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
- ...Technologies, Inc. is seeking a Registered Nurse with utilization management experience to review ED admissions and apply... ...candidates have 3+ years in acute care nursing and 2+ years in utilization... ...in EMR and MS Office. Remote work arrangements are supported...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... ...process standardization, utilization of best practices, work...Remote jobMinimum wageFull timeContract workWork experience placementLocal area- ...Description: Nurses - are you looking for... ...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 workMonday to FridayFlexible hours
- ...Responsible for utilization review work for emergency admissions and continued... ...clinical experience in acute care setting in emergency room, critical... ...and/or medical/surgical nursing At least 2 years... ...Expectations Comfortable with remote work arrangements and...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
$40.12 - $62.94 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty... ...physician advisors, nurses, and support staff who... ...improving quality of care. Summary:... ...This is a Full-time remote position. Responsibilities... ...required; preferably in acute hospital setting Licensure...Remote workFull time- ...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
$77.08k - $119.47k
...Department/Unit: Care Management/Social... ...Responsible for Utilization Management, Quality... ...Characteristics # Registered nurse with a New York... ...in a high volume, acute care hospital... ...to utilization review process. #... ...be done from a remote location. Other...Remote workFull timeShift work$85 per hour
...Requirements Must be eligible to work in Remote Fluent proficiency in English (Written & Verbal) Reliable... ...Within 3 months ~80% Why this role At $85/hr, this Utilization Review Nurse / Managed Care Expert position compensates Healthcare expertise on its own...Remote workHourly payContract work$68k - $165k
...Regulatory Affairs Subject Matter Expert 2 acts alongside RA SME 1 to... ...and submission of acute care medical products.***Contingent... ...medical solutions.Develop and review regulatory strategies, submission... ...Detrick, MD 21702Travel: 10%Remote, Onsite, or Hybrid: Onsite.#LI...Remote workFull timeContract workTemporary workWork experience placementLive outFlexible hours- ...Registered Dietitian Nutritionist for a full-time role in Richland Center, WI, with a blend of in-person and telehealth care. The job offers 40 hours per week, remote work majority, and on-site visits as required. Competitive salary and health benefits provided. The role...Remote workFull timeFlexible hours
- Currently seeking a Utilization Management RN .... ...below: Position is remote - candidate must... ...active 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
$36 - $39 per hour
## Expert Coach IIApply: USA - Any Location (Remote): Full time: Posted Today: End Date... ...evolution of virtual care.**At Teladoc Health... ...experience, from acute and primary care to... ...appropriate coaching utilization and meet member... ...practice.o Seeks out and reviews research findings...Remote workBi-weekly payFull timePart timeWork experience placementVisa sponsorshipWork visa- ...Minnesota, United StatesCompany: UnitedHealth GroupPosted: 2026-10-03UnitedHealth Group seeks a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. You will determine and record correct codes for treatments, ensuring documentation...Remote work
- TruBridge, Inc. is seeking an Acute Claim Biller - UB04 & CMS-1500 to manage day-to-day billing operations for hospital and clinic claims. The role focuses on patient billing, collections, payer relations, and insurance claim preparation, with strong emphasis on accuracy...Remote job
- Adult-Gero Acute Care NP Subject-Matter Expert - Contractor (Remote) Hours: 5-15 hours per week Location: Remote Type: Independent... ...expertise as an Adult-Gerontology Acute Care Nurse Practitioner. Contracted writers will write, edit, review and/or categorize nurse practitioner...Remote workHourly payContract workFor contractors
- ...Remote role but will need to go to Newark, NJ to pick up equipment and orientation... ...: 1. Conducts on-site reviews at participating provider offices... ...business experience, preferably health care industry. 2. Requires License Practical Nurse License or an active New Jersey...Remote work
- BayCare is seeking an Advanced Inpatient Coding Specialist for a remote, full-time role. Must reside in Florida, Georgia, North... ...Carolina. CCS certification required; RHIT preferred. Five years in acute care inpatient coding (three years inpatient coding) and strong anatomy...Remote jobFull timeRelocation package
- ...educate inpatient coding for ICD-10-CM/PCS, focusing on oncology and acute care. The educator designs training, audits, and compliance programs... ..., 4+ years inpatient coding with ICD-10-CM/PCS, strong communication, research, and training skills; remote #J-18808-Ljbffr SPEROSRemote job
- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. The nurse will collaborate with the patient’s PCP,... ...providers to ensure appropriate, cost-effective levels of care while maintaining safety and quality. The role...Remote work
$65k - $78k
...development. Your Role In Our Mission Review admissions, procedures, services, and... ...systems. Assist in training new nurses, provide feedback, and stay updated on clinical... ...when you bring together people who care deeply about making healthcare work better...Remote workFull timeWork at officeWork from homeFlexible hours$150 per hour
...Telehealth Nurse Practitioner – Remote Acute Care (Work From Home – Nationwide) Join to apply for the Telehealth Nurse Practitioner – Remote Acute... ...Diagnose and treat acute & primary care conditions Review labs, prior records, and risk factors when available...Remote workWork from home- Triage Staffing is seeking an Interventional Radiology Tech in Englewood, Colorado. The role is located in a facility offering acute care exposure and a 40-hour work week with 7:00 AM-5:30 PM shifts, in a Level I Trauma Center setting. Earn weekly gross pay with comprehensive...Weekly payShift work
- Washington Hospital seeks a Per Diem Speech Pathologist with advanced NICU experience to deliver comprehensive services across acute care. You will evaluate patients, develop care plans, provide treatment, document progress, and educate families while coordinating with...Daily paid
- Banner University Medical Center Phoenix seeks an Acute Care Nurse Practitioner (ACNP) to join the Nocturnal Critical Care team. The ACNP will manage critical care patients, perform procedures, interpret tests, and contribute to education and research in a collaborative...Full timeNight shiftWeekend work
- ...great opportunity for a local remote position. There is no communication... ...of RN experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital... ...Requirements Education ~ Nursing Diploma/Associate's - Nursing...Remote workFull timeReliefLocal areaMonday to FridayFlexible hoursShift work
- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will assess inpatients and collaborate with physicians... ...to ensure the most appropriate, cost-effective care level. Qualified candidates will hold an active LVN...Remote 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
$40 per hour
...reside in TX Full time remote Candidates must be based... ...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
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