Remote Utilization Review Nurse
Ensemble Health Partners
Ensemble Health Partners is seeking an experienced RN for Utilization Review to assess medical necessity and optimize hospital and patient care. This remote role involves coordinating with the FCC, care management, and interdisciplinary teams to ensure appropriate level of care across cases.
The candidate should hold an active RN license with 3+ years of acute care experience and knowledge of utilization review processes.
#J-18808-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse in United States vacancy
- ...Astrana Health is seeking a CA-licensed Utilization Review Nurse to support our Health Services Department. You will review outpatient services... ...on plan criteria, applying clinical judgement. This is a remote position for CA-licensed nurses with residency in...Remote workShift work
Astrana Health
United States1 day ago - ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician, facility case manager, discharge planner and contracted providers to ensure appropriate, cost-effective care at the...Remote work
Alignment Health
United States1 day ago - ...who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage... ...match Employee Referral Bonus Program JOB SUMMARY: The Utilization Review Nurse is to assess the medical necessity and quality of healthcare...Remote workFull timeTemporary workLocal area
American Health Plans Inc.
United States1 day ago $41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX, NM,... ..., health education, and utilization management. Key Responsibilities... ..., concurrent, and retrospective reviews for inpatient, rehab, referrals,...Remote workMindlance
Austin, TX14 hours ago- TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers’ compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to determine medical necessity and appropriateness...Remote job
- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential... ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct...Remote workContract work
SPECTRAFORCE
Washington DC1 day ago $89.54k - $136.47k
...City/State: Norfolk, VA Work Shift: First (Days) Overview Sentara Health is hiring a Remote Utilization Review Registered Nurse. Candidates must reside in the State of Virginia. Job Description As an integrated care manager, specializing in Utilization review...Remote workFull timeTemporary workShift workSentara Hospitals
Virginia Beach, VA4 days ago- ...Currently seeking a Utilization Management RN . Please see details... ...qualifications below: Position is remote - candidate must reside in... ...an active PA license or a Nurse Licensure Compact to include... ...conditions through medical record review to determine medical...Remote workImmediate startDay shift
The Judge Group, LLC
New York, NY4 days ago $1,966 per week
...among the first 25 applicants Nurses – are you looking for a... ...Holidays Work-life balance. Remote/hybrid setting (once trained)... ...DESCRIPTION: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hoursHines
Rockford, IL1 day ago$40 - $50.48 per hour
...experienced California RN or LVN with strong Utilization Management and inpatient review experience? We’re hiring for a 100% REMOTE opportunity focused on inpatient clinical... ...LVN license Commercial UM background (nurses who possess a fast pace and a sharp sense...Remote workContract workTemporary workMedix
Sacramento, CA4 days ago- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
Medix
United States5 days ago $35 - $45 per hour
...Base pay range $35.00/hr - $45.00/hr Direct message the job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating resources and services to meet patients’ needs while ensuring compliance with federal,...Remote workContract workWeekend workIntePros
New York, NY13 hours ago$77.08k - $119.47k
...$119,466.00 Responsible for Utilization Management, Quality Screening... ...Ideal Characteristics Registered nurse with a New York State current... ...applicable to utilization review process. Excellent written and... ...work cannot be done from a remote location. Other Requirements...Remote workShift workAlbany Medical Center
Albany, NY1 day ago$35 - $40 per hour
...are seeking an experienced Registered Nurse (RN) with health plan or payer-side Utilization Management (UM) experience to support clinical quality review and AI model development for prior... ...hrs/day Mon - Fri, 40 hrs/weekFully Remote PositionPay Range: $35 - $40 per hourCompany...Remote workLocal areaShift workPRIDE Health
Minneapolis, MN5 days ago$89.54k - $136.47k
...Remote Utilization Review Registered Nurse Sentara Health is hiring a Remote Utilization Review Registered Nurse. Candidates must reside in the State of Virginia. As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible...Remote workFull timeShift workSentara Healthcare
Norfolk, VA1 day ago- ...Job DescriptionJob Description Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2 5 Years Job Summary We are seeking a detail-oriented and experienced Utilization Review Nurse to evaluate the medical necessity, appropriateness...Remote workFull timeSecond jobWork at office
Ova Technologies
Alpharetta, GA1 day ago $50 - $55 per hour
...Remote Utilization Review RN | CA RN License Required - -Must sit in CA We're seeking an experienced Utilization Review RN for a remote MondayFriday... .... Requirements: Active California RN license 5+ years of nursing experience Inpatient clinical experience Utilization Review...Remote workContract workTemporary workActalent
New York, NY5 days ago- ...Resources Management Location: 100% Remote Schedule: M-F 9:00am to 5:30... ...teams Summary Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization management... ...unrestricted IL State Registered Nursing (RN) license in good standing...Remote workContract work
Integrated Resources
Springfield, IL4 days ago $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... ...Review Nurse – Concurrent Review will perform utilization management functions to ensure members receive the right...Remote workIMCS Group
New York, NY14 hours ago- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet...Remote workContract work
IntePros
New York, NY14 hours ago - # Utilization Review NurseFully Remote • Involuntary Remote - ALL STATES - Remote All States, CA 90802## OverviewSalary Range$82,000.00 - $88,000.00... ...LevelBachelor's DegreeCategoryInsurance## Utilization Review Nurse**Please make sure to complete all the questions in the...Remote workLong distance
Tristar
Sacramento, CA5 days ago $55 per hour
...from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location: Remote (must be based in California) Employment... ...: Experience in case management, utilization management, or discharge planning. Experience...Remote workFull timeContract workTemporary workLocal areaAkkodis
Sacramento, CA5 days ago$63k - $73k
...life balance. Here, there’s no limit to what you can achieve. Utilization Review Nurse (RN) As a nurse at Sedgwick, you can build a meaningful and... ...an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your daily...Remote workWork experience placementLocal areaFlexible hoursSedgwick
New York, NY5 days ago$34 - $40 per hour
...with your recruiter to learn more. Base pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based...Remote workFull timeMedix
New York, NY5 days ago$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart timePersonify Health, Inc.
New York, NY1 day ago$40 per hour
...Managed Care Industry Registered Nurse (RN) $40/hour - Contract... ...reside in TX Full time remote Candidates must be based in TX... ...performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and operational...Remote workFull timeContract workWork at officeHireOps Staffing LLC
Dallas, TX1 day ago- 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
IntePros
Phoenix, AZ3 days ago - A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote workContract work
Rangam
United States5 days ago $41 per hour
...Medical Review Nurse (RN) Remote position, however candidates must reside in the State of TX or State of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria...Remote workContract workHireOps Staffing LLC
Chicago, IL2 days ago- ...Hines & Associates, Inc. is seeking a Nursing Review professional to validate outpatient and inpatient services against established criteria... ...This is a Monday–Friday position with standard daytime hours and remote setting options stated in the benefits. #J-18808-Ljbffr...Remote workMonday to Friday
Hines and Associates
Salem, OR1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Nurse. Be the first to apply!
Related searches
- remote utilization review nurse United States
- utilization review registered nurse United States
- remote utilization review nurse part time United States
- utilization review nurse United States
- graphic design remote United States
- remote scrum master United States
- remote document review United States
- remote recruiter United States
- remote infrastructure engineer United States
- oracle developer remote United States