Behavioral Health Utilization Review RN (Mon-Fri, Remote)
Hines and Associates
Hines & Associates Inc in Rockford, Illinois is seeking a Registered Nurse to perform first-level reviews and assess patient treatment plans. The role requires excellent clinical knowledge, communication skills, and a valid nursing license. The individual will be responsible for certifying treatment, evaluating plans of care, and interacting with healthcare providers in a professional manner. Hines offers a competitive salary and benefits package, work-life balance, and operates a remote/hybrid work setting after training. #J-18808-Ljbffr
- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote workWork from homeFlexible hours
- Humana is seeking a Utilization Management Behavioral Health Registered Nurse (RN) Intern to join their National Medicaid team... ...involves conducting medical necessity reviews for behavioral health services... ...license. This position supports remote work, providing work-life...Remote jobInternship
- Humana is looking for a Utilization Management Behavioral Health Registered Nurse (RN) Intern to support the National Medicaid... ...role includes conducting clinical reviews, coordinating with healthcare... ...experience. The position allows remote work and offers a weekday schedule...Remote jobInternshipWeekday work
- Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and is... ...military spouses. Interns will conduct clinical reviews, communicate with providers, and document...Remote jobInternship
- Humana is looking for a Behavioral Health Registered Nurse (RN) Intern to join the National Medicaid team. This... ...spouses, focusing on medical necessity reviews and clinical decision-making.... ...health experience. The position is remote, ideally for candidates in Kentucky....Remote jobInternship
- ...internship for a Registered Nurse (RN) in Kentucky, aimed at transitioning... ...will involve conducting clinical reviews, communicating with healthcare providers... ...at least two years of clinical behavioral health experience. The role is remote, focusing on healthcare quality assurance...Remote jobInternship
- ...services. Interns will conduct clinical reviews, communicate with healthcare providers, and... .... Candidates must hold an active RN license and have at least two years of behavioral health experience. The position is remote with a weekday schedule. #J-18808-Ljbffr...Remote jobInternshipWeekday work
- Humana in Maryland seeks a Registered Nurse (RN) Intern to join their National Medicaid team. This remote role involves conducting clinical reviews for behavioral health services, communicating with healthcare providers, and documenting findings. Candidates must be transitioning...Remote jobInternshipFlexible hours
- ...Humana is offering a remote RN Internship designed for transitioning military service members and military spouses. Interns will perform clinical reviews, support healthcare providers, and engage with interdisciplinary teams. Must be an active RN in Kentucky or have an...Remote workInternship
- ...! *Must have Mental Health and/or Substance Abuse... ...Work-life balance. ~ Remote/hybrid setting (once trained... ...This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. # Must have...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...Acentra Health, LLC is seeking a Clinical Reviewer of Behavioral Health to review medical records and... ...contract requirements. This remote position requires work... ...an active Virginia RN or LMHP license and at... ...Prior Authorization or Utilization Review. Acentra Health...Remote workContract work
- Humana is looking for a Registered Nurse (RN) Intern as part of the DOW SkillBridge Internship... ...an opportunity to engage in clinical reviews and coordination within the National... ...providers, and documenting findings. This remote role promotes flexibility and is essential...Remote jobInternship
$23 per hour
...Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri/no wknds (REMOTE) Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri/no wknds (REMOTE... ...after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides...Remote workHourly payFull timePart timeLive inWork from homeMonday to FridayShift workNight shiftWeekend workDay shiftAfternoon shiftWeekday work- ...Universal Healthcare IPA, Inc. is looking for a UM Nurse Reviewer to conduct utilization reviews and ensure members receive necessary care. The ideal candidate will have an active California RN or LVN license and experience in managed care. The role involves collaboration...
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to... ...Vision, and Values of Nexus Health Systems o Upholds the... ...o Demonstrates honest behavior in all matters. To the best... ...required for facility based staff; optional for remote staff.Remote workWork at office
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote workContract workWork from home
- ...RN Clinical Liasion - Omaha Hybrid Remote (FT Days, Mon-Fri) Job ID: 0007G7 Admissions Full Time - Day Job Description This is a hybrid position, primarily remote... ...to promote program and service awareness and utilization. Must track referral source visits in Raisor’s Edge...Remote workPermanent employmentFull timeCasual workWork at office
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour Shift Information: Days - 5 days... ...member contact and will include 80% travel. Remote role. Will require a driver’s license. Member...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$40 per hour
...LLC is a growing CORE Behavioral Health provider dedicated to... ...Clinical Documentation Reviewer & QA Consultant to support... ...assurance, auditing, utilization review, or healthcare... ...LPC, LCSW, LMFT, RN, PsyD, PhD, or other related... ...scheduling. Remote work opportunities available...Remote workHourly payFlexible hours$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour Shift Information: Days - 5 days... ...member contact and will include 80% travel. Remote role. Will require a driver’s license. Member...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$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... ...candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and...Remote work- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports... ...collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or...Remote work
- ...Harris Health System, Inc. is looking for a Behavioral Health Utilization Manager to perform concurrent reviews on patients and coordinate care for medically complex individuals. The... ...experience, and the role can be performed remotely, offering flexibility in work schedules...Remote work
- ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
$71.1k - $97.8k
...Humana is seeking a Prior Authorization RN for the Wisconsin Medicaid Market team. This remote position involves reviewing clinical appropriateness of prior authorization... ...experience. A BSN and experience in Utilization Management are preferred. The role offers a...Remote work- ...Providence is seeking an RN for a remote Utilization Review role. This per diem position involves conducting prospective, retrospective, and concurrent utilization reviews for Southern California ministries, requiring strong clinical expertise and a solid understanding...Remote workDaily paid
- ...A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...Remote workFlexible hours
- ...oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in healthcare... ...providers. This position offers the flexibility of remote work while supporting professional growth and a...Remote work
- COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...Remote workFull time
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
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