Remote Utilization Review Nurse: Medicare & Home Health
Medix™
- Remote job
A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with healthcare teams. Qualifications include an accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr Medix™
- 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 jobContract work
- ...Join a stable work from home team. This is a great... ...for a local remote position. Schedule... ...commercial, behavioral health, inpatient, etc). Requirements... ...: ~2 years of staff nurse experience performing... .... ~2 years of utilization review (UR) experience reviewing...Remote workWork from homeReliefLocal areaMonday to FridayFlexible hoursShift work
$1,966 per week
...first 25 applicants Nurses – are you looking... ...able to work from home 50% of the time... ...personalized managed health care, focused on... ...Work-life balance. Remote/hybrid setting (once... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces...Remote workWork from homeFull timeTemporary workPart timeWork at officeMonday to FridayFlexible hours$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR... ...TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than... ...compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday- ...American Insurance Services is seeking licensed Life & Health agents to work remotely, selling ACA, Medicare, STM and other health products with access to... ...offers full support, a flexible schedule, and work-from-home arrangements. #J-18808-Ljbffr Dan Cummins Ford LincolnRemote jobWork from homeImmediate startFlexible hours
- ...professionals, the full-time remote Medicare Sales Agent will... ...while working from home in Maine, New Hampshire... ...questions and product reviews, assisting with enrollment... ...Current and active Health Insurance license in the... ...sales experience utilizing a health insurance license...Remote workWork from homeFull timeShift work
- ...Description Summary: The Utilization Review Nurse is responsible for determining the clinical... ...screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient... ...necessary with other members of the health care team to ensure the above...Full time
- ...Utilization Review Registered Nurse Excel. Empower. Advance. Shine. Belong... ...! Johns Hopkins Health Plans (JHHP) is the... ...business in Medicaid, Medicare, commercial, military... ...balance - This is a remote role! Candidates in... ...is the place to call home. Salary Range:...Remote workLocal areaMonday to Friday
$20 per hour
A healthcare transformation company is seeking Licensed Health Insurance Agents for a remote role. In this position, you will provide consultative support... .... Join us to make a meaningful impact while enjoying flexible work-from-home conditions. #J-18808-Ljbffr View MoreiconsRemote jobWork from homeHourly payFlexible hours$17.8 per hour
...Job Title Remote after training. Fully onsite to start/training... ...workers are allowed to Work from Home, but it wouldn't be until... ...customer service experience in a health care or health insurance environment... ...lines of business, i.e. CDHP, Medicare, Wellness, and Disease...Remote workWork from homeWork at office- ...Apply Refer a Friend Back Remote Work from Home Share This Page Share on Facebook... ...#: 668261 Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category... ...with lines of business in Medicaid, Medicare, commercial, military health, health...Remote workWork from homeFull timeWork experience placementLocal areaDay shift
$17 - $25 per hour
...Job title Leadership Roles- Licensed Health Insurance- Medicare - Work from Home About Sagility Sagility... ...and experience. Your recruiter will review the details based on qualifications... ...maintaining focus and productivity in a remote work environment ~ Ability...Remote workWork from homeWeekly payMonday to Friday- ...Registered Nurse - Utilization Review (Nursing) Location: Aurora, CO. Location: Colorado Military Health System – Buckley AFB and Peterson AFB. Labor Category: Registered Nurse... ...40 hours per week. Tele-health/work from home is not an option. Legal Authorization to Work...Remote workWork from homeContract workMonday to FridayNight shift
- ...is seeking an intern for the Utilization Management Behavioral Health Registered Nurse role. This position supports... ...and focuses on clinical review, communication with providers... ...behavioral health. The internship is remote, requiring a conducive home work environment and offers...Remote workWork from homeInternshipWeekday work
- ...spouses. The RN Intern will engage in clinical reviews, support decision-making for healthcare... ...in Kentucky and two years of behavioral health experience. Candidates should possess... ...software, with the opportunity to work from home in a supportive environment. #J-18808-...Remote workWork from homeInternship
$65k - $88.6k
...Community The Utilization Management Behavioral Health Professional... ...unrestricted registered nurse license in the... ...in a remote environment.... ...with utilization review process ~ Experience... ...Remote work at Home Schedule: Must... ...for people with Medicare and Medicaid, families...Remote workWork from homeFull timeTemporary workApprenticeshipPrivate practiceWork at officeHome office- ...Evolution Sports Group in Dallas, TX, is seeking a Remote Health Coach to empower clients in achieving their health and wellness goals through... ...make a positive impact in people's lives while working from home. Join our supportive team aimed at enhancing client well‑being...Remote workWork from homeFull time
- ...Inspire Health Alliance is seeking a Clinical Wellbeing Specialist in Los Angeles to provide behavioral health navigation and support.... ...intervention. This hybrid position allows flexibility in work-from-home days, focusing on resident well-being, emotional health, and...Remote workWork from home
- ...a friendly, detail-oriented Entry‑Level Home Health Intake Coordinator to join New Paradigm... ..., supporting home health agencies with remote patient intake. What You’ll Do Collect referral... ...insurance and demographic details Review clinical documents for accuracy Prepare...Remote workWork from home
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley... ...Peterson AFB, Colorado Military Health System Compensation: $1,600... ...no holidays, no telehealth/remote work Minimum Qualifications... ...Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate startMonday to Friday$150 - $180 per hour
...Prolific in Virginia Beach is seeking Mental Health Professionals to train and evaluate AI models. The role involves reviewing AI responses to psychological scenarios and completing... ...Network to influence future AI innovations and work flexibly from home. #J-18808-Ljbffr...Remote workWork from home$8 - $65 per hour
...Prolific seeks Mental Health Professionals in Jacksonville to participate in training AI... ...$65/hr for tasks, which can be completed remotely. Candidates will analyze AI-generated data... ...AI development from the comfort of their homes, with flexible working hours. #J-18808-Ljbffr...Remote workWork from homeFlexible hours- ...Los Angeles, CA, to provide navigation and support for behavioral health and emotional wellbeing. The role involves telephonic... ...license. This position offers a hybrid working model with flexible home and office days, fulfilling clinical expertise duties and contributing...Remote workWork from homeWork at officeFlexible hours
- ...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 work
$61.5k - $136.1k
byebyeoffice is looking for a Holistic Health Specialist to work from home in Nashville, Tennessee. This role... ...will have a valid Registered Nurse license and experience in clinical care... ...position offers flexibility with full remote work and requires working hours in the...Remote jobWork from home$75k
...reach your goals and beyond. Remote Full‑time We are seeking a motivated... ...‑time Quick Apply About Pitch Health Solutions. Pitch Health... ...national agency specializing in Medicare Advantage, Final Expense, and... ...Insurance Experience to work – FROM HOME! Our unique platform provides...Remote workWork from homeHourly payPermanent employmentFull timePart timeSummer workWork at officeLocal areaWorldwideNight shift- ...management counseling. This position offers a flexible work-from-home schedule, guaranteeing 20-30 hours per week. The ideal... ...have a background in Dietetics and a passion for improving client health. Additional benefits include paid training and equipment. Candidates...Remote workWork from homeFlexible hours
- ...Licensed Professional Counselor (LPC) - Remote Licensed Professional Counselor (LPC) - Remote... ...Professional Counselor (LPC) - Remote Health & Wellness Substance Use Therapist... ...Crisis Therapist - On Site, No Field Work Home Base Crisis Intervention Program Therapist...Remote workWork from homePart time
$41.9k - $56.6k
...community The Community Health Worker1contributes to administration... ...barriers and evaluate the home environment Assess member... ...information.Travel: While this is a remote position, occasional travel to... ...of life for people with Medicare and Medicaid, families, individuals...Remote workWork from homeFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday- ...MCI is looking for a Licensed Life and Health Insurance Specialist in a remote, work-from-home capacity. This role involves educating customers about various insurance policies to meet their needs while ensuring compliance with regulations and achieving sales targets....Remote workWork from home
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