Remote RN: Inpatient Utilization & Discharge Specialist
WellSense Health Plan
- Remote job
WellSense Health Plan is seeking an Inpatient Utilization Management Clinician to evaluate inpatient treatments, ensuring medical necessity and optimizing health outcomes. This fully remote role involves supporting care transitions and collaborating with care management teams. Candidates must have an active RN license and at least 2 years of utilization review experience. Competitive salaries and excellent benefits are offered, alongside a commitment to diversity and inclusion in the workforce. #J-18808-Ljbffr WellSense Health Plan
- ...Health Plan is seeking a full-time remote Licensed Utilization Clinician. The role involves evaluating inpatient medical treatments and performing... ...requirements, and ensuring effective discharge planning. Candidates must have an active RN license, nursing degree, and at...Remote jobFull time
$75k
...Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting...Remote work- ...Plan in Boston is looking for an Inpatient Utilization Management Clinician to evaluate inpatient... ...ongoing treatment, and facilitate discharge planning. This fully remote role offers a competitive salary... ...candidate will have an active RN license, a bachelor's degree in...Remote job
$24.61 - $34 per hour
...Inpatient Coding Specialist Inpatient Coding Specialist III Compensation: $2... ...everything we do. Work remotely in a structured, performance... ...physician documentation, discharge disposition, and query tracking... ...DRG validation criteria. Utilize complete patient medical...Remote workHourly payFull timeWork from home- ...navigation organization is seeking a Utilization Review Nurse in Dublin, OH. The role involves reviewing inpatient medical service requests,... ...criteria, and facilitating discharge planning for patients. Candidates should have a current RN license in Ohio, with a minimum...SuggestedWork at office
- Comagine Health is seeking a Clinical Utilization Review Nurse (RN) to assess medical necessity and quality of healthcare services. This full-time, remote position will be responsible for conducting utilization management reviews and ensuring compliance with clinical criteria...Remote jobFull time
- ...Hospital is hiring an Inpatient Case Manager, Inpatient... .... Promotes effective utilization and monitoring of... ...Education RN-Associate's Degree OR... ...Monster, Talroo-Nursing, Discharge Planning, Home Rehabilitation... ...that are available as remote work, Sentara...Remote workTemporary workShift work
- ...Description Summary Experienced Inpatient Coding Specialist responsible for accurately... ...competency in a fully remote Florida‑based role.... ...coding and clinical data (e.g. discharge disposition, discharge date... ...of autosuggested codes by utilizing the evidence review...Remote workHourly payWork experience placement
- ...General Hospital is hiring an Inpatient Case Manager RN to work full-time 40 hours... .... Promotes effective utilization and monitoring of health services... ...Nurse, RN, Social Work, Discharge Planning, Nursing-Case... ...positions that are available as remote work, Sentara Health...Remote workFull timeTemporary workRelocation packageShift work
$85.7k - $128.54k
...opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities... .... Serves as first-line SME/resource for inpatient UM questions; provides 1:1 coaching/shadowing... ...active, valid, and unrestricted LVN or RN license in California (Non-Compact)....Remote jobImmediate start- ...Virginia is hiring a full time RN Case Manager for our inpatient units house-wide.... ...improving patient care Utilizing complex critical thinking... ...Registered Nurse, Case Management, Discharge Planning . Benefits:... ...that are available as remote work, Sentara Health employs...Remote workFull timeTemporary workRelocationMonday to FridayShift work
$118.13k - $155.79k
New York-Presbyterian Hospital is seeking a Case Manager - RN for Inpatient Units. This full-time position involves discharge planning and utilization management for patients in Brooklyn Methodist. Responsibilities include managing clinical reviews and coordinating post...Full time- ...quest for better? Job Description The RN Utilization Specialist reflects the mission, vision, and... ...May participate in interdisciplinary discharge planning rounds to facilitate communication... ...Three years of experience in acute inpatient hospital care. Organizational, team...For contractorsCasual workWork at officeLocal areaRelocation package
$93.73k - $146.08k
Scheduled Weekly Hours: 40 The Utilization Review (UR) Specialist has well-developed... ...identification of patient status (inpatient, observation status) so... ...training as needed to RN CMs Knowledge in areas of... ...services, and to reassess discharge planning needs based on daily...Full timeNight shift- Dormont Manufacturing Co in Georgia is seeking a licensed Registered Nurse (RN) for the Utilization Review Nurse position. This role involves conducting medical record reviews to determine care necessity and collaborating with interdisciplinary teams for patient care planning...
$93.73k - $146.08k
...Scheduled Weekly Hours: 40. The Utilization Review (UR) Specialist has well-developed... ...identification of patient status (inpatient, observation status) so... ...training as needed to RN CMs. Develop review process... ...ancillary services, and re‑assess discharge planning needs based on...Night shift$34 - $52.7 per hour
Froedtert Health is seeking a qualified nursing professional in Menomonee Falls, WI. The role involves assessing patient clinical statuses and collaborating with multidisciplinary teams to ensure effective care. Candidates should have a minimum of 3 years in acute care...Remote workHourly pay$2,210 per week
...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...treatment or inpatient confinement. This individual... ...aftercare needs, implements discharge planning and/or case... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...addition to: reviews complex inpatient documentation at a highly skilled... ...and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS... ...productivity expectations to support discharged not final billed (DNFB).... ...#REMOTE #LI...Remote workWork at office
- Optum is seeking a Discharge Care Manager in St. Louis, Missouri. This position involves telephonic... ...Science in Nursing, an active Missouri RN license, and at least 5 years of recent... ...in an acute setting. The role offers remote flexibility, comprehensive benefits, and...Remote job
- UnitedHealth Group is looking for a Discharge Care Manager who will be responsible for implementing... ...The position offers flexibility to work remotely if located in Missouri, and candidates... ...in Nursing along with an active Missouri RN license. You will play a vital role in...Remote job
$28.94 - $51.63 per hour
...Group is seeking a registered nurse in Arlington, Virginia, requiring an active RN license and 3+ years of experience in an acute setting. This position offers the flexibility to work remotely while taking on significant challenges. The role includes responsibilities...Remote jobHourly pay- ...ago Requisition ID: 9252 UR Specialist – Join Camber and Make an Impact... ...every day. Job Summary The Utilization Review department manages... ...authorization, concurrent reviews and discharge coordination with health... ...2 days in office and 3 days remote after successfully...Remote workFull timeWork at officeMonday to Friday
$28.94 - $51.63 per hour
Crains Cleveland is looking for a Registered Nurse (RN) in Virginia. Your role will include tasks like authorization review for HCBS... ...at least 3 years of acute experience, you will have options for remote work following your adherence to the company's telecommuter policy...Remote jobHourly pay- ...services, managing documentation, and communication with providers. The RN will be expected to work weekends in addition to weekdays.... ...of experience in an acute setting. The position offers flexible remote options for Virginia residents, alongside a comprehensive benefits...Remote jobHourly payFlexible hoursWeekday work
$28.94 - $51.63 per hour
...conducting authorization reviews and communicating with HCBS providers. The role offers the flexibility to work remotely and requires a minimum of 3 years of RN experience in an acute care setting. Benefits include a comprehensive package, competitive hourly pay between...Remote jobHourly pay- ...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
- ...Careplex Hospital is hiring an Inpatient Case Manager, RN. Inpatient Case Manager... ...-risk member management, utilization reduction strategies, care... ..., Talroo-Nursing, Discharge Planning, Home Rehabilitation... ...positions that are available as remote work, Sentara Health...Remote workTemporary workShift work
- Blue Cross Blue Shield of Arizona needs a clinical expert for managing member and provider appeals. This remote position requires strong accuracy, knowledge of compliance timelines, and a focus on customer service. Applicants should possess a healthcare-related degree...Remote job
$30 - $38 per hour
...Job Summary We are seeking Utilization Review Nurse RN to join our team on a part... ...medical appropriateness; inpatient hospital stay including mental... ...to prepare patients for discharge and ensure a smooth... ...successfully perform in a remote healthcare environment. Ability...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work
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