Remote Utilization Review Nurse - Acute Care Expert
Insight Global
Raleigh, NC
- 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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse - Acute Care Expert in Raleigh, NC vacancy
- ...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
Insight Global
Raleigh, NC4 days ago - UCLA Health in Los Angeles is seeking an Adult Acute Care Nurse Practitioner to join the stepdown floor with cross-training to the Cardiothoracic ICU. The NP will implement Standardized Procedures, coordinate patient care, provide education, and participate in interdisciplinary...Remote job
$72.8k - $130k
...Coding Subject Matter Expert Optum Insight is improving... ...alignment between care providers and payers,... ...with prebill reviews, such as, HAC/PSIs. The... ...the flexibility to work remotely from anywhere within the... ...process standardization, utilization of best practices,...Remote workMinimum wageFull timeContract workWork experience placementLocal area- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting... ...multiple service lines and levels of care, including Inpatient, Extended... ...Observation (OBS). Minimum of 3 years acute medical Care Management/Utilization Review...Remote work
3B Healthcare, Inc.
Torrance, CA7 hours ago - ...Optum is seeking a Utilization Review Nurse, RN to manage inpatient utilization review and preauthorization... ...coordinating with Medical Directors. Remote options are available for eligible... .... The position demands 3+ years of acute care nursing and 1+ year in Utilization...Remote work
University of Minnesota School of Nursing
Sacramento, CA2 days ago - ...Utilization Management Nurse 2Become a part of our caring communityThe Utilization Management Nurse 2 uses... ...prior authorization, claims review, utilization management,... ...clinical experience in acute care, skilled nursing,... ...Travel: While this is a remote position, occasional...Remote workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday
Minnesota Jobs
Saint Paul, MN19 hours ago - ...Working remotely, the Oregon Licensed RN Reviewer will conduct utilization management reviews to ensure appropriate patient care and resource utilization in a part-time capacity.... ...qualifications Bachelor of Science in Nursing (BSN) 3+ years of acute care hospital experience with...Remote workPart time
Virtual Vocations Inc
United States3 days ago - ...Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is... ...(required) Experience 3 years of acute care clinical experience (required... ...positions that are available as remote work, Sentara Health employs...Remote workTemporary workShift work
Sentara Health Plans
Brooklyn, NY1 day ago - ...ensure appropriate resource utilization and minimize payment denials, the full-time remote Maryland Licensed Utilization Review Nurse will conduct initial,... ...actions taken to coordinate care, avoid denials, and... ...experience, preferably in an acute hospital setting Current...Remote workFull time
Virtual Vocations Inc
United States45 minutes ago - ...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
The Judge Group, LLC
New York, NY1 day ago $40.12 - $62.19 per hour
...Utilization Review RNSinai Hospital's Utilization Review operates... ...physician advisors, nurses, and support staff who... ...improving quality of care.Summary: Conducts initial... ....This is a Full-time remote position.... ...required; preferably in acute hospital settingLicensure...Remote workFull timeLifeBridge Health
Owings Mills, MD4 days ago- ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2-5+ Years... ...-quality, cost-effective patient care.The ideal candidate is a licensed... ...outpatient, observation, and post-acute care services.Assess medical necessity...Remote workFull timeSecond jobWork at office
Ova Technologies
Alpharetta, GA3 days ago - ...Utilization Review Nurse Position at Vassar Brothers Medical Center Northwell... ...0,000 physicians. Northwell cares for more than three million... ...in the Nuvance Health Remote Work Program Policy when utilizing... ...3 years experience in acute care or subacute care Nursing...Remote workNight shift
$1,966 per week
...25 applicants Nurses - are you looking... ...managed health care, focused on... ...-life balance. Remote/hybrid setting... ...individual will utilize clinical knowledge... ...a second level reviewer. This individual... ...3 years recent acute clinical... ...in a new way. Experts add insights directly...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours$71.61k - $111k
Department/Unit: Care Management/Social Work... ...Responsibilities Utilization management and... ...requirements through case review and inter‑rater... ...Registered nurse with a New York State... ...in a high‑volume, acute‑care hospital preferred... ...of the time, as remote work is not...Remote workShift work- ...Adult-Gero Acute Care NP Subject-Matter Expert - Contractor (Remote) Hours: 5–15 hours per week Location: Remote Type:... ...as an Adult-Gerontology Acute Care Nurse Practitioner. Contracted writers will write, edit, review and/or categorize nurse practitioner...Remote workHourly payContract workTemporary workFor contractors
Higher Learning Technologies
Coralville, IAa month ago - ...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...
Mass Digital Health
Quincy, MA1 day ago - ...experience and at least 1 year in auditing/DRG validation, with strong accuracy in diagnostic and procedure coding.Candidates should have acute-care inpatient and trauma coding experience, preferably from Academic Medical Centers or Trauma Centers, and will#J-18808-Ljbffr
- ...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
Medix
New York, NY4 days ago - Memorial Katy Cardiology Associates is seeking a full-time Acute Care Nurse Practitioner to join our team and work alongside an Interventional Cardiologist in Katy, TX. The practice serves adults and geriatrics with access to advanced cardiology services and clinical trials...Full time
- ...prescribing, and education within a collaborative, fast-paced academic setting. Open to highly motivated new graduates with prior acute care, trauma, or TSICU experience. Weekend/holiday rotation and potential night coverage are included in a full-time schedule. #J-188...Full timeNight shiftWeekend work
- UT Southwestern Medical Center in Dallas, TX seeks an experienced Acute Care Nurse Practitioner or Physician Assistant for inpatient pain management at CUH and Zale Lipshy Hospital. Preference for a background in inpatient pain management or addictionology. Monday-Friday...Monday to FridayWeekend work
- ...This employed role requires PA-C or AC-APRN licensure in Texas, a Master’s in Nursing, and Acute Care Certification; 2+ years PICU/EM or Hem/Onc experience preferred. You’ll provide expert clinical management to critically ill children, collaborate with a multidisciplinary...
- ...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
IntePros
United States2 days ago $130k - $165k
...this role, you will provide key clinical support in a skilled nursing facility, including diagnosing and managing conditions, collaborating... ...flexible scheduling and a comprehensive benefits package while making a difference in post-acute care. #J-18808-Ljbffr Altea HealthcareFlexible hours- US Acute Care Solutions in Exeter, NH is seeking an experienced Emergency Medicine Physician Assistant or Nurse Practitioner to join a physician-led, patient-focused ED team. You will deliver compassionate, high-quality care alongside physicians and leverage APP leadership...Daily paidRelief
- Banner University Medical Center Phoenix is seeking an Acute Care Nurse Practitioner (ACNP) for its Nocturnal Critical Care team. The ACNP will manage critical care patients and work with a dedicated team focused on growth and career development. This full-time role includes...Full timeRotating shift
- ...Job TitleThis position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness...Remote workContract work
HireOps Staffing LLC
Dallas, TX7 hours ago - ...Utilization Review ManagerIn this role, you will manage utilization review processes, ensuring quality patient care while optimizing resource use. Your responsibilities include assessing... ...contributing to a collaborative and supportive remote work environment.Benefits include:...Remote workMonday to FridayWeekend work
Slate Healthcare
Fort Myers, FL4 days ago $29 - $52 per hour
...UnitedHealth Group's Optum unit is seeking a Utilization Review Nurse, RN to perform inpatient utilization management with evidence... ...collaboration with physician leadership to coordinate patient care. The position offers remote work options for those in Pacific or Mountain Time,...Remote workHourly payWeekend workColorado Psychiatric
Sacramento, CA3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Nurse - Acute Care Expert. Be the first to apply!
Related searches
- remote utilization review nurse part time Raleigh, NC
- guest service support expert Raleigh, NC
- fulfillment expert Raleigh, NC
- technology expert Raleigh, NC
- junior remote developer Raleigh, NC
- college summer internship remote Raleigh, NC
- remote senior salesforce administrator Raleigh, NC
- remote transcription Raleigh, NC
- junior front end developer remote Raleigh, NC
- cad remote Raleigh, NC