Remote Utilization Review Nurse - Acute Care Expert
Insight Global
- Remote job
A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality policies. The ideal candidate has over 2 years of experience in utilization review and significant clinical experience in an acute setting. Strong written and verbal communication skills are essential. #J-18808-Ljbffr Insight Global
$40 - $63 per hour
A healthcare services provider is seeking a full-time Utilization Review Nurse for a permanent onsite role in Las Vegas, NV. The successful candidate will review patient admissions to ensure efficiency and compliance with third-party payer requirements. Requirements include...SuggestedHourly payPermanent employmentFull time- ...leading academic medical center in Nevada is seeking a Registered Nurse with extensive experience in Utilisation Management. The role involves reviewing patient admissions and ensuring compliance with care standards. Candidates should possess a valid nursing license and...Suggested
- Description: Nurses – are you looking for a... ...personalized managed health care, focused on what’s... ...-life balance. ~ Remote setting ROLE... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...of 3 years recent acute clinical practice...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- ...tuition assistance, 403(b), remote work United States,... ...MD 21076 Category: Nursing Schedule: Day Shift... ...AM - 5:00 PM As a Utilization Review Registered Nurse for... ...clinical, managed care, utilization review, and... ...years' experience as an acute care RN ~1+ years'...Remote workFull timeMonday to FridayDay shift
- ...COMMITMENT**JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT –... ...combination of in person and remote considered)GENERAL... ...Review/Case Management Nurse is directly responsible... ...safe transitions of care.GIBSON AREA HOSPITAL &... ...associated with working with acutely ill patients and...Remote workFull timeSecond jobWork at officeRelocation packageShift work
- ...Summary Utilization Review Nurse - Case Management Full-time, day shift (varies... ...00p or 8:00a-4:30p) Hybrid (remote with rotating in house coverage... ...seamless transitions of care and promote patient-centered... ...clinical nursing experience in an acute care setting required....Remote workFull timeWeekend workDay shift
- ...Join Martin's Point Health Care - an innovative, not-for-profit health care organization... ...15. Position Summary The Utilization Review Nurse works as is responsible for ensuring... ...in and out of network hospitals, post-acute care facilities, other providers, and...Remote workWork at office
$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR,... ...we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving... ...planning for members transitioning from acute, long-term, or residential care Conduct...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday- Innovative Systems Group is seeking a Registered Nurse for remote positions in IL, TX, NM, MT, or OK. The role involves collaborating with healthcare providers to optimize member benefits and evaluate medical necessity, ensuring compliance with established guidelines....Remote job
- ...staff position, please review this tip sheet ( . The... ...plan of care for patients, from admission... ...Enter Ancillary notes utilizing the templates for care... ...Utilize Case Manager nurse driven protocols to facilitate... ...QIO Medicare appeals. Acute Care transfers including...Remote workFull timeTemporary workWorldwide
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor... ...and cost-effective patient care. Working collaboratively within... ...nursing experience in an acute care setting. • At least... ...required for facility based staff; optional for remote staff.Remote workWork at office
- Emory University is seeking a remote radiologist for its Department of Radiology and Imaging Sciences. This position involves providing... ...candidates will join a collaborative team focusing on emergency care, and must be ABR Board certified/eligible. A very competitive salary...Remote jobNight shift
- .... This is a great opportunity for a local remote position. Schedule PRN (As needed)... ...etc). Requirements: ~2 years of staff nurse experience performing care for hospitalized patients. ~2 years of utilization review (UR) experience reviewing hospital admissions...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential... ...support timely, accurate, and compliant care decisions in accordance with... ...Comfortable working independently in a remote or office-based setting. Working Conditions...Remote workWeekly payContract workWork at officeMonday to Friday- ...The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate... ...industry-standard guidelines to ensure that care is provided at the appropriate level... ...Experience 5 years of experience in acute healthcare settings, including at...Remote workWork experience placementWork at officeFlexible hoursWeekend work
- ...healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include... ...degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
$78k - $92k
...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and outpatient services... ...utilize their clinical expertise without direct patient care. The role involves reviewing medical cases,...Remote work$85k - $105.34k
...Umpqua-Health seeks a Utilization Review Nurse to evaluate clinical service requests and ensure quality care. This role includes conducting prior authorizations, collaborating with healthcare teams, and ensuring compliance with regulations. The ideal candidate will have...Remote work$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley... ...no holidays, no telehealth/remote work Minimum Qualifications... ...experience in direct patient care • 12 consecutive months in Utilization... ...Management, Utilization Review, or Case Management...Remote workContract workImmediate startMonday to Friday- 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
- ...Management Location: 100% Remote Schedule: M-F 9:00... ...Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization management... ...members with the right care at the right place at... ...IL State Registered Nursing (RN) license in good...Remote workContract work
- ...Summary: This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital...Remote workFull time
$40 per hour
...reside in TX Full time remote Candidates must be... ...insurance or managed care industry using medically... ...performing initial, concurrent review activities; discharge... ...information regarding utilization management requirements... .... Registered Nurse (RN) with valid, current...Remote workFull timeContract workWork at office- ...disease management, and patient care will help ensure AI systems... ...reliability. Provide structured, expert feedback that informs next‑... ...internal medicine’s full spectrum — acute care, chronic disease, and... ..., with possible extension Remote: Fully remote, collaborative environment...Remote jobContract workFor contractorsFreelance
- ...applicants This is full-time remote, but candidates must reside in... ...the insurance or managed care industry using medically accepted... ...accurate and timely medical review of claims suspended for... ...prioritization skills. ~ Registered Nurse (RN) with unrestricted license...Remote workFull timeContract work
- ...being of people through patient care, research and education.... ...Functions Applies approved utilization criteria to monitor... ...levels of care and continued stay review. Communication to third-party... ...with payer as determined by nursing judgment and/or collaboration...Remote workWork at officeShift workNight shiftRotating shift
$41 - $45.5 per hour
...Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL... ..., high-quality care and supports members through... ...health education, and utilization management. Key Responsibilities... ..., and retrospective reviews for inpatient, rehab,...Remote work$35 - $40 per hour
...Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and... ...-effective, and compliant delivery of home health care. This role monitors admissions, reauthorizations,...Remote workContract workFlexible hoursWeekend work$63k - $65k
...PURPOSE OF THE ROLE To utilize evidence-based tools to... ...well‑being of others in a remote work environment. Enjoy... ...setting. Enable our Caring Counts® mission of supporting... ...with the client, nursing staff and claims examiners... ...utilization management reviews. Maintain client’s...Remote workWork experience placementFlexible hours$35 - $43 per hour
...0/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA... ...Nurse – Concurrent Review will perform utilization management functions to ensure members receive the right care at the right time. This role focuses...Remote work
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