Remote RN: Concurrent Review & Case Management
Texas Health Institute
Texas Health Institute is seeking a Concurrent Review Case Manager responsible for telephonic monitoring and documentation of medical treatments, ensuring guidelines are met. The position involves close collaboration with Medical Management Physician leadership. Candidates must hold an Associate Degree in Nursing or higher and have an active Texas RN license, along with 5+ years of nursing experience in concurrent review. The role allows for remote work flexibility across the U.S. #J-18808-Ljbffr
$60.2k - $107.4k
.... Connecting. Growing together. The Concurrent Review Case Manager is responsible for telephonic monitoring... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as... ...in Nursing or higher ~ Active Texas RN license or multistate compact RN...Remote workMinimum wageFull timeWork experience placementLocal area- ...Position Summary Concurrent Review Nurse is responsible for performing utilization management activities to ensure medical... ...standards. Identify cases requiring escalation or... ...Licensure Registered Nurse (RN) license, active and... .... Work Environment Remote Equal Opportunity...Remote workApprenticeshipLocal area
- ...necessity. This position manages medical necessity... ...negotiation with a payer on a case by case basis. This... ...to Central Utilization Review LVN/LPN Case Manager and... ...services from payers Managing concurrent disputes Collaborating... ...Saturday schedule. Remote, but you must live...Remote workWork at office
- P3 Health Partners in Henderson, NV is seeking an RN Concurrent Review to ensure compliance with the Medical Management Program. The role may be hybrid or fully remote, with competitive hourly rates based on experience. The successful candidate will have at least two years...Remote jobHourly pay
- P3 Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven organization. This role offers hybrid or fully remote arrangements, with major responsibilities in telephonic review and collaboration with provider...Remote job
$75k
...Houston, Texas, is looking for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license... ..., dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive...Remote jobMonday to Friday$69.38k - $92.28k
...Opportunity As a Professional Concurrent Review RN, you'll have the opportunity... ...to expand into utilization management, this position provides... ...authorization. Reviews complex cases with individual providers or... ...you'll be: Location: Remote Pay Transparency MVP...Remote workContract work- ...appropriate clinical review of all applicable patients... ...in system utilization management plan. Oversees... ...weeks. This role will be remote, including most training... ...quality issues. Reviews concurrently all inpatients,... ...using Epic and escalating cases for status change...Remote workRelief3 days per week
$110k - $120k
...Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic... ...timely follow up. Assess for any issues that may require ongoing case management Assure member has adequate support. Support a positive...Remote work- ...OverviewDescription – This is a remote role. You MUST live in... ...be considered. Care Manager RN, Per diem / On call,... ...shift.The Utilization Review (UR) Nurse has a... ...performing admission, concurrent and retrospective UR related... ...upon hire.1 year of Case Management experience....Remote workDaily paidLive inShift workDay shift
- ...Job Description Fully remote- Must have state of MI unrestricted RN license. You will perform prospective, concurrent and retrospective review of inpatient,... ...Prefer utilization management experience Additional... ...discharge planning, case management, and utilization...Remote workWork at officeFlexible hours
- ...The Utilization Review Registered Nurse (UR RN) is a key contributor... ...outcomes and resource management. This role demands a... ...o Conduct concurrent and retrospective reviews... ...meetings to discuss cases, discharge plans, and... ...facility based staff; optional for remote staff.Remote workWork at office
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range... ...(combination of in person and remote considered) GENERAL SUMMARY The... ...Utilization Management program. Provides concurrent reviews of all admissions to...Remote workHourly payFull timeWork at officeRelocation packageShift work$90k - $100k
...guidance. We are looking for a RN Concurrent Review . If you are passionate... ...compliance with the Medical Management Program Description of P3 Health... ...for review depending on case findings Collaborate with various... ...either a hybrid or fully remote work arrangement. Candidates...Remote workWork at office3 days per week- ...use of preservice and concurrent acute medical and/or behavioral... ...regarding utilization management and quality... ...appropriately. Medical necessity reviews for designated services... ...and assists in case management of complex patient... ...~ Registered Nurse (RN) - State of Michigan Upon...Remote workFull timeMonday to FridayShift workWeekend work
$27.02 - $48.55 per hour
...clinical professional on our Medical Management/Health Services team. Centene is a... ...flexibility. Location: Remote. Must work PST hours. * Must hold RN license in California. Position Purpose: Performs concurrent reviews, including determining member's overall...Remote workHourly payFull timePart timeWork at officeFlexible hours$33 per hour
...RN Reviewer The RN Reviewer position is a crucial role... ...) admission, concurrent, and retrospective reviews... ...auth, and retrospective cases to ensure appropriate,... ...opportunities for care management or quality improvement... ...collaboration skills across remote teams Customer-...Remote workHourly payFull timeFlexible hoursShift work- ...Santa Barbara Cottage Hospital is seeking a clinical professional for the Medical Management/Health Services team. This remote position involves conducting concurrent reviews to determine member's overall health and ensure appropriate care. Requirements include a nursing...Remote workFlexible hours
- ...Company is seeking a Utilization Management RN to join their team in Dallas,... ...position involving both remote and in-office work. The role includes... ...performing utilization reviews, ensuring the appropriate level of care, and preparing cases for further review by the Physician...Remote workWork at office
- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports... ...and collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or...Remote work
- ...healthcare company is seeking a Clinical Review Nurse for a remote role in Texas. This position involves... ...The ideal candidate will have a Texas RN license and 2-4 years of related... ...responsibilities that include performing concurrent reviews and collaborating with medical...Remote workContract work
- ...Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and... ...years of experience in remote UR or acute hospital case management. A comprehensive benefits package, including healthcare...Remote workPart time
- ...Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior... ...Admission Criteria Care coordination Concurrent Review Continued Stay Reviews... ...Safety Goals Additional Skills remote UR work CA and Medi-Cal experience...Remote work
$57.24k - $62.18k
...leader in personalized managed health care,... ...-life balance. ~ Remote/hybrid setting (once... ...to a second level reviewer. This individual interfaces with case managers and disease... ...precertification and concurrent review within the guidelines... ...is not limited to RN, LMSW, LMHC. #...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours$74.29k - $111.43k
...Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare... ...services provided to members under a managed care health plan. This role involves... ...and clinical leadership for complex cases, denials, and escalated reviews....Work at office- ...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
$68.04k - $118.8k
...Position Perform clinical reviews within the Medical Management Operations Concurrent Review utilization management... ...Prepare and present clinical case summaries in routine inpatient rounds... ...'s degree in nursing. Valid RN License without restriction....Remote workWork experience placement$28.94 - $51.63 per hour
...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you... ...Primary Responsibilities: Review of Musculoskeletal (MSK) care requests... ...contact with all parties involved in case necessary for case management for the client Adheres to all documentation...Remote workHourly payMinimum wageFull timeWork experience placementLocal area$28.94 - $51.63 per hour
...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you... ...Primary Responsibilities: Review of Musculoskeletal (MSK) care requests... ...contact with all parties involved in case necessary for case management for the client Adheres to all documentation...Remote workHourly payMinimum wageFull timeWork experience placementLocal area$91.25k - $120.91k
...quality goals. Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:... ...Receive and research all PQI and QR cases as assigned, provide a summary... ...is eligible for telecommuting/remote work location upon completing...Remote workTemporary workWork experience placement
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