Health Systems
Wichita, KS5 days ago - ...seeking a Registered Nurse to perform utilization review by analyzing patient records for medical... ...Work may include prior authorization, concurrent review, or post-service assessment, with... ...The candidate should hold an Arkansas RN license (diploma/associate degree; BSN...Suggested
Arkansas Foundation for Medical Care
Fort Smith, AR2 days ago - Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing... ...care entities. The role covers pre-certification, concurrent reviews, and appeals with a focus on compliance and...Remote job
$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- ...telephonic and e-referral case review and authorization of services utilizing established mental health... ...for prospective, concurrent, and retrospective utilization... ...is full-time, fully remote (work from home) and requires... ...clinical license (RN, LMSW, LP, LPC, or LLP) required...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
MRINetwork
United States3 days ago - 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
$50 - $60 per hour
...California is seeking a Registered Nurse for utilization review responsibilities. The role includes managing admission reviews, conducting concurrent stay reviews, and preparing payment appeals. Applicants must hold a California RN licence and have experience in case...- ...AFMC is seeking a Clinical Services Specialist RN to analyze patient records for medical service legitimacy and ensure compliance with reimbursement policies. The role requires a nursing diploma or associate's degree, along with three years of clinical experience and an...Remote workWork from home
AFMC
Fort Smith, AR2 days ago - ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours... ...Hybrid (combination of in person and remote considered) General Summary The Utilization... ...Management program. Provides concurrent reviews of all admissions to determine...Remote workFull timeShift work
Gibson Area Hospital
Gibson City, IL3 days ago $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 workPyramid Consulting
Long Beach, CA5 days ago- ...At Bradford Health Services, we don't just invest in our patients-we invest in our people. About the Role: The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and...Remote workPart time
ADDICTION AND MENTAL
United States4 days ago - ...necessary and efficient healthcare services, the full-time Utilization Review Specialist will evaluate patient records and treatment plans,... ...maintain compliance with regulatory standards while working remotely. Key responsibilities: Review and analyze medical records...Remote workFull time
Virtual Vocations Inc
United States3 days ago - 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
- ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize... ...in a cohesive and rewarding environment. This is a fully remote or office/home hybrid position. Responsibilities Review...Remote workWork at officeFlexible hours
Spectrum Billing Solutions
Skokie, IL4 days ago - ...appropriate clinical review of all applicable patients... ...as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated.... ...week. This role will be remote BUT regular meetings/trainings... ...issues. Reviews concurrently all inpatients, including...Remote workReliefWeekend work3 days per week
$55k - $70k
...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare...Remote workFlexible hoursICBD
Florida, NY4 days ago$51.43 - $79.84 per hour
Overview Description - This is a remote role. You MUST live in the state... ...to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical... ...responsible for performing admission, concurrent and retrospective UR related...Remote workDaily paidLive inShift workDay shift$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 hoursExact Billing Solutions
Florida, NY5 days ago- ...A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning....Full time
Surgery Partners
Addison, TX4 days ago - ...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...
Mass Digital Health
Quincy, MA4 days ago - ...HUMBLE VASCULAR SURGICAL CENTER INC in Addison, Texas, is seeking a dedicated RN Case Manager to oversee utilization reviews and discharge planning. The role involves ensuring compliance with medical necessity guidelines while collaborating with physicians and interdisciplinary...
HUMBLE VASCULAR SURGICAL CENTER INC
Addison, TX4 days ago - ...Health Business Solutions LLC seeks an experienced Utilization Review Nurse in New York to provide clinical guidance, drive appropriate level... ...criteria, and collaborate with insurers on denials. Requires RN license (US multi-state/compact), BSN preferred, 2+ years UR experience...
Health Business Solutions
Florida, NY5 days ago - ...Utilization Review Registered Nurse (UR RN) The Utilization Review Registered Nurse (UR RN) is a key contributor... .... Excellence Conduct concurrent and retrospective reviews to assess... ...for facility based staff; optional for remote staff. Nexus Health SystemsRemote workWork at office
- ...Description Job Description Salary: Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time... ...Key Responsibilities Conduct initial, concurrent, and continued stay utilization reviews...Remote workFull timeMonday to FridayFlexible hours
- ...a BSN and an active nursing license. The ideal candidate has 5+ years of clinical nursing experience and at least 1 year in utilization review. The role utilizes clinical expertise and insurance knowledge to analyze accounts, medical records, and invoices to pursue retrospective...
$73.86k - $98.23k
...position focused on clinical financial resource utilization in Town of Florida, New York. The successful candidate will perform chart reviews, facilitate healthcare communication, and... ...Associates degree, MCG Care Guidelines Specialist certification, and a minimum of three...- ...Boston is looking for an Inpatient Utilization Management Clinician to... ...discharge planning. This fully remote role offers a competitive salary... ...candidate will have an active RN license, a bachelor's degree... ...least 2 years of utilization review experience. Join WellSense in...Remote work
Well Sense Health Plan
Boston, MA3 days ago - ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued... ...management experience (hospital-based) ~ Skilled experience with remote work Length of Assignment: 13 weeks Shift / Hours...Remote workShift workWeekend work
AMN Healthcare
United States3 days ago $65k - $85k
...Santa Barbara Cottage Hospital is seeking a Utilization Review Specialist (RN) for a remote position, specifically for candidates based in Florida. The ideal candidate will possess a valid Florida RN License and certifications in OASIS and coding. The role involves thorough...Remote workSanta Barbara Cottage Hospital
New York, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN: Concurrent Utilization Review Specialist. Be the first to apply!
