Remote Nurse - Utilization Review Specialist
$65kHealthHelp - A WNS Company
- Remote job
HealthHelp - A WNS Company is seeking a skilled nurse for utilization review positions. The role involves performing clinical reviews to determine medical necessity and collaborating with healthcare providers. Candidates should possess a nursing license and have experience in utilization management. This remote position offers a competitive salary starting at $65,000 for LVN/LPN and $75,000 for RN, along with comprehensive benefits. #J-18808-Ljbffr HealthHelp - A WNS Company
$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- ...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
- ...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
- 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
$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... ...Therapy, Speech‑Language Pathology, Nursing); Master's degree preferred. Relevant clinical...Remote workWork at officeFlexible hours- ...ago Requisition ID: 9252 UR Specialist – Join Camber and Make an Impact... ...every day. Job Summary The Utilization Review department manages all... ...with admissions, physicians, nurses, therapists and treatment teams... ...2 days in office and 3 days remote after successfully...Remote workFull timeWork at officeMonday to Friday
$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 hours- Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with a...Remote job
$50k
...Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary... ...diploma or equivalent and a state license (e.g., Registered Nurse, Licensed Practical Nurse, LCSW, LMHC) preferred Minimum...Remote job- ...Registered Nurse - Utilization Review About Company Bestica We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Minimum of 3 years acute medical Care...Remote work
- ...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...Remote workWork from home
$46 per hour
...Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered... ...coverage policies. Job details $46.00 / hour Remote, California New Profession: Registered Nurse...Remote work$1,600 - $1,800 per week
...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB,... ...No weekends, no holidays, no telehealth/remote work Minimum Qualifications... ...in Utilization Management, Utilization Review, or Case Management ~• Preferred Certifications...Remote workContract workImmediate startMonday to Friday- Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant documentation and communications...Remote jobWork at office
- ...Your future role at a glance** **Location:** Remote **Facility:** Ascension St. John Medical Center **Department:** Utilization Review **Schedule:** PRN, every other weekend, 8am... ...Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of...Remote workReliefLocal areaWeekend work
$78.56k - $110.91k
...role at a glance** **Location:** Remote **Facility:** Ascension Network Services **Department:** Utilization Management **Schedule:** Days... ...planning, and utilization review to support quality patient care... ...Registration: + Licensed Registered Nurse credentialed from the Texas...Remote workReliefLocal area$81.12k - $115.94k
...glance** **Location:** Partially Remote, with onsite coverage... ...Agnes Hospital **Department:** Utilization Management **Schedule:** Day-... ...Advocate for appropriate care by reviewing admissions and service... .../ Registration: + Registered Nurse credentialed from the Maryland...Remote workFull timeLocal areaDay shift$29.62 - $45.31 per hour
...Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work$26.01 - $56.14 per hour
...Utilization Management Nurse Consultant We're building a world of health around every individual —... ...8:00am-5:00pm EST Location: 100% Remote (U.S. only) About Us American Health... ...Consultant specializing in Medical Review, you'll play a vital role in ensuring...Remote workHourly payFull timeTemporary workMonday to FridayFlexible hoursShift work- ...A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity... ...planning. Candidates should possess a Bachelor's in Nursing and an active Texas RN license along with at least five years...Full time
- ...Health Business Solutions LLC seeks an experienced Utilization Review Nurse in New York to provide clinical guidance, drive appropriate level of care, and support revenue cycle efficiency. You will conduct medical record assessments, coordinate care with interdisciplinary...
- ...Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role involves evaluating patients for appropriate admission type and collaborating with healthcare teams to manage care effectively. The ideal candidate will have a strong clinical...
- ...Arkansas Foundation for Medical Care is seeking a Registered Nurse to perform utilization review by analyzing patient records for medical necessity under government reimbursement rules. Work may include prior authorization, concurrent review, or post-service assessment...
- ...Addison, Texas, is seeking a dedicated RN Case Manager to oversee utilization reviews and discharge planning. The role involves ensuring... .... The ideal candidate will possess a Bachelor of Science in Nursing, an active RN license in Texas, and five years of relevant experience...
- ...Job Description Job Description Utilization Review Specialist – Behavioral Health Facility We are seeking a confident, detail-oriented Utilization Review Specialist to join our behavioral health team. This role involves reviewing clinical documentation, ensuring...Remote jobFlexible hours
- ...Description Job Description Salary: Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time... ...Bachelors degree in Healthcare Administration, Nursing, Social Work, Psychology, or related field...Remote workFull timeMonday to FridayFlexible hours
- ...providing telephonic and e-referral case review and authorization of services utilizing established mental health and... ...This position is full-time, fully remote (work from home) and requires some... ...– Include: • Bachelor's degree in Nursing, or an Associate's degree in...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- Gateway Regional Medical Center, Inc. is seeking a full-time Utilization Review Specialist RN responsible for conducting admission and concurrent... ...resource utilization. Candidates must have five years of nursing experience in an acute care setting, current nursing license...Full time
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