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
$27.02 - $48.55 per hour
...million members as a clinical professional on... ...flexibility. Location: Remote. Must work PST... ...: Performs concurrent reviews, including determining... ...the type of care being delivered, evaluating... ...School of Nursing or Bachelor’s degree... ...Must be licensed in CA. Pay Range: $27...Remote workHourly payFull timePart timeWork at officeFlexible hours$34 - $40 per hour
...Clinical Review Nurse Duals Program Details- Brand new program of 2026 for... ...They are handling inpatient concurrent review and average 1.85 cases... ...review interqual managed care medical management... ...Workplace Type: This is a fully remote position. Application...Remote workHourly payContract workTemporary work- ...MedPOINT Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA, where you'll play a crucial role in... ...to excellence and patient-centered care has earned us the trust of our... ...difference in the lives of patients every day. This is a remote position....Remote work
$37.6 - $78.35 per hour
...Location: Los Angeles, CA, USA Onsite or Remote Flexible... ...The Quality Management Nurse is responsible for conducting... ...facility site reviews (FSRs) to ensure... ...involves evaluation clinical practices, identifying... ...initiatives to enhance patient care and safety. In this...Remote workHourly payWork at officeMonday to FridayFlexible hours$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid... ...into utilization management, requiring strong clinical judgment and excellent communication skills. The position...Remote work- ...Utilizes a collaborative review process of benefits, minimally necessary clinical information and... ...Conducts pre-service, concurrent and/or post-service utilization... ...use of the health care system and to maximize... ...~ Associate degree in nursing ~3+ years full-time direct...Remote workFull time
- ...Centene Corporation seeks a clinical professional for their... ...role includes performing concurrent reviews to assess patient care, health, and discharge plans... ...candidate will possess a nursing license and have 2-4... ...position offers a flexible remote working arrangement for candidates...Remote workHourly payFlexible hours
- ...Description Job Description: Clinical Supervisor, UM Denial... ...Type: Hybrid (85% remote, 15% onsite in Burbank, CA) Company: Vivo HealthStaff... ...daily tasks, performance reviews, and disciplinary actions.... ...an accredited Registered Nursing Program; RN preferred. 2...Remote workPermanent employmentTemporary work
$30.64 - $45.8 per hour
...CA Utilization Review Nurse I Job Category: Case Management This is a remote position. Description The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment...Remote workHourly payWork at officeLocal area$69.38k - $92.28k
...the Future of Health Care At MVP Health Care,... ...As a Professional Concurrent Review RN, you'll have the opportunity... ...to apply your nursing knowledge in a meaningful... ...partnering with providers and clinical leadership. You'll be... ...be: Location: Remote Pay Transparency...Remote workContract 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$75k
...Nurse, Concurrent Review WNS, part of Capgemini, is an Agentic AI-powered leader... ...reviews Transitional care reviews (Skilled Nursing Facility... ...updates Engage in clinical collaboration with attending... ...application process. Location - Remote WNS HealthHelp (A...Remote workWork at officeLocal areaMonday to FridayFlexible hours$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type:... ..., treatment requests, and clinical documentation to support... ..., accurate, and compliant care decisions in accordance with... ...independently in a remote or office-based setting. Working...Remote workWeekly payContract workWork at officeMonday to Friday- ...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
- ...Night Shift Telemedicine Nurse Practitioner - 1099 Contract (CA and TX) Address Remote Job Description... ...clinicians delivering virtual care. About Wheel Medical... ...virtual care. Review comprehensive patient intake... .... Conduct thorough clinical assessments aligned...Remote workFull timeContract workPart timeWork at officeFlexible hoursNight shiftWeekend workAfternoon shift
$27.02 - $48.55 per hour
...8 million members as a clinical professional on our Medical... ...This is a fully remote role. Candidates must hold... ...York State Registered Nurse (RN) licensure and be willing... ...appropriate level of care in accordance with... ...necessity and clinical reviews of authorization requests...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible 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 jobContract work
- ...staff position, please review this tip sheet. The... ...great opportunity for a Nurse Utilization Review Supervisor... ...be available to assist Care Coordination staff when... ..., timely delivery of clinical and community services... ...of Case Management concurrently of any potential and...Remote workFull timeTemporary workWorldwideNight shiftWeekend work
- ...join our team! As a Utilization Review Nurse, you will utilize your critical thinking skills, clinical expertise and judgement along... ...computer skills. This is a fully remote position with multiple shifts... ...scope of practice Resolve patient care issues by working one-on-one...Remote workLocal areaShift work
$130k - $135k
...improving the quality of care for patients in skilled nursing facilities. We... ...provide assistance to a Clinical Manager. You will be... ...for chart reviews, onboarding process,... ...unrestricted license in TX, CA or NJ. MSN with... ...chronic care management. Remote work experience...Remote workWork experience placementWork at officeWeekend work$2,845 per week
...Registered Nurse (RN) | Cardiac Catheterization Lab... ...Location: Porterville, CA Agency: Atlas MedStaff... ...healthcare agency should care about you. Our team has... ...recognitions are fueled by real reviews by real travel nurses... ...team has been working remote since the pandemic), but...Remote workHourly payFull timeContract workWork at officeShift workWeekend work$68.04k - $118.8k
...Summary of Position Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management... ...to appropriate levels of care. Principal Accountabilities... ...degree or bachelor's degree in nursing. Valid RN License without...Remote workWork experience placement$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$45 - $50 per hour
...training over 35,000 home care and nursing home caregivers in the... ...Statewide - Remote Schedule: up to 2... ...classroom instruction, clinical training, and related... ...Initial Application. Reviews and signs completed student... ...Possession of a valid CA Driver’s License and...Remote workHourly payPart timeApprenticeshipLive inLocal area$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly pay$70.3k - $85.47k
...The Professional Review Nurse provides analysis of medical... ...appropriateness of medical care. This is a remote position in CA. ESSENTIAL FUNCTIONS... ...plans Utilize clinical and/or technical expertise... ...preferred Prospective, concurrent and retrospective...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$45 - $55 per hour
...Location: Los Angeles, CA Business Unit: Rush Medical... ...will involve providing nursing care in a worksite-based primary care clinic for foodservice workers... ...year in advance and annual reviews are done based on... ...of Illinois. If working remotely, current RN licensure in...Remote workHourly payPart timeLocal areaShift work- ...We are seeking a part-time Nurse Practitioner to support our clinical team and advance... ...We are looking for NPs who care deeply about helping patients... ...long‑term health outcomes. Review diagnostics and lab results... ...–15 hours per week. Fully remote, work from anywhere in the...Remote workPart timeFor contractors10 hours per weekFlexible hours
$120k - $135k
...data-driven, personalized care. We’re breaking away... ...Position Summary As a Nurse Practitioner, you will... ...synchronous telehealth platforms Review and interpret... ...similar) Collaborate with clinical support staff,... ...for telehealth visits Remote work environment; home...Remote jobWork at officeWork from homeHome officeMonday to Friday$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
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