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
- ...staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client... ...role involves evaluating patient care cases and ensuring requested services... ...clinical experience in an acute setting. Strong written and verbal...Remote work
- ...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
- ...the safest and highest quality of care provided by our expert, compassionate medical care team at... ...Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical... ...correct level of care throughout their acute stay. Every day you will...Remote work
- ...Currently seeking a Utilization Management RN .... ...: Position is remote - candidate must reside... ...PA license or a Nurse Licensure Compact... .... ** Previous Acute Hospital Utilization... ...medical record review to determine medical... ...appropriate care settings. Report...Remote workImmediate startDay shift
$57.24k - $62.18k
...Nurses - are you looking for a change? Want... ...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$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- ...PACE (Program of All-Inclusive Care for the Elderly) Centers,... ...Program sites. Job Title: Utilization Review Nurse Job Summary The... ...inpatient, observation, post-acute (SNF, IRF, LTACH), home health... ...Environment Work Conditions ~ Remote role with reliable high-...Remote workFull timePart timeWork at officeLocal areaWeekend workAfternoon shift
$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review... ...records and speak with care providers regarding treatment... ...Work Location: This is a remote position, open to candidates... ...year clinical practice in an acute care setting, i.e., ER or hospital...Remote workHourly payFull timeWork from homeHome officeWeekend work- ...Partners is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working with... ...license, at least 3 years of nursing in acute or outpatient settings, and 2+ #J-18808...Remote work
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview... ...of in person and remote considered) GENERAL SUMMARY... ...ensures safe transitions of care. GIBSON AREA HOSPITAL &... ...associated with working with acutely ill patients and...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...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
- ...CVS Health is hiring a Utilization Management Nurse Consultant focused on Medical Review. This fully remote role supports timely, medically necessary care through expert clinical review and provider collaboration. The position requires an active RN license, 3+ years...Remote workFull time
- ...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
- 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
- ...is seeking a Behavioral Health Prior Authorization Utilization Review Consultant to monitor and decide on medical and behavioral... ...with policies, regulations, and standards of care. The position supports AHCCCS’ remote-work options within Arizona, emphasizes collaboration...Remote work
- ...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
$85.99k - $105.34k
...focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical... ...RN license and at least five years of direct patient care experience. The position offers a competitive salary from...Remote workFull time$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- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident... ...Review to join our Utilization Management team. In this role,... ...medical directors, providers, and care management teams to support high...Remote workContract work
- ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements... ...(combination of in person and remote considered) General Summary The Utilization... ...teams ensures safe transitions of care. Responsibilities Coordinate and...Remote workFull timeShift work
- ...Referral Analyst will monitor and review referrals, assess cases for... ...for members while working remotely. Key responsibilities Monitor... ...referred cases Identify alternate care outreach plans for members... ...qualifications 5+ years of clinical nursing and patient assessment...Remote workFull timeWork experience placement
$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$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- ...Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health... ...evaluating 3.5 patient care cases per hour (both... ...day to day, etc. Being an expert within the plan and benefit... ...clinical experience in an acute environment (not...Remote workHourly pay
$34 - $40 per hour
...pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) -... ...is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health services... ...knowledge in a new way. Experts add insights directly into each...Remote workFull time- ...objectives Responsibilities: Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies... ...as an RN ~ Registered Nurse in state of residence ~ Must have prior authorization utilization experience ~ Experience with...Remote work
$30 - $38 per hour
...wellbeing solutions, and comprehensive care navigation together in one place. We... ...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time... ...skills to successfully perform in a remote healthcare environment. Ability to perform...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work$40 per hour
...reside in TX Full time remote Candidates must be... ...the insurance or managed care industry using medically... ...initial, concurrent review activities; discharge care... ...information regarding utilization management requirements... ...facilities. Registered Nurse (RN) with valid, current...Remote jobFull timeContract workWork at office- Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote job
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