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
...This position is fully remote/work from home;... ...applicants with strong clinical background, managed care and utilization management/review experience are helpful... ...Position Purpose: Performs concurrent reviews, including... ...Accredited School of Nursing or Bachelor’s degree in...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours- ...Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12months (Potential Extension) Shift: Friday-Tues, 2 pm-10 pm CST, 40 hours... ...MCO experience, specifically with Medicaid, True Care Cloud experience is a bonus, experience working remote...Remote workShift workWeekend work
- Spectraforce Technologies is seeking a Clinical Review Nurse for concurrent review. This remote role supports US-based operations, requiring a nursing credential and at least 1 year of nursing experience. The position emphasizes denial review, NCQA standards, and coordinated...Remote job
- Centene Corporation is seeking a Remote RN in Missouri with an active... ...workdays. The role focuses on concurrent reviews, evaluating medical necessity,... ...discharge planning in alignment with care policies. Ideal candidates have strong clinical background and experience in...Remote jobMonday to Friday
$54.1k - $116.77k
...surrounded by passionate colleagues who care deeply, innovate with purpose,... ...a time. Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management... ...of care using evidence-based clinical criteria Collaborate with...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home- NeueHealth is seeking a Concurrent Utilization Review (UR) Nurse to perform real-time clinical reviews ensuring medical necessity and appropriate care under a managed care plan. You will assess inpatient admissions and coordinate with payers, providers, and the Medical...Remote job
- ...Net Health Plan of Oregon, Inc. seeks a Clinical Review Nurse to perform concurrent reviews for Medicaid populations while working remotely from Missouri. This role requires an active... ...RN license and strong clinical, managed care, and utilization review experience. The position...Remote jobMonday to Friday
- ...Location: Fully remote. Candidates must be able to work a... ...is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization... ..., and transitions of care while collaborating with physicians... ...and review additional clinical documentation when...Remote workWork at officeImmediate start
$56.2k - $100.98k
...service and appropriate level of care in accordance with national... ...LPN or RN. This is a remote position requiring experience... ...Performs medical necessity and clinical reviews of authorization requests to... ...from an Accredited School of Nursing or Bachelor’s degree in Nursing...Remote workHourly payFull timePart timeWork at officeFlexible hoursWeekend work- 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 The... ...systems. Identify trends, gaps in care, and opportunities for improved health... ...professionalism and a collaborative mindset. Remote work environment with minimal physical...Remote work
$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- ...service and appropriate level of care in accordance with national... ...from an Accredited School of Nursing or Bachelor's degree in Nursing... ...related experience. Clinical knowledge and ability to analyze... ...necessity and clinical reviews of authorization requests to determine...Remote work
$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
$27.02 - $48.55 per hour
...Prior Authorization Reviewer Position Purpose: Analyzes... ...appropriate level of care in accordance with... ...licensed LPN or RN. This is a remote position requiring... ...medical necessity and clinical reviews of authorization... ...an Accredited School of Nursing or Bachelor's degree in...Remote workHourly payFull timePart timeWork at officeFlexible hoursWeekend 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$2,431 per week
...Registered Nurse (RN) | Interventional Radiology Location... ...: Marina Del Rey, CA Agency: Atlas... ...healthcare agency should care about you. Our team has... ...recognitions are fueled by real reviews by real travel nurses... ...our team has been working remote since the pandemic), but...Remote workHourly payFull timeContract workWork at officeShift workWeekend work- ...impact. People-centric: we care deeply about our team's... ...for US-credentialed clinical professionals to... ...clinical expertise to review and interpret de-identified... ...credentialed Registered Nurse (RN), Nurse Practitioner... ...working independently in a remote environment. Strong...Remote jobFor contractors
- Location: Victorville, CA Remote Status: On-Site Schedule... ...) Job Type: Full‑time Nurse Practitioner Job... ...: Victorville, CA - in clinic Company Description Greater... ...delivering care to older adults in underserved... ...scheduled follow‑up visits to review symptoms, labs, vitals,...Remote workFull timeTemporary workRelocation packageMonday to Friday
$85k - $92k
Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview TEEMA is partnering with a... ...assist in identifying patterns in care delivery and outcomes... ...unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social...Remote workHourly payWork at officeHome office$73k - $82k
...Clinical Review Registered Nurse Blue Cross and Blue Shield of Vermont is looking... ...with flexibility to work remotely the rest of the week. We are... ...health at the right level of care to promote optimal health.... ...reviews for preservice, concurrent, and retrospective...Remote workWork at officeFlexible hours$34 - $40 per hour
...Clinical Review Nurse (Remote) We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join our team in a fully remote... ...reviews to determine medical necessity, appropriateness of care, and level of service. Review medical records, provider...Remote jobContract workTemporary 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
$125k - $150k
Remote Nurse Practitioner - CA, WA or AZ License Required Cadence is the clinical AI company automating the treatment of chronic disease.... ...high-volume work of chronic care - monitoring patients, surfacing... ...patient care, including reviewing patient-generated health data...Remote jobLocal areaHome officeMonday to FridayWeekday work$8k
...Location: Victorville, CA Remote Status: On‑Site Job Id:... ...: Victorville, CA - in clinic $8k sign on!! Company Description... ...delivering care to older adults inaccessstarved... ...model is led by Nurse Practitioners and focused... ...to assess symptoms, review labs and vitals, and adjust...Remote workFull timeTemporary workPart timeFixed term contractLocal areaFlexible hoursShift work3 days per week$130.33k - $195.5k
...Hybrid Remote Advanced Practice Clinician... ...conventional health care, committed to serving... ...occur when timely clinical interventions are not... ...visits in San Jose, CA metro area (Santa... ...members, medication review and health screenings... ...which may include nurses, health coaches,...Remote job$142.71k - $172.93k
...San Luis Obispo, Pismo Beach, CA As part of the Oncology Field Medical organization, the Clinical Nurse Consultant (CNC) is a trusted... ...relationships and educating key Health Care Professionals (HCP) involved... ...(1:1, group presentations, remote, etc.) while utilizing...Remote workWork at officeLocal areaNight shiftWeekend work$2,873 per week
...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Sacramento, CA Agency: Atlas MedStaff Pay: $2,873... ...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- ...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
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