Remote Clinical Review Nurse - Concurrent Care (CA)
IMCS Group
- Remote job
A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates should have an ADN or BSN and 2–4 years of experience, particularly in concurrent review and InterQual. Strong communication, attention to detail, and proficiency in Microsoft Office tools are essential. This position offers the opportunity to be part of a supportive and collaborative team. #J-18808-Ljbffr IMCS Group
- ...A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates...Remote workWork at office
$26.5 - $47.59 per hour
...Clinical Review Nurse - Concurrent Review Be among the first 25 applicants and get AI-powered advice on this... ...on workplace flexibility. Remote-US position. Must work Eastern or Central... ...management, concurrent review, and acute care experience strongly preferred....Remote workHourly payWork at officeFlexible hours- A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare... ...are essential for maintaining high-quality care. This 12-month contract position offers...Remote workContract work
- ...to join our talented Team. Job Title: Clinical Medical Review Nurse. Location: Owings Mills, MD. Summary:... ...systems. Identify trends, gaps in care, and opportunities for improved health... ...professionalism and a collaborative mindset. Remote work environment with minimal physical...Remote work
$34 - $35 per hour
...Utilization Management - Clinical Nurse - Work from Home!... ...Conducts telephonic and concurrent review of hospitalizations and... ...continuity of care Meet regulatory timelines... ...- Prior Authorization Remote Registered Nurse (Remote... ...Auditor Santa Monica, CA $68,000.00-$72,000.00...Remote workFull timeWork at officeWork from homeNight shift$44 per hour
...Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization... ..., NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but... ...necessity of service and appropriate level of care in accordance with national standards,...Remote workPermanent employmentContract workLive inShift work- ...Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full... ...ensuring compliance with clinical policies for quality care. Candidates should possess a BA/BS in Nursing, hold...Remote workFull time
- ...CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct... ...local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the...Remote workPermanent employmentWork at officeLocal area
$75k
...Nurse, Concurrent Review Performs concurrent inpatient utilization review using... ...stay reviews, transitional care reviews (Skilled Nursing Facility... ...updates. Engage in clinical collaboration with attending... ...: Mid August Location: 100% remote Equipment: Provided (mini desktop...Remote workWork at officeLocal areaMonday to FridayFlexible hoursWeekend work$73k - $82k
...Vermont is looking for a Clinical Review Registered Nurse to join our Utilization Management... ...with flexibility to work remotely the rest of the week. We... ...at the right level of care to promote optimal health.... ...clinical reviews for preservice, concurrent, and retrospective...Remote workWork at officeFlexible hours$2,474 per week
...Registered Nurse (RN) | Interventional Radiology Location... ...: San Francisco, CA Agency: Atlas MedStaff... ...agency should care about you. Our team has... ...recognitions are fueled by real reviews by real travel nurses and... ...team has been working remote since the pandemic), but...Remote workHourly payFull timeContract workWork at officeShift workWeekend work- Address Remote Job Description Wheel Medical Group is seeking nurse practitioners with multiple... ...delivering virtual care. Must be available... ...synchronous virtual care. Review comprehensive... ...Conduct thorough clinical assessments... ...licenses (7 minimum with CA or TX) Must be...Remote jobFull timeContract workPart timeWork at officeFlexible hoursShift workWeekend workAfternoon shift
- ...MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations... ...Review* Admission Criteria Care coordination Concurrent Review Continued Stay Reviews... ...Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
$1,949.74 per month
...Offering Nursing Profession... ...Specialty Utilization Review Job ID 1... ...Description Remote Utilization Review RN responsible for concurrent reviews, medical necessity... ...in an acute care setting. Client... ...State CA Zip Code...Remote workWeekly payShift work$2,280 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Santa Rosa, CA Agency: Atlas MedStaff Pay: $2,280... ...recognitions are fueled by real reviews by real travel nurses and... ...of our team has been working remote since the pandemic), but you...Remote workHourly payFull timeContract workWork at officeShift workNight shiftWeekend work$2,920 per week
...Registered Nurse (RN) | Clinical Nurse Coordinator Location: Salinas, CA Agency: Magnet Medical Pay: $2,920 per week... ...Registered Nurse (RN) – Patient Care Coordinator is responsible for... ...care rounds, and team meetings to review patient progress, discuss care...Full timeContract workFlexible hoursShift work$35 - $43 per hour
...pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an active CA RN license) Duration:... ...functions to ensure members receive the right care at the right time. This role focuses on...Remote work- ...342-bed, acute care, nonprofit hospital... ...for the review of medical records... ...Collaborates with the Concurrent Denial RNs to... ...or provides clinical guidance to... ...Job Requirements Remote. Must reside within... ...Bernardino, CA. Minimum two (2... ...Management or Nursing field in lieu of...Remote work
$35 - $45 per hour
...Job Title: Clinical Research Nurse III? Job Description This... ...focuses on patient-facing care, subject recruitment... ...detailed chart reviews to verify clinical information... ...tasks, and timelines concurrently. Effective verbal... ...understanding that remote work frequency may...Remote workContract workTemporary workWork at officeWork from home2 days per week1 day per week- ...Clinical Medical Review Nurse We are seeking Licensed Practical Nurses (LPN) or Registered Nurses (RN) to join the Quality team as Clinical Medical... ...Nurses. This is a hybrid contract position requiring both remote work and regular onsite presence at the Canton, MD office....Remote workContract workWork at office2 days per week3 days per week
$30.64 - $45.8 per hour
...Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment... ...department and of CorVel. This is a remote position. Essential Functions &...Remote workHourly payFull timeWork at officeLocal areaFlexible hours$57.28 - $88.92 per hour
...Description Utilization Review RN - Remote. This position is... ...retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review... ..., whole-person care built on... ...Associate's Degree in Nursing. ~ Upon hire: California...Remote workDaily paidMinimum wagePart timeLocal areaShift workDay shift$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies... ...department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$9.6k
...Location: Palo Alto, CA Req: P144393-29... ...Eligible: Yes Remote Eligible: No... ...Peds Intensive Care Scheduled... ...raised by the nurses during the course... ...to the Service, Clinic or Department are... ...Investigational Review Board (IRB) and... ...and not concurrently function as a scrub...Remote workHourly payFull timeImmediate startNight shiftRotating shift$3,056 per week
...Registered Nurse (RN) | Case Manager Location: Oakland, CA Agency: Prime Staffing... ...: Responsible for Care Coordination and... ...party payers and review agencies, claims and... ...address complex clinical and social situations... ...Services*, Concurrent Review*, Concurrent...Permanent employmentFull timeContract workTemporary workLocal areaShift workNight shift$65k - $75k
...Nurse - Clinical Review Performs utilization review of cases to determine if the request meets medical... ..., members, internal staff, primary care physicians (PCPs), and rendering providers... ...: 10:30amCST - 7:00pm CST Location: Remote Benefits - Medical, Dental, & Vision...Remote workWork at officeLocal areaMonday to Friday$2,746 per week
...Registered Nurse (RN) | Case Manager Location: Fairfield, CA Agency: Cynet Health... ...94533! Job Title: Clinical Utilization Review Nurse II Profession:... ...knowledge of Milliman Care Guidelines, Medicare/... ...involves prospectively and concurrently evaluating the appropriateness...Full timeContract workShift work- ...and e-referral case review and authorization of... ...criteria to provide quality care appropriate to clinical needs. Responsible for prospective, concurrent, and retrospective... ...is full-time, fully remote (work from home) and... ...Bachelor's degree in Nursing, or an Associate's degree...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
$38.91 - $60.31 per hour
...Springs Department: SRSS Clinical Education Work... ...not offer a hybrid or remote option This is a part... ...Clinical Education Resource Nurse (CERN) position with... ...per week in an Acute Care unit at MHC or MHN for... ...cost of living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workPart timeLocal areaFlexible hoursShift workNight shift- ...Nurse Practitioner (NP) – Occupational Health Medical Reviewer Location: Remote (U.S.) – Must reside in or be eligible for licensure in... ...Practitioners (NPs) to support TSA's CARES program by conducting... ...reviews and providing clinical recommendations regarding applicant...Remote workFull timeWork at officeMonday to FridayDay shift
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