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
- ...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
$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- 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
- ...Nurses Are you looking for a change? Want... ...personalized managed health care, focused on what's... ...-life balance. ~ Remote/hybrid setting (... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...of 3 years recent acute clinical practice...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
$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 &... ...with working with acutely ill patients and maintaining...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
- ...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$49.14 per hour
Dignity Health is seeking a Utilization Review Nurse to supervise clinical decision-making and ensure resource... ...review principles, and liaising with care coordinators and physicians. Ideal... ...license in Arizona, with two years of acute hospital experience, or an equivalent Masters...Remote jobHourly pay$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 office$130 per hour
Mercor is seeking Emergency Medicine experts to design clinical scenarios and evaluate AI models focusing on acute and emergency care. Candidates should be board certified attending... ...00 per hour, based on seniority, with flexible remote engagement. #J-18808-Ljbffr MercorRemote jobHourly payFlexible hours- ...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 jobFor contractorsFreelance
$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$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- ...Utilization Management Review Nurse Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents... ...income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health...Remote workWork experience placementReliefWork at officeFlexible hoursWeekend work
- ...Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote... ...: ~2 years of RN experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions...Remote workFull timeReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$71.1k - $97.8k
...leading healthcare services provider is seeking a Telephonic Nurse to manage care for patients transitioning in and out of services. This full... ...a compact state RN license, at least 3 years of post-acute experience, and strong communication skills. The role offers...Remote jobFull timeWork from home- Northwestern Medicine is looking for an Acute Care Nurse Practitioner to join our Electrophysiology department, working a mix of inpatient and outpatient care. The role is primarily based at McHenry Hospital. Responsibilities include patient assessments, direct care, and...Relocation package
$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... ...Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria to validate the...Remote workContract work$3,444 per week
Triage Staffing is looking for an Interventional Radiology Tech to work at a Short-Term Acute Care Hospital in La Jolla, CA. This full-time position offers an estimated pay of $3,444 per week for a contract length of 13 weeks, working 40 hours on an 8-hour day shift. Ideal...Full timeContract workTemporary workDay shift- ...role requires at least two years of experience and state licensure (if applicable). You will perform ultrasound examinations in an acute care hospital setting. You will be compensated fairly for your expertise and dedication, with health, vision, and dental benefits...Immediate start
- ...seeking a travel Speech Language Pathologist for a position in Greensboro, North Carolina. The role requires at least 1 year of acute care experience, proficiency in Modified Barium Swallow studies, and valid certifications including BLS, CCC-SLP, and MBS/MBSS. Responsibilities...
$3,322 per week
...current ARRT certification and at least 2 years of experience in the specialty. The estimated salary is $3,322 weekly gross, not including taxes or other deductions. Start date is June 8, 2026, for a short-term acute care hospital facility. #J-18808-Ljbffr Triage StaffingContract workTemporary workDay shift- Vibra Travels is seeking a Travel Physical Therapist to provide and direct therapy services to patients in acute settings. Responsibilities include assessment, treatment planning, and supervision of assistants. Candidates must have a current license to practice and preferably...Hourly payFlexible hours
$2,982 per week
...2 per week and involves a 10-hour day shift. The ideal candidate must have current ARRT certification and a minimum of 1 year of acute care experience, along with at least 2 years in the specialty. This role is within a Short Term Acute Care Hospital with a Trauma Level...Temporary workDay shift- Mass Digital Health in Quincy, Massachusetts is seeking a Utilization Review Nurse to evaluate patients for admission appropriateness and coordinate care activities. This role demands collaboration with physicians, care managers, and extensive clinical knowledge to ensure...
$35.29 - $54.71 per hour
...role and does not offer a hybrid or remote option. The Surgical Specialty acute care unit is a new 18 bed addition to... ...an accredited or state board of nursing approved Registered/Professional... ...practice in direct patient care utilizing the nursing process Values a multidisciplinary...Remote workTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Rehabilitation Patient Care Unit FTE: PRN, 0.0,... ...not offer a hybrid or remote option. Minimum Requirements... ...or state board of nursing approved Registered/... ...in direct patient care utilizing the nursing process... ...at the point of care Acute Care: Direct care includes...Remote workTemporary workReliefLocal areaFlexible hoursShift work- ...Pathologist for a position in Palmdale, California. This role involves providing dysphagia evaluation and treatment in an inpatient acute care setting, focusing on Modified Barium Swallow Studies and Videofluoroscopic Swallowing Studies. The ideal candidate will have a...Immediate startShift work
- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization Review Nurse... ...patients' services across the continuum of care by promoting effective utilization,... ...will support multiple hospitals both remotely and traveling onsite to the hospitals....Remote workWork at office
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