Remote Utilization Review Nurse — CA Licensed
$34 - $47 per hourAstrana Health, Inc.
- Remote job
Astrana Health, Inc. is seeking a CA-licensed UM Review Nurse for a remote position assisting the Health Services Department. Responsibilities include reviewing medical service approvals based on Medical Necessity Criteria. Ideal candidates will have at least one year of outpatient Utilization Management experience and must be available for 5 shifts per week, from 8 AM to 8 PM PST. The role requires strong interpersonal skills and experience with Microsoft applications. The compensation ranges from $34 to $47 per hour, based on experience and qualifications. #J-18808-Ljbffr Astrana Health, Inc.
$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly pay- Astrana Health Management is seeking a CA-licensed UM Review Nurse to review outpatient medical services. Candidates should have 1+ years of outpatient Utilization Management experience, work remotely, and maintain availability for shifts 8 AM - 8 PM PST, Monday through...Remote jobShift work
$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire... ...activities. Required Qualifications Active Licensed Vocational Nurse (LVN) license.... ...working independently in a remote or office-based setting. Working Conditions...Remote workWeekly payContract workWork at officeMonday to Friday$30.64 - $45.8 per hour
...CA Utilization Review Nurse I Job Category: Case Management This is a remote position. Description The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient...Remote workHourly payFull timeWork at officeLocal areaFlexible hours$10k
...Location: Fairfield, CA Remote Status: Hybrid Job Id: 557 # of Openings: 1 Job Title: Nurse Practitioner Schedule: Monday-Friday... ...timely post‑discharge follow‑up, utilization management, preventing... ...working for a set period of time. License Reimbursements: We offer...Remote workFull timeTemporary workMonday to FridayFlexible hours$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department:... ...Health is looking for an experienced CA-licensed Utilization Review Nurse to assist...Remote workHourly payMonday to Friday$35 - $43 per hour
...hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an active CA RN license) Duration: 12 months (with potential... ...– Concurrent Review will perform utilization management functions to ensure...Remote work$55 per hour
...is hiring a Concurrent Review Nurse to support our client... ...Healthcare space. Location: Remote (must be based in... ...in case management, utilization management, or discharge... ...Registered Nurse license in the State of California... ...Management /Case Manager CA REMOTE California,...Remote workFull timeContract workTemporary workLocal area- Location: Victorville, CA Remote Status: On-Site Schedule: Monday‑Friday... ...a week) Job Type: Full‑time Nurse Practitioner Job Location:... ...follow‑up visits to review symptoms, labs, vitals, and adjust... ...California Nurse Practitioner license. Board‑certified NP in good...Remote workFull timeTemporary workMonday to Friday
- Emory Healthcare is looking for a Utilization Review (UR) Specialist to conduct thorough medical necessity reviews, ensuring... ...acute hospital experience and a valid Registered Nurse license from the state of Georgia. This remote position involves collaboration with provider...Remote job
$10k
Location: Bellflower, CA Remote Status: On‑Site Job Id: 579 # of Openings: 1 Job Title Nurse Practitioner - in clinic (FQHC) Job Location Los Angeles (35 mile radius... ...plans for additional financial protection. License Reimbursements: Reimbursement for licenses and...Remote workFull timeTemporary workFlexible hours$180k - $230k
...physicians just two hours south of San Francisco in Monterey, CA is seeking an experienced nurse practitioner or physician assistant to join their... ...30,000 • EMR - EPIC with Murj Software for Device Clinic/Remote Follow-up • Benefits Covered: Health, Life, Vacation, CME...Remote workFull time$26 - $31 per hour
...these workflows - from alert review and medication titration to... ...hiring a Clinical Navigator (Licensed Practical Nurse) to deliver virtual chronic... ...Schedule This is a full-time, remote position based in the United... ...) is required. An active CA state LVN license is required...Remote workHourly payFull timeLocal areaHome officeMonday to Friday$26 - $31 per hour
...longer, healthier lives. The Cadence Health team is seeking a remote Licensed Practical Nurse (internally known as a Clinical Navigator) to provide... ...(including stable high-speed WiFi) is required An active CA state LVN license is required Fluency in Spanish is strongly...Remote workHourly payFull timePart timeWork at officeLocal areaHome officeMonday to Friday$30.64 - $45.8 per hour
...Job Description Job Description The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective... ...the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Description: Nurses – are you looking for a change?... ...Holidays Work-life balance. Remote setting ROLE... ...: This individual will utilize clinical knowledge and... ...decision to a second level reviewer. This individual interfaces... ...unrestricted, current nursing license in the state or...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...to meet patient needs. Candidates must possess a nursing license and have experience in utilization review or home health....Remote workContract work
- ...Management Location: 100% Remote Schedule: M-F 9:00... ...an Illinois state RN license Assess and analyze... ...Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization... ...IL State Registered Nursing (RN) license in good standing...Remote workContract work
- ...A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines... ...accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-...Remote workFull time
- ...Cross and Blue Shield of Kansas City is looking for a Clinical Review Nurse to utilize clinical expertise in managing healthcare services... ...experience and an Associate degree in nursing, along with RN licenses in Missouri and Kansas. This role involves conducting utilization...Remote work
- ...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,... ...Qualifications ~ Active RN license (WA; must be in good standing...Remote workContract work
$47.06k - $70.24k
A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting... ...examiners. Candidates must have a current RN license and at least four years of clinical experience,...Remote work$41 per hour
...Remote position, however, candidates must reside in the State of TX or State of... ...performing accurate and timely medical review of claims suspended for medical... ...Minimum Requirements: # Registered Nurse (RN) with unrestricted license in state. #3 years clinical experience...Remote workContract work- ...25 applicants This is full-time remote, but candidates must reside in IL or... ...performing accurate and timely medical review of claims suspended for medical... ...prioritization skills. ~ Registered Nurse (RN) with unrestricted license in state . ~3 years clinical experience...Remote workFull timeContract 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... ...or vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona...Remote workContract workFlexible hoursWeekend work- ...Currently seeking a Utilization Management RN . Please see details... ...qualifications below: Position is remote - candidate must reside in... ...Must have an active PA license or a Nurse Licensure Compact to include... ...through medical record review to determine medical necessity...Remote workImmediate startDay shift
$33.6 - $51.39 per hour
...great opportunity for a local remote position. There is no... ...hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital... ...one active MO or IL RN license If candidate only has one RN... ...Requirements Education Nursing Diploma/Associate's - Nursing...Remote workHourly payFull timeWork experience placementReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work- ...established industry player is seeking a dedicated Registered Nurse for a remote contract position in the insurance or managed care sector.... ...validating treatment plans and performing thorough medical reviews on claims. Candidates must possess strong communication skills...Remote workContract work
- ...Position Summary The Utilization Review Nurse works as responsible for ensuring the receipt of high quality, cost efficient medical outcomes for... ...experience in a health plan UM department. Required Licenses and Certifications Compact RN License. Certification in managed...Remote workWork at office
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
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