Remote Utilization Review Nurse - Acute Care Expert
Insight Global
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 policies. The ideal candidate has over 2 years of experience in utilization review and significant clinical experience in an acute setting. Strong written and verbal communication skills are essential. #J-18808-Ljbffr
- ...staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client... ...role involves evaluating patient care cases and ensuring requested services... ...clinical experience in an acute setting. Strong written and verbal...Remote work
- Morrison Healthcare, a Compass Healthcare company, is hiring a Remote Dietitian to provide Medical Nutrition Therapy in an acute care setting. You will work with a collaborative team to improve patient outcomes through evidence-based nutrition care. We welcome Registered...Remote jobHourly pay
- ...Friend ~ Back Remote Work from Home... ...MD 21076 Category: Nursing Schedule: Day Shift... ...(JHHP) is the managed care and health services business... ...- 5:00 PM As a Utilization Review Registered Nurse for... ...years' experience as an acute care RN ~1+ years'...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift
- ...Optum is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and preauthorization... ...coordinating with Medical Directors. Remote options are available for eligible... .... The position demands 3+ years of acute care nursing and 1+ year in Utilization...Remote work
$71.61k - $111k
...Department/Unit: Care Management/Social... ...Responsibilities Utilization management and quality... ...through case review and inter‑rater reliability... ...Registered nurse with a New York State... ...in a high‑volume, acute‑care hospital... ...most of the time, as remote work is not feasible...Remote workShift work$93.18k - $136.95k
...Overview Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is... ...(required) Experience 3 years of acute care clinical experience (required... ...positions that are available as remote work, Sentara Health employs...Remote workFull timeTemporary workShift work$1,966 per week
...25 applicants Nurses – are you looking... ...managed health care, focused on... ...-life balance. Remote/hybrid setting... ...individual will utilize clinical knowledge... ...a second level reviewer. This individual... ...3 years recent acute clinical... ...in a new way. Experts add insights directly...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...To support a centralized Utilization Management department, the full-time Utilization Review Nurse will conduct timely utilization... ...requirements while working remotely. Key responsibilities:... ...degree is required 2+ years of Acute Hospital Care experience is required...Remote workFull time
- ...To support efficient patient care, the full-time Maryland Licensed Utilization Review Nurse will conduct initial, concurrent,... ...and payment denials while working remotely. Key responsibilities: Review medical... ...experience, preferably in an acute hospital setting Current...Remote workFull time
- ...driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity... ...records to ensure timely and compliant care determinations. Key responsibilities Conduct... ...years of recent clinical experience in acute care, med-surg, ICU/ED, or similar...Remote workFull time
- ...Currently seeking a Utilization Management RN .... ...: Position is remote - candidate must reside... ...PA license or a Nurse Licensure Compact... .... ** Previous Acute Hospital Utilization... ...medical record review to determine medical... ...appropriate care settings. Report...Remote workImmediate startDay shift
$40.12 - $62.19 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty... ...physician advisors, nurses, and support staff who... ...improving quality of care. Summary:... ...This is a Full-time remote position. Responsibilities... ...required; preferably in acute hospital setting •...Remote workFull time- ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2-5+ Years... ...-quality, cost-effective patient care.The ideal candidate is a licensed... ...outpatient, observation, and post-acute care services.Assess medical necessity...Remote workFull timeSecond jobWork at office
- ...Centene Management Company LLC is hiring for a remote RN/LPN utilization reviewer. You will evaluate patient care, determine appropriate level of care, and contribute... ...with Medical Affairs. Role requires 2+ years acute care and UM knowledge. Licensure as LPN and/or RN...Remote workMonday to Friday
$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review... ...records and speak with care providers regarding treatment... ...Work Location: This is a remote position, open to candidates... ...year clinical practice in an acute care setting, i.e., ER or hospital...Remote workHourly payFull timeWork from homeHome officeWeekend work- ...about helping people get care, stay well, and build... ..., the Clinical Care Reviewer - Utilization Management evaluates medical... ...Associate's Degree in Nursing (ASN) required;... ...Rehabilitation, or Long-Term Acute Care (LTAC), home... ...solutions include remote options, hybrid work schedules...Remote workFull timeWork at officeMonday to FridayFlexible hours
$71.61k - $111k
Department/Unit: Care Management/Social Work... ...Responsibilities Utilization management and... ...requirements through case review and inter‑rater... ...Registered nurse with a New York State... ...in a high‑volume, acute‑care hospital preferred... ...of the time, as remote work is not...Remote workShift work- ...Adult-Gero Acute Care NP Subject-Matter Expert - Contractor (Remote) Hours: 5–15 hours per week Location: Remote Type:... ...as an Adult-Gerontology Acute Care Nurse Practitioner. Contracted writers will write, edit, review and/or categorize nurse practitioner...Remote workHourly payContract workTemporary workFor contractors
- ...Mass Digital Health in Quincy, Massachusetts is seeking a Utilization Review Nurse to evaluate patients for admission appropriateness and coordinate care activities. This role demands collaboration with physicians, care managers, and extensive clinical knowledge to ensure...
- Banner University Medical Center Phoenix is seeking an Acute Care Nurse Practitioner (ACNP) for its Nocturnal Critical Care team. The ACNP will manage critical care patients and work with a dedicated team focused on growth and career development. This full-time role includes...Full timeRotating shift
- US Acute Care Solutions in Exeter, NH is seeking an experienced Emergency Medicine Physician Assistant or Nurse Practitioner to join a physician-led, patient-focused ED team. You will deliver compassionate, high-quality care alongside physicians and leverage APP leadership...Daily paidRelief
- UT Southwestern Medical Center in Dallas, TX seeks an experienced Acute Care Nurse Practitioner or Physician Assistant for inpatient pain management at CUH and Zale Lipshy Hospital. Preference for a background in inpatient pain management or addictionology. Monday-Friday...Monday to FridayWeekend work
- ...prescribing, and education within a collaborative, fast-paced academic setting. Open to highly motivated new graduates with prior acute care, trauma, or TSICU experience. Weekend/holiday rotation and potential night coverage are included in a full-time schedule. #J-188...Full timeNight shiftWeekend work
- Memorial Katy Cardiology Associates is seeking a full-time Acute Care Nurse Practitioner to join our team and work alongside an Interventional Cardiologist in Katy, TX. The practice serves adults and geriatrics with access to advanced cardiology services and clinical trials...Full time
- ...This employed role requires PA-C or AC-APRN licensure in Texas, a Master’s in Nursing, and Acute Care Certification; 2+ years PICU/EM or Hem/Onc experience preferred. You’ll provide expert clinical management to critically ill children, collaborate with a multidisciplinary...
$130k - $165k
...this role, you will provide key clinical support in a skilled nursing facility, including diagnosing and managing conditions, collaborating... ...flexible scheduling and a comprehensive benefits package while making a difference in post-acute care. #J-18808-Ljbffr Altea HealthcareFlexible hours- ...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
- ...Plan is seeking an Inpatient Utilization Management Clinician for a fully remote role in the United States.... ...discharge planning with care management and medical directors... ...an active RN license, nursing degree, and 2 years of utilization review experience with InterQual....Remote work
- ...Telenett is seeking a Remote Utilization Review Nurse to review medical records from a home office and determine medical necessity and care appropriateness. You will work with providers to develop compliant care plans and ensure high-quality, cost-efficient services for...Remote workHome office
- ...Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) for a fully remote role. You will review home health documentation, audit OASIS and care plans, and ensure coding accuracy to protect reimbursement integrity. Qualified candidates hold an...Remote work
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