Remote Utilization Review Nurse
Blue Cross and Blue Shield of Kansas City
Blue Cross and Blue Shield of Kansas City is looking for a Clinical Review Nurse to utilize clinical expertise in managing healthcare services efficiently. Candidates must have at least 3 years of direct patient care experience and an Associate degree in nursing, along with RN licenses in Missouri and Kansas. This role involves conducting utilization management reviews and ensuring compliance with medical guidelines while effectively communicating with various stakeholders. A competitive rewards package will be offered. #J-18808-Ljbffr
Vacancy posted 4 days ago
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Innovative Systems Group
Richardson, TX1 day ago - ...Management Location: 100% Remote Schedule: M-F 9:00am to 5... ...Summary Works with the Utilization Management team primarily responsible... ...necessity/utilization review and other utilization management... ...IL State Registered Nursing (RN) license in good standing...Remote workContract work
Integrated Resources
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Washington DC4 days ago $1,966 per week
...among the first 25 applicants Nurses – are you looking for a... ...Holidays Work-life balance. Remote/hybrid setting (once trained)... ...DESCRIPTION: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hoursHines
Rockford, IL5 hours ago$35 - $40 per hour
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Phoenix, AZ1 day ago- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
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University of Miami
United States2 days ago $55 per hour
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California, MO1 day ago- ...Location: Hybrid – Chicago, IL (3 days onsite / 2 days remote) We're seeking an experienced Registered Nurse (RN) with a background in managed care, clinical... ...groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual requirements...Remote workFor subcontractorWork at office
Integrated Resources
Chicago, IL1 day ago - ...Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
Cobalt Benefits Group
United States3 days ago $30.64 - $45.8 per hour
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United States3 days ago$85k - $105.34k
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United States4 days ago- ...us in making a difference at Umpqua Health. Position Title Utilization Review Nurse Department Umpqua Health Job Status Full Time, Exempt position... ...– Friday 8:00am – 5:00pm (Pacific Standard Time) Location Remote position Salary Wage Band 20: $85,990 – $105,344 Salary is...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
Umpqua Health
Roseburg, OR1 day ago - ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of appropriate, efficient, and cost-effective... ...preferred. • Basic Life Support (BLS) certification as required for facility based staff; optional for remote staff.Remote workWork at office
Nexus Health Systems
Houston, TX10 hours ago - ...delegation assessments and annual onsite/remote audits of delegated vendors, medical... ...committees. Monitor delegate performance, review compliance reports, and ensure timely submission... ...on clinical, behavioral health, utilization management, quality improvement, and regulatory...Remote workContract workFor subcontractorWork at officeMonday to FridayNight shift
w3r Consulting
Chicago, IL5 hours ago - ...Summary Utilization Review Nurse - Case Management Full-time, day shift (varies 7:30a-4:00p or 8:00a-4:30p) Hybrid (remote with rotating in house coverage) 72-hour position - Rotating 4/5 days, works every 5th weekend Job Description Ensure the efficient and effective...Remote workFull timeWeekend workDay shift
Baptist Health
Elizabethtown, KY2 days ago $30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and... ...the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hoursCorVel
Rancho Cucamonga, CA1 day ago- .... This is a great opportunity for a local remote position. Schedule PRN (As needed)... ...etc). Requirements: ~2 years of staff nurse experience performing care for hospitalized patients. ~2 years of utilization review (UR) experience reviewing hospital admissions...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
BJC HealthCare
Saint Louis, MO1 day ago $1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications U.... ...in Utilization Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate startMonday to FridayJ Edward Staffing LLC
Aurora, CO10 hours ago$35 - $43 per hour
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New York, NY4 days ago
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